Girls Haven
3460 FANNIN ST, Beaumont, TX 77701 · Jefferson County
Program
- Type
- General residential operation
- Licensed capacity
- 16
- Ages
- 6-17
- Hours
- 12:00 AM-
- Director / administrator
- Elizabeth Ann Milam
- Phone
- (409) 832-6223
- Regulated since
- Sep 28, 2001
- HHSC IDs
- Operation 169498 · number 554314
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Supervision & ratios (2) |
| 2025 | 12 | 0 | Supervision & ratios (4), Safety & premises (1), Staff background & training (4), Records & paperwork (2), Other (1) |
| 2024 | 6 | 2 | Supervision & ratios (3), Discipline & child guidance (1), Food & allergies (1), Other (1) |
| 2023 | 29 | 3 | Illness & medication (3), Supervision & ratios (9), Discipline & child guidance (2), Safety & premises (1), Food & allergies (3), Staff background & training (4), Records & paperwork (5), Other (2) |
| 2022 | 5 | 1 | Illness & medication (2), Supervision & ratios (2), Other (1) |
| 2021 | 7 | 1 | Illness & medication (1), Supervision & ratios (3), Safety & premises (2), Staff background & training (1) |
Inspections, investigations & assessments
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Report · 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 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2026 Inspection · Deficiencies cited
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Supervision & ratios
The operation had 11 prepared individual food plates stored on the countertop covered with plastic wrap at 2:43PM with the intention to reheat and serve the food for dinner at 5PM.
HHSC 748.3441(p) — Food Preparation-Must maintain hot food at 140 degrees Fahrenheit or above
HHSC risk weight: Medium High. Corrected 2026-03-06. Correction verified 2026-03-05.
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Supervision & ratios
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Jan 23, 2026 Inspection · Deficiencies cited
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Supervision & ratios
The operations' emergency relocation map does not show shelter in place designation. The administrator reprinted the relocation map wth the shelter in place location.
HHSC 748.3233(b)(3) — Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-01-23.
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Supervision & ratios
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Dec 30, 2025 Inspection · Deficiencies cited
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Supervision & ratios
Thermometers were not observed in the two refrigerators of the kitchen or three freezers. Maintenance staff corrected by placement of thermometers in the two refrigerators and three freezers.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-12-30.
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Supervision & ratios
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Dec 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Inspection · Deficiencies cited
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Staff background & training
A caregiver's Emergency Behavior Intervention training was not renewed timely.
HHSC 748.936(1) — Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HHSC risk weight: Medium High. Corrected 2025-12-09. Correction verified 2025-12-12.
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Staff background & training
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Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 9/15/2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on 5/22/2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium weighted citation in a pattern/trend category on 5/22/2025. Specifically, the operation was cited for 748.1101(b)(3)(F). The operation met compliance on 6/4/2025. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $ 150.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2025-09-17. Correction verified 2025-09-17.
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Supervision & ratios
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Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2025 Inspection · Deficiencies cited
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Supervision & ratios
During a monitoring inspection, the operation was unaware of an evaluation that addressed the unauthorized absences.
HHSC 748.463(a) — Unauthorized Absence Evaluation - Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period
HHSC risk weight: Medium. Corrected 2025-08-26. Correction verified 2025-08-26.
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Supervision & ratios
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Aug 12, 2025 Inspection · Deficiencies cited
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Safety & premises
The fire inspection conducted identified areas of concern that needed correction.
HHSC 748.3105(b) — Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
HHSC risk weight: Medium High. Corrected 2025-08-21. Correction verified 2025-08-21.
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Safety & premises
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2025 Report · 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 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Assessment · Deficiencies cited
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Staff background & training
RCM completed an HM visit at Girls Haven on 05/14/2025 RCM observed a youth?s hair to remain in dry, flaky, brittle, and unmanaged. Her hair was observed to be dry, flaky brittle and unmanaged during the visit on 04/30/2025, at which the administrator stated she would ensure the youth receive proper hair treatment. During the visit on 04/30/2025, RCM spoke with the youth regarding her hair treatment. The youth stated she previously had braids but took them down after a few weeks because her scalp was itching and flaking. She was informed by staff she could not get braids again because she took them down to soon. On 05/14/2025 RCM spoke with the same youth regarding her hair care. Youth reported she blow dries her hair in the morning. When asked why she blow dries her hair when its already dry, youth stated she wants it to be strait. RCM advised she needs to moisturize her hair daily to prevent it from breaking. Youth stated her sister (also placed at the facility) was going to braid her hair. It?s important to note other youth (of African American decent) hair was also observed to be dry and in need of treatment.
HHSC 748.1101(b)(3)(F) — Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
HHSC risk weight: Medium. Corrected 2025-05-30. Correction verified 2025-06-04.
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Staff background & training
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May 19, 2025 Inspection · Deficiencies cited
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Staff background & training
During an inspection, an employee no longer with the operation remained active on the people list.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-05-26.
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Other
During an inspection, the service plan for a child was not signed by the case manager.
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 at inspection. Corrected 2025-05-19.
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Staff background & training
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May 6, 2025 Inspection · Deficiencies cited
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Records & paperwork
During an inspection, a personnel record did not contain evidence of two reference checks completed.
HHSC 748.753(a)(2) — Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.
HHSC risk weight: Medium High. Corrected 2025-05-14. Correction verified 2025-05-21.
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Records & paperwork
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Apr 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
A child's unauthorized absence was not reported to licensing within 6 hours.
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 2025-05-12. Correction verified 2025-05-12.
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Records & paperwork
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Mar 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on March 14, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with the Texas Human Resources Code Sec. 42.078, but the administrative penalty will be probated pending the results of any open investigations. If a penalty is assessed, the penalty amount will be $150 based on the total capacity of 32.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2025-03-15. Correction verified 2025-03-15.
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Supervision & ratios
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2025 Report · Deficiencies cited (self-report)
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Staff background & training
A staff EBI SAMA training certificate was expired.
HHSC 748.936(1) — Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HHSC risk weight: Medium High. Corrected 2025-03-28. Correction verified 2025-04-01.
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Staff background & training
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Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2024 Inspection · No deficiencies cited
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 Report · Deficiencies cited
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Food & allergies
Children in care reported they were given corn dogs on Thanksgiving Day to eat and were not given a thanksgiving meal.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2025-01-16. Correction verified 2025-01-16.
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Food & allergies
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Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
During an investigation, several children in care indicated they had been hit on the hand by a staff for trying to change the radio or turn the volume up. Other children in care witnesses this occurring.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-02-14. Correction verified 2025-02-14.
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Other
During an investigation, several children in care indicated that staff were loud with them or had yelled at them.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-02-14. Correction verified 2025-02-14.
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Discipline & child guidance Serious
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Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2024 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on September 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with the Texas Human Resources Code Sec. 42.078, but the administrative penalty will be probated pending the results of any open investigations. If a penalty is assessed, the penalty amount will be $150 based on the total capacity of 32.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2024-09-09. Correction verified 2024-09-10.
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Supervision & ratios
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Sep 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
During the investigation, it was discovered that a caregiver fell asleep on an evening shift.
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 2024-06-07. Correction verified 2024-06-07.
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Supervision & ratios Serious
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May 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on March 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the failure of your operation?s administrator to ensure compliance include the following: -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2024-03-08. Correction verified 2024-03-08.
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Supervision & ratios
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Mar 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
A staff member at the operation was not providing adequate supervision to children in care due to the staff sleeping.
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 2024-02-27. Correction verified 2024-02-27.
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Supervision & ratios Serious
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Nov 20, 2023 Inspection · 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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Nov 14, 2023 Assessment · Deficiencies cited
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Illness & medication
Med logs were reviewed during a heightened monitoring contracts inspection on 11/1/2023 for youth D.M. During the review of the medication log and medication, RCM observed the medication count for AM Risperidone did not correspond with medication log. According to the medication log there were 2 tablets for Risperidone remaining on the AM log; however, there was only one pill remaining.
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 2023-11-24. Correction verified 2023-11-20.
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Illness & medication
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Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2023 Inspection · Deficiencies cited
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Records & paperwork
Four of four child records did not address the known contraindications to the use of restraints.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected 2023-10-05. Correction verified 2023-10-04.
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Records & paperwork
Four of four records do not document an assessment of the child's information to evaluate the appropriateness of placement.
HHSC 748.1217(a) — Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
HHSC risk weight: Medium. Corrected 2023-10-05. Correction verified 2023-10-04.
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Discipline & child guidance
Four of four reviewed child files were missing information regarding: (3) A description of the child?s behavior, including appropriate and maladaptive behavior, and any high-risk behavior (4) Any history of physical, sexual, or emotional abuse or neglect (5) Any history of trauma (6) Current medical and dental status, including the available results of any medical and dental examinations (7) Current substance abuse status, including available results of any psychiatric evaluation, psychological evaluation, or psychosocial assessment (9) The child?s current educational level and any school problems (15) The child?s understanding of the placement (16) A determination of whether and how you can meet the needs of the child
HHSC 748.1217(b)(5) — Admission Assessment-At admission, must include any history of trauma.
HHSC risk weight: Medium High. Corrected 2023-10-05. Correction verified 2023-10-04.
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Discipline & child guidance
The following information was not added to four of four reviewed records, prior to the ISP being conducted: (3) The child?s birth and neonatal history (4) The child?s developmental history (5) The child?s mental health and substance abuse history (6) The child?s school history, including the names of previous schools attended and the dates the schools were attended, grades earned, and special achievements (7) The child?s history of any other placements outside the child?s home, including the admission and discharge dates and reasons for placement (8) The child?s criminal history (9) The child?s skills and special interests
HHSC 748.1217(c)(7) — Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
HHSC risk weight: Medium Low. Corrected 2023-10-05. Correction verified 2023-10-04.
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Supervision & ratios
Four of four reviewed records did not document the operation's efforts to obtain information missing in order to complete the child's record.
HHSC 748.1221(a) — Admission Assessment-Must make reasonable efforts to obtain all required information
HHSC risk weight: Medium. Corrected 2023-10-05. Correction verified 2023-10-04.
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Records & paperwork
A child's record did not document when their dental appointment was scheduled or if the child has had a dental examination within the past year.
HHSC 748.1225(b) — Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file
HHSC risk weight: Medium Low. Corrected 2023-10-05. Correction verified 2023-10-04.
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Illness & medication
Four of four reviewed 72 hour plans do not address the following information: b) In addition, for a child receiving treatment services the preliminary service plan must include: (2) A description of the child?s immediate educational, medical, and dental needs, including possible side effects of medications or treatment prescribed to the child (3) A description of how you will meet the child?s needs, including any necessary increased supervision or follow-up actions of possible side effects of medication or treatment provided to the child (4) The identification of any issues or concerns the child may have that could escalate a child?s behavior. Identification of a child?s issues or concerns must serve to avoid the use of unnecessary emergency behavior interventions with the child. Child concerns may include issues with food, eye contact, physical touch, personal property, or certain topics
HHSC 748.1331(b)(2) — Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs
HHSC risk weight: Medium Low. Corrected 2023-10-05. Correction verified 2023-10-04.
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Supervision & ratios
Four of four child's records do not address the child's specific needs for supervision.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-10-05. Correction verified 2023-10-04.
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Supervision & ratios
A child's record contains inconsistent information regarding the child's admission date on the ISP and 72Hr. Another child's record has conflicting information regarding the recreational and normalcy activities.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-10-05. Correction verified 2023-10-04.
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Illness & medication
Four of four child records do not include whether or not a child has a chronic illness. Including a child that has asthma.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or
HHSC risk weight: Medium High. Corrected 2023-10-05. Correction verified 2023-10-04.
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Records & paperwork
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Sep 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2023 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on September 5, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-09-06. Correction verified 2023-09-06.
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Supervision & ratios
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Sep 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2023 Inspection · Deficiencies cited
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Safety & premises
First Aid Kit was observed without adhesive tape and thermometer. Items were placed in the First Aid Kit prior to exiting the inspection.
HHSC 748.3273(2) — First Aid Kits-Each one must contain adhesive tape
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-19.
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Other
No written plan for indoor and outdoor recreation was available for review during inspection.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2023-07-26. Correction verified 2023-07-26.
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Supervision & ratios
2016 Ford Transit 350 used to transport children in care indicated needing an oil change. Oil change was conducted/completed during inspection at the operation.
HHSC 748.4083(a) — Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-19.
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Safety & premises
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Jul 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2023 Report · Deficiencies cited
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Supervision & ratios
Based on information gathered during an evaluation of the operation's records, it was found a child's record contained inaccurate documentation as related to a document in the child's record.
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2023-08-14. Correction verified 2023-08-23.
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Supervision & ratios
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Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2023 Inspection · Deficiencies cited
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Other Serious
1 of 9 employee files did not contain the pre-employment drug testing results.
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 2023-03-17. Correction verified 2023-03-14.
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Records & paperwork
4 of 4 volunteers records was observed to be missing the TB screening/results.
HHSC 748.509 — TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
HHSC risk weight: Medium. Corrected 2023-03-24. Correction verified 2023-03-14.
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Other Serious
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Mar 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2023 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 2/28/2023 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High weighted citations.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2023-03-01. Correction verified 2023-03-01.
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Supervision & ratios
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Feb 28, 2023 Report · Deficiencies cited
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Supervision & ratios
A child in care had head lice, and the operation staff failed to provide continuous care in order to ensure the head lice was no longer present.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2023-04-04. Correction verified 2023-04-10.
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Staff background & training
One staff training records reviewed was inaccurate. A new staff member?s training records showed multiple online and in person trainings completed that exceeded the maximum amount of hours the employee worked. One of the training records reviewed date of training was incorrect.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-10.
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Records & paperwork
One child annual well-child check up record instructions included a follow up visit to be conducted in two weeks for a diagnoses of an infection. The child?s follow-up visit wasn?t conducted.
HHSC 748.1531(a)(3) — Medical care-A child in care must receive medical care as needed for ongoing maintenance of medical health
HHSC risk weight: Medium High. Corrected 2023-04-04. Correction verified 2023-04-10.
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Food & allergies Serious
During a walk thru multiple foods were expired in the pantry area.
HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HHSC risk weight: High. Corrected 2023-03-13. Correction verified 2023-03-13.
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Staff background & training
1 of 9 staff records was observed to be missing a job description.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-03-17. Correction verified 2023-03-14.
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Staff background & training
6 of 9 employee records reviewed contained employment affidavits that were not notarized. 1 of 9 employees records reviewed did not contain an employment affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-03-20. Correction verified 2023-03-14.
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Staff background & training
A review of the PLSP's record reveals the PLSP does not meet the professional requirements for the position, only meets the education requirements. The PLSP does not meet the requirement of having 1 year full time experience in residential child care operation.
HHSC 748.563(c) — Professional level service provider-must meet specific educational and professional qualifications
HHSC risk weight: Medium. Corrected 2023-03-24. Correction verified 2023-03-24.
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Supervision & ratios
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Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2023 Report · Deficiencies cited (self-report)
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Food & allergies
The food menu did not have any food substitutions listed on the menu.
HHSC 748.1703(b) — Menus-must document food substitutions on the menu that are of comparable food value
HHSC risk weight: Low. Corrected 2023-03-10. Correction verified 2023-03-13.
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Food & allergies
The food menu did not have the month or the dates on the menu.
HHSC 748.1703(c) — Menus-must date menus and keep copies for 90 days
HHSC risk weight: Low. Corrected 2023-03-10. Correction verified 2023-03-13.
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Food & allergies
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Jan 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2022 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2022 Inspection · Deficiencies cited
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Illness & medication
The medication was prescribed on 09-06-22 and not administered/received by the operation until 09-16-22.
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 2022-09-30. Correction verified 2022-10-12.
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Illness & medication
-
Sep 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 8/26/2022 it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2022-08-27. Correction verified 2022-08-26.
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Supervision & ratios
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Aug 17, 2022 Inspection · Deficiencies cited
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Other Serious
Room 5 had mildew on the closet ceiling.
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 at inspection. Corrected 2022-08-18.
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Other Serious
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Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation's fire inspection has expired as of 03/02/2022.
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 2022-07-15. Correction verified 2022-07-08.
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Supervision & ratios
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Jul 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2022 Inspection · Deficiencies cited
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Illness & medication
During the inspection, a medication error was discovered. In the child's file reviewed, a medication error occurred in which the remaining medication count was 52. However, the medication log reflected 53.
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 2022-02-21. Correction verified 2022-02-21.
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Illness & medication
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Jan 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2021 Assessment · Deficiencies cited
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Supervision & ratios
The operation continues to be without a qualified full time Licensed Child Care Administrator. The operation's board continues efforts in the search for an Administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: Medium. Corrected 2022-01-19. Correction verified 2022-01-13.
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Supervision & ratios
-
Dec 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
A child fell on the return from school on 11/19/21, injuring her arm and leg, requiring medical treatment (received same day), and follow ups. The operation did not report the serious incident until 11/21/21.
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 2022-01-07. Correction verified 2022-01-13.
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Illness & medication
-
Nov 19, 2021 Report · Deficiencies cited
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Supervision & ratios
During the course of interviews with children in the operation, it was found that that one staff member made comments that were demeaning and negative towards their body and weight.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-01-26.
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Supervision & ratios
-
Nov 9, 2021 Assessment · Deficiencies cited
-
Supervision & ratios
The operation does not have a qualified full time Licensed Child Care Administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: Medium. Corrected 2021-12-09. Correction verified 2021-12-20.
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Supervision & ratios
-
Nov 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2021 Report · Deficiencies cited
-
Safety & premises
A child in care was restrained because she threw a ball that hit an employee on the leg.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-04.
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Safety & premises
A child in care was placed in a restraint due to staff retaliation.
HHSC 748.2463(2) — Emergency Behavior Intervention-Never used as retribution or retaliation
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-04.
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Safety & premises
-
Oct 27, 2021 Inspection · Deficiencies cited
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Staff background & training Serious
During the inspection, it was found that the Development Public Relation Coordinator did not have a background check submitted or cleared prior to being allowed to be present at the operation. In order to assure timely completion of background checks, it is recommended that the operation submit background checks prior to allowing employees to be present at the facility.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected at inspection. Corrected 2021-10-27.
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Staff background & training Serious
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Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.