Pathways Youth & Family Services,inc. Dba Habilitative Homes
4040 HIGH RIDGE CIR, San Antonio, TX 78229 · Bexar County
Program
- Type
- General residential operation
- Licensed capacity
- 32
- Ages
- 4-17
- Hours
- 12:00 AM-
- Director / administrator
- Joel D. Grimmett
- Phone
- (210) 623-5419
- Regulated since
- Oct 30, 2006
- HHSC IDs
- Operation 291464 · number 858505
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Supervision & ratios (2) |
| 2025 | 2 | 0 | Cleanliness & sanitation (2) |
| 2024 | 16 | 10 | Cleanliness & sanitation (2), Illness & medication (4), Discipline & child guidance (4), Safety & premises (4), Other (2) |
| 2023 | 28 | 2 | Cleanliness & sanitation (2), Illness & medication (8), Supervision & ratios (2), Discipline & child guidance (4), Staff background & training (6), Other (6) |
| 2022 | 10 | 0 | Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (2), Records & paperwork (2) |
Inspections, investigations & assessments
-
Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2026 Report
No violations cited on this visit.
-
Jun 18, 2026 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 4/09/2026 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-06-02. Correction verified 2026-06-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 1, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
During a review conducted on 4/09/2026 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -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 was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-06-02. Correction verified 2026-06-02.
-
Supervision & ratios
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2026 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2026 Report
No violations cited on this visit.
-
May 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 15, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2025 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
During the walkthrough, observations revealed there was no hand soap available at any of the sinks in the children's rooms.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-07.
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Cleanliness & sanitation
-
Nov 18, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
During the walkthrough, observations revealed there was no hand soap available at any of the sinks in the children's rooms.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 11, 2024 Inspection · Deficiencies cited
-
Illness & medication
One of the medication records for a child was not filled out and medication had been administered.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2024-12-18.
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Illness & medication
Two of the childrens records reviewed had pill count incorrect.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2024-12-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Dec 11, 2024 Inspection · Deficiencies cited
-
Illness & medication
One of the medication records for a child was not filled out and medication had been administered.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2024-12-18.
-
Illness & medication
Two of the childrens records reviewed had pill count incorrect.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2024-12-18. Correction verified 2024-12-18.
-
Illness & medication
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2024 Report
No violations cited on this visit.
-
Aug 25, 2024 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Discipline & child guidance Serious
In video footage staff members are taunting child in care as a way to get the child to comply.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Cleanliness & sanitation Serious
Through interviews it was confirmed a staff dragged a child in care by the hair to the bathroom to sprayed child off in shower as a form of punishment.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Safety & premises
Staff did not try to deescalate the situation prior to implementing the emergency behavior intervention. The staff member was contradiction to trained de-escalation techniques.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Safety & premises Serious
Staff used excessive force when preforming an emergency behavior intervention. Staff held child with knee on child's chest during restraint.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Apr 1, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Discipline & child guidance Serious
In video footage staff members are taunting child in care as a way to get the child to comply.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Cleanliness & sanitation Serious
Through interviews it was confirmed a staff dragged a child in care by the hair to the bathroom to sprayed child off in shower as a form of punishment.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Safety & premises
Staff did not try to deescalate the situation prior to implementing the emergency behavior intervention. The staff member was contradiction to trained de-escalation techniques.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Safety & premises Serious
Staff used excessive force when preforming an emergency behavior intervention. Staff held child with knee on child's chest during restraint.
HHSC 748.2551(c)(2) — EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
HHSC risk weight: High. Corrected 2024-06-14. Correction verified 2024-06-25.
-
Discipline & child guidance Serious
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2024 Report · Deficiencies cited
-
Other Serious
Staff did not intervene when a child was repeatedly hitting head against wall.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-04-04. Correction verified 2024-04-17.
-
Other Serious
-
Mar 8, 2024 Report · Deficiencies cited
-
Other Serious
Staff did not intervene when a child was repeatedly hitting head against wall.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-04-04. Correction verified 2024-04-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Feb 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care was physically disciplined.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-09.
-
Discipline & child guidance Serious
-
Dec 30, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care was physically disciplined.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Dec 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2023 Report · Deficiencies cited
-
Other
During an incident a staff member pulled a child by their arms, as a form of redirection.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-18. Correction verified 2023-12-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Nov 13, 2023 Report · Deficiencies cited
-
Other
During an incident a staff member pulled a child by their arms, as a form of redirection.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-12-18. Correction verified 2023-12-27.
-
Other
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 20, 2023 Inspection · Deficiencies cited
-
Illness & medication
Multiple expired medication products were stored with current medications.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2023-07-31. Correction verified 2023-08-15.
-
Illness & medication
Two medication logs reviewed did not have accurate counts.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-07-31. Correction verified 2023-08-15.
-
Discipline & child guidance
Parents of children in care were not notified of recent deficiency related to abuse/neglect.
HHSC 748.317(a)(2) — Serious incidents-Notify parents of each child admitted any time the operation is deficient for standards related to abuse/neglect or exploitation.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 20, 2023 Inspection · Deficiencies cited
-
Illness & medication
Multiple expired medication products were stored with current medications.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2023-07-31. Correction verified 2023-08-15.
-
Illness & medication
Two medication logs reviewed did not have accurate counts.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-07-31. Correction verified 2023-08-15.
-
Discipline & child guidance
Parents of children in care were not notified of recent deficiency related to abuse/neglect.
HHSC 748.317(a)(2) — Serious incidents-Notify parents of each child admitted any time the operation is deficient for standards related to abuse/neglect or exploitation.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-20.
-
Illness & medication
-
Jun 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2023 Report · Deficiencies cited
-
Other
The video footage and care giver interviews indicate the staff initiated hands on physical intervention with a child in care, who in that moment wasn't displaying physically aggressive or high risk behaviors and was only refusing directives to stay in their room and there was a concern for other children in care's safety based on the child in care's previous behaviors.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
-
Staff background & training
The video footage shows a caregiver held a child in care in a supine position with the child in care's arms folded across their chest while the caregiver balanced on their own knee above the child in care. A collateral contact familiar with restraint training indicated this does not appear to be approved. The video also shows the caregiver use their legs to move the child in care's body across the floor similar to a shoveling motion.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
-
Other
The video footage reveals a care giver offering little other instructions to a child in care in a restraint other than repeating "Are you done?" repeatedly during the restraint.
HHSC 748.2551(e)(1) — EBI Implementation-As soon as possible, caregiver must explain to child the behaviors required for release or to have EBI reduced, as applicable
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 6, 2023 Report · Deficiencies cited
-
Other
The video footage and care giver interviews indicate the staff initiated hands on physical intervention with a child in care, who in that moment wasn't displaying physically aggressive or high risk behaviors and was only refusing directives to stay in their room and there was a concern for other children in care's safety based on the child in care's previous behaviors.
HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
-
Staff background & training
The video footage shows a caregiver held a child in care in a supine position with the child in care's arms folded across their chest while the caregiver balanced on their own knee above the child in care. A collateral contact familiar with restraint training indicated this does not appear to be approved. The video also shows the caregiver use their legs to move the child in care's body across the floor similar to a shoveling motion.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
-
Other
The video footage reveals a care giver offering little other instructions to a child in care in a restraint other than repeating "Are you done?" repeatedly during the restraint.
HHSC 748.2551(e)(1) — EBI Implementation-As soon as possible, caregiver must explain to child the behaviors required for release or to have EBI reduced, as applicable
HHSC risk weight: Medium High. Corrected 2023-06-14. Correction verified 2023-06-20.
-
Other
-
Apr 30, 2023 Report
No violations cited on this visit.
-
Apr 30, 2023 Report
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2023 Report · Deficiencies cited
-
Illness & medication
2 out of 11 medication logs show a child in care did not discontinue their previous medication dosage soon after their doctor appointment which indicated a dosage change, but instead took anywhere from 3 to 11 days to comply with new dosage orders.
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 2023-06-19. Correction verified 2023-06-20.
-
Illness & medication
5 out of 11 records reviewed did not include time of medication for when the children missed a scheduled dose.
HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
-
Staff background & training
3 out of 4 training records reviewed showed current staff had expired Trauma Informed Care training while still in ratio.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
-
Staff background & training
3 out of 4 training records reviewed showed staff had expired training for dispensing psychotropic medication.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
-
Illness & medication
-
Apr 7, 2023 Report · Deficiencies cited
-
Illness & medication
2 out of 11 medication logs show a child in care did not discontinue their previous medication dosage soon after their doctor appointment which indicated a dosage change, but instead took anywhere from 3 to 11 days to comply with new dosage orders.
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 2023-06-19. Correction verified 2023-06-20.
-
Illness & medication
5 out of 11 records reviewed did not include time of medication for when the children missed a scheduled dose.
HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
-
Staff background & training
3 out of 4 training records reviewed showed current staff had expired Trauma Informed Care training while still in ratio.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
-
Staff background & training
3 out of 4 training records reviewed showed staff had expired training for dispensing psychotropic medication.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the course of the investigation, it was determined the operation did not make and complete follow up medical appointments for children in care, as referred by medical professionals.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2023-05-11. Correction verified 2023-05-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 10, 2023 Report · Deficiencies cited
-
Supervision & ratios
During the course of the investigation, it was determined the operation did not make and complete follow up medical appointments for children in care, as referred by medical professionals.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2023-05-11. Correction verified 2023-05-15.
-
Supervision & ratios
-
Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Report · Deficiencies cited
-
Cleanliness & sanitation
Licensing observed and phiotographed a wall niche fire extinguisher housing with a broken plastic door and a protruding plastic shard. The operation removed the damaged plastic screen to the secured staff room during inspection.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-03-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Feb 22, 2023 Report · Deficiencies cited
-
Cleanliness & sanitation
Licensing observed and phiotographed a wall niche fire extinguisher housing with a broken plastic door and a protruding plastic shard. The operation removed the damaged plastic screen to the secured staff room during inspection.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-03-14.
-
Cleanliness & sanitation
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 14, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Multiple bathrooms used by children in care had broken toilet paper holders.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-11-28. Correction verified 2022-11-29.
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Supervision & ratios
Multiple food items were not stored securely.
HHSC 748.3443(a)(4) — Food Preparation-Food items must be stored in a container that is protected from insects & rodents
HHSC risk weight: Medium High. Corrected 2022-11-28. Correction verified 2022-11-29.
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Records & paperwork
Multiple documents were not accessible by adminsitrator during visit.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-11-28. Correction verified 2022-11-29.
HHSC inspection history · no longer published by HHSC; kept here
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Cleanliness & sanitation
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Nov 14, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
Multiple bathrooms used by children in care had broken toilet paper holders.
HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean
HHSC risk weight: Medium High. Corrected 2022-11-28. Correction verified 2022-11-29.
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Supervision & ratios
Multiple food items were not stored securely.
HHSC 748.3443(a)(4) — Food Preparation-Food items must be stored in a container that is protected from insects & rodents
HHSC risk weight: Medium High. Corrected 2022-11-28. Correction verified 2022-11-29.
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Records & paperwork
Multiple documents were not accessible by adminsitrator during visit.
HHSC 748.399(a) — Records Available for Licensing-all active records immediately available for review and reproduction
HHSC risk weight: Medium. Corrected 2022-11-28. Correction verified 2022-11-29.
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Cleanliness & sanitation
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Nov 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 13, 2022 Report · No deficiencies cited (self-report)
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 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2022 Report · 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.
HHSC inspection history · no longer published by HHSC; kept here
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May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 3, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
Two windows being used for ventilation were found without screens.
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 at inspection. Corrected 2022-05-03.
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Cleanliness & sanitation
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May 3, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two windows being used for ventilation were found without screens.
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 at inspection. Corrected 2022-05-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 5, 2022 Inspection · Deficiencies cited
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Illness & medication
Three medication logs were not updated with medication administered in required timeframe.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-04-19. Correction verified 2022-04-07.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Apr 5, 2022 Inspection · Deficiencies cited
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Illness & medication
Three medication logs were not updated with medication administered in required timeframe.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-04-19. Correction verified 2022-04-07.
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Illness & medication
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Mar 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 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 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 4, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.