Tree Of Life Rtc
19402 BAUER RD, Hockley, TX 77447 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 8
- Ages
- 8-17
- Hours
- -
- Director / administrator
- Kimillya Shamequa Simone Young
- Phone
- (936) 718-6190
- Regulated since
- Sep 6, 2022
- HHSC IDs
- Operation 1381138 · number 1723466
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 12 | 4 | Illness & medication (2), Supervision & ratios (8), Records & paperwork (2) |
| 2025 | 36 | 8 | Cleanliness & sanitation (6), Illness & medication (2), Supervision & ratios (16), Discipline & child guidance (2), Staff background & training (6), Other (4) |
| 2024 | 28 | 6 | Cleanliness & sanitation (2), Supervision & ratios (18), Discipline & child guidance (4), Safety & premises (2), Staff background & training (2) |
| 2023 | 64 | 8 | Cleanliness & sanitation (6), Illness & medication (6), Supervision & ratios (14), Staff background & training (18), Records & paperwork (2), Other (18) |
| 2022 | 84 | 6 | Cleanliness & sanitation (4), Illness & medication (2), Supervision & ratios (18), Discipline & child guidance (2), Safety & premises (4), Staff background & training (32), Records & paperwork (8), Other (14) |
| 2021 | 8 | 0 | Cleanliness & sanitation (4), Supervision & ratios (2), Staff background & training (2) |
Inspections, investigations & assessments
-
Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2026 Assessment
No violations cited on this visit.
-
Sep 14, 2026 Assessment
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 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
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.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 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.
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Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Assessment · No deficiencies cited
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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 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 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
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.
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 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.
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
It was determined the incident occurred and child was taken to the hospital 3/22/2026 at 3:30 pm. The operation notified Licensing on 3/23/2026 at 5:22 am; however, the child's case worker wasn't notified until 3/23/2026 at 10:41 am.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-08.
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Illness & medication
-
Mar 23, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
It was determined the incident occurred and child was taken to the hospital 3/22/2026 at 3:30 pm. The operation notified Licensing on 3/23/2026 at 5:22 am; however, the child's case worker wasn't notified until 3/23/2026 at 10:41 am.
HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
HHSC risk weight: Medium High. Corrected 2026-05-06. Correction verified 2026-05-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 17, 2026 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation failed to employ a full-time administrator for the operation at the expiration of the 60 days given to them in technical assistance issued by assessment on 11-17-25. As a result, the operation was cited on 1-16-26 and given another 60 days to employ a new administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-04-17.
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Supervision & ratios Serious
-
Mar 17, 2026 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation failed to employ a full-time administrator for the operation at the expiration of the 60 days given to them in technical assistance issued by assessment on 11-17-25. As a result, the operation was cited on 1-16-26 and given another 60 days to employ a new administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2026-05-15. Correction verified 2026-04-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 16, 2026 Inspection · Deficiencies cited
-
Records & paperwork
During the revierw of a childs file, 2 nitial service plans were noted in the childs file with 2 dates of initial service plan completion. One date of plan completions says 1-26-26 and another date of initial service plan completion was 11-26-25
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-04-06.
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Records & paperwork
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Mar 16, 2026 Inspection · Deficiencies cited
-
Records & paperwork
During the revierw of a childs file, 2 nitial service plans were noted in the childs file with 2 dates of initial service plan completion. One date of plan completions says 1-26-26 and another date of initial service plan completion was 11-26-25
HHSC 748.393(b)(3) — Active child record - Ensure record is kept accurate and current
HHSC risk weight: Medium. Corrected 2026-03-20. Correction verified 2026-04-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 12, 2026 Assessment
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 12, 2026 Assessment
No violations cited on this visit.
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 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 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 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 16, 2026 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation failed to employ a full-time administrator for the operation at the expiration of the 60 days given to them in technical assistance issued by assessment on 11-17-25
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2026-03-17. Correction verified 2026-01-26.
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Supervision & ratios Serious
-
Jan 16, 2026 Assessment · Deficiencies cited
-
Supervision & ratios Serious
The operation failed to employ a full-time administrator for the operation at the expiration of the 60 days given to them in technical assistance issued by assessment on 11-17-25
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2026-03-17. Correction verified 2026-01-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jan 16, 2026 Inspection
No violations cited on this visit.
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Jan 16, 2026 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2026 Inspection · Deficiencies cited
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Supervision & ratios
During the review of one staff file, multiple dates of hire was observed. The date of hire for the staff in staff list is different from the date of hire on the staff file binder cover.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-01-09. Correction verified 2026-01-12.
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Supervision & ratios
During the review of one staff file, no document was observed regarding the staff performance.
HHSC 748.363(14) — Personnel records - Include any documentation of the person's performance with the operation.
HHSC risk weight: Medium Low. Corrected 2026-01-09. Correction verified 2026-01-12.
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Supervision & ratios
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Jan 6, 2026 Inspection · Deficiencies cited
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Supervision & ratios
During the review of one staff file, multiple dates of hire was observed. The date of hire for the staff in staff list is different from the date of hire on the staff file binder cover.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-01-09. Correction verified 2026-01-12.
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Supervision & ratios
During the review of one staff file, no document was observed regarding the staff performance.
HHSC 748.363(14) — Personnel records - Include any documentation of the person's performance with the operation.
HHSC risk weight: Medium Low. Corrected 2026-01-09. Correction verified 2026-01-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2025 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 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2025 Inspection
No violations cited on this visit.
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Nov 12, 2025 Inspection
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.
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 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Inspection
No violations cited on this visit.
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Sep 30, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 25, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 25, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2025 Inspection
No violations cited on this visit.
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Sep 10, 2025 Report · Deficiencies cited
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Supervision & ratios
A serious incident report was missing the operations physical address, telephone number and the child's gender.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2025-10-13. Correction verified 2025-10-06.
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Supervision & ratios
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Sep 10, 2025 Report · Deficiencies cited
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Supervision & ratios
A serious incident report was missing the operations physical address, telephone number and the child's gender.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2025-10-13. Correction verified 2025-10-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2025 Inspection
No violations cited on this visit.
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Aug 20, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The operation does not have current gas inspection for the facility.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2025-07-02. Correction verified 2025-06-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Jun 27, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The operation does not have current gas inspection for the facility.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2025-07-02. Correction verified 2025-06-27.
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Supervision & ratios
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2025 Inspection
No violations cited on this visit.
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May 7, 2025 Assessment · Deficiencies cited
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Supervision & ratios
A review of the EBI quarterly data indicates the information has not been submitted for the first quarter.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2025-05-14. Correction verified 2025-05-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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May 7, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
A review of the EBI quarterly data indicates the information has not been submitted for the first quarter.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2025-05-14. Correction verified 2025-05-13.
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Supervision & ratios
-
Apr 28, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
A review of records revealed that a child's service plan was incomplete and unsigned by the administrator.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-05-05. Correction verified 2025-05-05.
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Other
Reference checks were not completed for the personnel file that was reviewed.
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 2025-05-05. Correction verified 2025-05-15.
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Staff background & training
A caregiver employed by the operation did not have previous treatment services childcare experience, the personnel record did not show 40 hours of documented observation, prior to being on shift as a sole caregiver and the caregiver was not exempt from the observation.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-05-19.
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Staff background & training Serious
The employee file reviewed at inspection CPR/First Aid certification was expired.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2025-05-05. Correction verified 2025-05-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 28, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
A review of records revealed that a child's service plan was incomplete and unsigned by the administrator.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-05-05. Correction verified 2025-05-05.
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Other
Reference checks were not completed for the personnel file that was reviewed.
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 2025-05-05. Correction verified 2025-05-15.
-
Staff background & training
A caregiver employed by the operation did not have previous treatment services childcare experience, the personnel record did not show 40 hours of documented observation, prior to being on shift as a sole caregiver and the caregiver was not exempt from the observation.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-05-19.
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Staff background & training Serious
The employee file reviewed at inspection CPR/First Aid certification was expired.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2025-05-05. Correction verified 2025-05-19.
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Supervision & ratios
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Apr 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
A record review of a child's admission assessment contained information regarding another resident.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-04-22. Correction verified 2025-04-16.
-
Staff background & training
A caregiver employed by the operation did not have previous treatment services childcare experience, the personnel record did not show 40 hours of documented observation, prior to being on shift as a sole caregiver and the caregiver was not exempt from the observation.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2025-04-22. Correction verified 2025-04-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 15, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
A record review of a child's admission assessment contained information regarding another resident.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-04-22. Correction verified 2025-04-16.
-
Staff background & training
A caregiver employed by the operation did not have previous treatment services childcare experience, the personnel record did not show 40 hours of documented observation, prior to being on shift as a sole caregiver and the caregiver was not exempt from the observation.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2025-04-22. Correction verified 2025-04-23.
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Supervision & ratios
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Apr 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a walkthrough inspection of the operation, milk, hot dog and hamburger buns, wheat bread, and tortillas were found past the sell or use by date. The operation disposed of the expired items while inspector was present.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-01.
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Cleanliness & sanitation
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Apr 1, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a walkthrough inspection of the operation, milk, hot dog and hamburger buns, wheat bread, and tortillas were found past the sell or use by date. The operation disposed of the expired items while inspector was present.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During a walkthrough of the operation the door to the casemanagers office was locked and unable to be accessed.
HHSC 745.8411(b)(2) — Responsibilities - Provides access to all areas of the operation
HHSC risk weight: High. Corrected 2025-03-25. Correction verified 2025-04-01.
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Cleanliness & sanitation Serious
During a follow-up walk through conducted at the operation, the sink in the bathroom remains leaking and the blind in the second bathroom downstairs is still broken.
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 2025-03-25. Correction verified 2025-04-01.
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Supervision & ratios
During a walkthrough of the operation, the windows in the bedroom do not have natural light to the room as the windows are now blocked with privacy panels due to an add-on room to the house for the case manager.
HHSC 748.3351(4) — Interior Space-provide bedrooms with at least one window with outside exposure to natural light
HHSC risk weight: Low. Corrected 2025-03-25. Correction verified 2025-04-01.
-
Supervision & ratios Serious
-
Mar 18, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During a walkthrough of the operation the door to the casemanagers office was locked and unable to be accessed.
HHSC 745.8411(b)(2) — Responsibilities - Provides access to all areas of the operation
HHSC risk weight: High. Corrected 2025-03-25. Correction verified 2025-04-01.
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Cleanliness & sanitation Serious
During a follow-up walk through conducted at the operation, the sink in the bathroom remains leaking and the blind in the second bathroom downstairs is still broken.
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 2025-03-25. Correction verified 2025-04-01.
-
Supervision & ratios
During a walkthrough of the operation, the windows in the bedroom do not have natural light to the room as the windows are now blocked with privacy panels due to an add-on room to the house for the case manager.
HHSC 748.3351(4) — Interior Space-provide bedrooms with at least one window with outside exposure to natural light
HHSC risk weight: Low. Corrected 2025-03-25. Correction verified 2025-04-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2025 Inspection · Deficiencies cited
-
Illness & medication
During a walk-through of the operation, there was several containers of over the counter medications that were expired.
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 2025-03-03. Correction verified 2025-03-07.
-
Supervision & ratios
The evacuation floor plans hung in the operation do not reflect an acurate depiction of the exit route or 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 2025-03-07. Correction verified 2025-03-18.
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Cleanliness & sanitation Serious
During a walkthrough conducted at the operation, there was a broken electrical outlet, water leaking under a bathroom sink, exposed wiring inside a bathroom, broken window blind, screens that were torn on the porch area, broken tiles, and room transitions that pose a tripping hazard.
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 2025-03-03. Correction verified 2025-03-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 3, 2025 Inspection · Deficiencies cited
-
Illness & medication
During a walk-through of the operation, there was several containers of over the counter medications that were expired.
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 2025-03-03. Correction verified 2025-03-07.
-
Supervision & ratios
The evacuation floor plans hung in the operation do not reflect an acurate depiction of the exit route or 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 2025-03-07. Correction verified 2025-03-18.
-
Cleanliness & sanitation Serious
During a walkthrough conducted at the operation, there was a broken electrical outlet, water leaking under a bathroom sink, exposed wiring inside a bathroom, broken window blind, screens that were torn on the porch area, broken tiles, and room transitions that pose a tripping hazard.
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 2025-03-03. Correction verified 2025-03-18.
-
Illness & medication
-
Mar 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2025 Inspection · Deficiencies cited
-
Discipline & child guidance
It was determined that the operation did not report three different incidents with a particular child.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2025-01-13. Correction verified 2025-03-03.
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Other
It was determined that one bedroom did not have blinds on the window,
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2025-01-15. Correction verified 2025-03-03.
-
Discipline & child guidance
-
Jan 8, 2025 Inspection · Deficiencies cited
-
Discipline & child guidance
It was determined that the operation did not report three different incidents with a particular child.
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2025-01-13. Correction verified 2025-03-03.
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Other
It was determined that one bedroom did not have blinds on the window,
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2025-01-15. Correction verified 2025-03-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Oct 11, 2024 Report · Deficiencies cited
-
Supervision & ratios
A staff member did not follow the operations policy to check for a body part to ensure the child's presence in the facility
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2024-12-04.
-
Supervision & ratios Serious
A staff at the operation did not provide adequate overnight supervision checks which resulted in the child's subsequent AWOL, involvement in criminal activity, and injury.
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 2024-12-04. Correction verified 2025-01-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 11, 2024 Report · Deficiencies cited
-
Supervision & ratios
A staff member did not follow the operations policy to check for a body part to ensure the child's presence in the facility
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2024-12-04.
-
Supervision & ratios Serious
A staff at the operation did not provide adequate overnight supervision checks which resulted in the child's subsequent AWOL, involvement in criminal activity, and injury.
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 2024-12-04. Correction verified 2025-01-27.
-
Supervision & ratios
-
Apr 23, 2024 Report · Deficiencies cited
-
Supervision & ratios
Operation was out of ratio as one of the children required 1 to 1 supervision at the time of the incident.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Supervision & ratios
The service plan reviewed did not have specific level of supervision for when the child is participating in outside activities.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
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Discipline & child guidance
Caregivers failed to notify licensing of a child in care of an incident involving the child sustaining an injury.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Discipline & child guidance
Caregivers failed to notify the parent of a child in care of an incident involving the child sustaining an injury.
HHSC 748.303(a)(3)(B) — Serious Incident-Report to parents allegations of abuse, neglect, or exploitation of a child directly after ensuring the child's safety.
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Supervision & ratios Serious
Staff failed to provide adequate supervision which caused a child in care to sustain injuries.
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 2024-06-08. Correction verified 2024-06-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Apr 23, 2024 Report · Deficiencies cited
-
Supervision & ratios
Operation was out of ratio as one of the children required 1 to 1 supervision at the time of the incident.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Supervision & ratios
The service plan reviewed did not have specific level of supervision for when the child is participating in outside activities.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Discipline & child guidance
Caregivers failed to notify licensing of a child in care of an incident involving the child sustaining an injury.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Discipline & child guidance
Caregivers failed to notify the parent of a child in care of an incident involving the child sustaining an injury.
HHSC 748.303(a)(3)(B) — Serious Incident-Report to parents allegations of abuse, neglect, or exploitation of a child directly after ensuring the child's safety.
HHSC risk weight: Medium High. Corrected 2024-06-08. Correction verified 2024-06-07.
-
Supervision & ratios Serious
Staff failed to provide adequate supervision which caused a child in care to sustain injuries.
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 2024-06-08. Correction verified 2024-06-07.
-
Supervision & ratios
-
Apr 17, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The refrigerator's thermometer was not at 40 degrees or below. There was also food in the freezer that was not properly stored but it was corrected at inspection.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-04-24. Correction verified 2024-04-24.
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Safety & premises
The vehicle used to transport children was observed to have the check engine and tire pressure light on.
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 2024-04-24. Correction verified 2024-04-24.
-
Supervision & ratios
-
Apr 17, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The refrigerator's thermometer was not at 40 degrees or below. There was also food in the freezer that was not properly stored but it was corrected at inspection.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-04-24. Correction verified 2024-04-24.
-
Safety & premises
The vehicle used to transport children was observed to have the check engine and tire pressure light on.
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 2024-04-24. Correction verified 2024-04-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 27, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation did not follow the safety plan in place to ensure the safety of a resident with known high-risk behaviors.
HHSC 748.125(e)(1)(E) — You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
HHSC risk weight: High. Corrected 2024-04-25. Correction verified 2024-04-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 27, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation did not follow the safety plan in place to ensure the safety of a resident with known high-risk behaviors.
HHSC 748.125(e)(1)(E) — You must adhere to recommendations of the MH professional and update the child?s safety/service plan's if child is at high risk for suicide.
HHSC risk weight: High. Corrected 2024-04-25. Correction verified 2024-04-24.
-
Supervision & ratios Serious
-
Mar 5, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Three of three records reviewed does not have a clear determination of how they will meet the needs of the children in care.
HHSC 748.1217(b)(16) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
HHSC risk weight: Medium Low. Corrected 2024-03-12. Correction verified 2024-03-11.
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Cleanliness & sanitation
It was determined that one bed wood panels were not secure, and a chair was observed to have broken wood pieces.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-11.
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Staff background & training
One of two records reviewed did not contain a pre-employment screening assessment.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must have cleared pre-employment screening assessment.
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-11.
-
Supervision & ratios
It was determined that the operation does not have a treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-08-05.
-
Supervision & ratios
-
Mar 5, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Three of three records reviewed does not have a clear determination of how they will meet the needs of the children in care.
HHSC 748.1217(b)(16) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
HHSC risk weight: Medium Low. Corrected 2024-03-12. Correction verified 2024-03-11.
-
Cleanliness & sanitation
It was determined that one bed wood panels were not secure, and a chair was observed to have broken wood pieces.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-11.
-
Staff background & training
One of two records reviewed did not contain a pre-employment screening assessment.
HHSC 748.505(b)(5) — Minimum qualifications for employees- Must have cleared pre-employment screening assessment.
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-03-11.
-
Supervision & ratios
It was determined that the operation does not have a treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2024-03-12. Correction verified 2024-08-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2023 Report · Deficiencies cited
-
Supervision & ratios
The service plan reviewed did not have specific level of 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 2023-11-10. Correction verified 2023-11-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 9, 2023 Report · Deficiencies cited
-
Supervision & ratios
The service plan reviewed did not have specific level of 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 2023-11-10. Correction verified 2023-11-10.
-
Supervision & ratios
-
Oct 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 12, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Staff admitted they were not drug tested prior to starting position at the operation.
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 2023-12-08. Correction verified 2023-12-08.
-
Illness & medication
Expired medication was observed stored in the medication cart and not properly discarded. It was also noted the cart was full and expired medication were falling out.
HHSC 748.2101(6) — Medication storage & destruction-remove discontinued medication immediately & destroy it in a way that ensures children do not have access to it
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-08.
-
Staff background & training
Staff did not have training for administering medication and no training for psychotropic medication.
HHSC 748.885(3) — General pre-service training curriculum- Must include techniques and methods of administering medications.
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 12, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Staff admitted they were not drug tested prior to starting position at the operation.
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 2023-12-08. Correction verified 2023-12-08.
-
Illness & medication
Expired medication was observed stored in the medication cart and not properly discarded. It was also noted the cart was full and expired medication were falling out.
HHSC 748.2101(6) — Medication storage & destruction-remove discontinued medication immediately & destroy it in a way that ensures children do not have access to it
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-08.
-
Staff background & training
Staff did not have training for administering medication and no training for psychotropic medication.
HHSC 748.885(3) — General pre-service training curriculum- Must include techniques and methods of administering medications.
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-08.
-
Supervision & ratios Serious
-
Sep 11, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
An active staff list was provided during the investigation inspection. A current employee that was hired on 11/21/2021 shows an inactive employment background check status since 08/25/2023.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2023-09-15. Correction verified 2023-09-15.
-
Cleanliness & sanitation
Several holes were observed in walls/closet during the walk through. In addition, an exposed electrically socket was observed in a downstairs bathroom.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-15. Correction verified 2023-09-15.
-
Staff background & training Serious
-
Sep 11, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
An active staff list was provided during the investigation inspection. A current employee that was hired on 11/21/2021 shows an inactive employment background check status since 08/25/2023.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2023-09-15. Correction verified 2023-09-15.
-
Cleanliness & sanitation
Several holes were observed in walls/closet during the walk through. In addition, an exposed electrically socket was observed in a downstairs bathroom.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-09-15. Correction verified 2023-09-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Sep 6, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
One of two records reviewed was missing the duration of placement, family involvement, and social history.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include parent's expectations for placement, duration of placement, & family involvement
HHSC risk weight: Low. Corrected 2023-09-13. Correction verified 2023-09-13.
-
Staff background & training
One of two employee records reviewed is missing an affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-09-13. Correction verified 2023-09-13.
-
Staff background & training
One of two employee records reviewed does not contain the correct proof of HS diploma or GED.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-09-13. Correction verified 2023-09-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 6, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
One of two records reviewed was missing the duration of placement, family involvement, and social history.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include parent's expectations for placement, duration of placement, & family involvement
HHSC risk weight: Low. Corrected 2023-09-13. Correction verified 2023-09-13.
-
Staff background & training
One of two employee records reviewed is missing an affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-09-13. Correction verified 2023-09-13.
-
Staff background & training
One of two employee records reviewed does not contain the correct proof of HS diploma or GED.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-09-13. Correction verified 2023-09-13.
-
Supervision & ratios
-
Aug 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2023 Assessment · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation has been without an administrator for 90 days. The operation stated that they have two options that they will be sending an offer letter to by this week. Depending on which one accepts, the anticipated start date will be at the beginning of September.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-09-11. Correction verified 2023-11-10.
-
Supervision & ratios Serious
-
Aug 14, 2023 Assessment · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation has been without an administrator for 90 days. The operation stated that they have two options that they will be sending an offer letter to by this week. Depending on which one accepts, the anticipated start date will be at the beginning of September.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-09-11. Correction verified 2023-11-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2023 Inspection · Deficiencies cited
-
Other
Five of five admission assessments reviewed did not provide a clear understanding of why the child was placed in your care.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Supervision & ratios
Five of five assessments reviewed did not provide determination of how the operation will meet each child's needs, just states that they can.
HHSC 748.1217(b)(16) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Three of five assessments had the same information as to the circumstances of why the child was placed in care.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five assessments reviewed does not have a description of the actual behaviors.
HHSC 748.1217(b)(3) — Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
HHSC risk weight: Medium High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five assessments reviewed did not have the complete school history of each child. They also didn't include the reason child was removed or placed at previous homes or RTCs.
HHSC 748.1217(c)(6) — Admission Assessment-Prior to initial service plan, add child's school history
HHSC risk weight: Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Four of five assessments reviewed did not indicate if the children had any criminal history.
HHSC 748.1217(c)(8) — Admission Assessment-Prior to initial service plan, add child's criminal history, if any
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Staff background & training Serious
Two of three employee records reviewed did not contain suicide prevention training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Records & paperwork
Five of five records reviewed did not contain a suicide screening.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Illness & medication
One of five plans reviewed did not contain the possible side effects of the medication.,
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 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five plans reviewed did not have a designated person for each child.
HHSC 748.1331(b)(5) — Preliminary Service Plan-For child receiving treatment services, designate who will be responsible for meeting each of the child's needs
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Staff background & training
One of three staff records reviewed indicated that they are using a TB test from 2019 when they started working here 12/2022. The employee has no previous history of working at a GRO/RTC/CPA.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Cleanliness & sanitation
During the walk-through, it was observed that a bathroom door was split open, one hole in the wall, one door has been kicked at the bottom, wooden rods in closet can be easily removed, electrical plug is not connected to wall, and one dresser was missing the drawer.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Supervision & ratios
The operation's vehicle has been in the shop for a week and there is no emergency vehicle available.
HHSC 748.4009(c) — General requirements-There must be emergency transportation available at all times
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-07-19.
-
Staff background & training
One of three staff records did not contain an affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-07-18. Correction verified 2023-07-19.
-
Staff background & training
Two of three staff records reviewed did not contain proof of graduating high school or college.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-27.
-
Staff background & training
One of three staff records reviewed indicated that he was exempt from pre-service training due to receiving it at previous employment. There is no documentation of these trainings being completed.
HHSC 748.867(d) — Pre-Service Training Exemption-Document the applicable exemption factors in the appropriate personnel record
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
-
Jul 18, 2023 Inspection · Deficiencies cited
-
Other
Five of five admission assessments reviewed did not provide a clear understanding of why the child was placed in your care.
HHSC 748.1217(b)(15) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Supervision & ratios
Five of five assessments reviewed did not provide determination of how the operation will meet each child's needs, just states that they can.
HHSC 748.1217(b)(16) — Admission Assessment-At admission, must include determination of whether operation can meet immediate needs of child.
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Three of five assessments had the same information as to the circumstances of why the child was placed in care.
HHSC 748.1217(b)(2) — Admission Assessment-At admission, must include description of circumstances that led to child's referral for substitute care
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five assessments reviewed does not have a description of the actual behaviors.
HHSC 748.1217(b)(3) — Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
HHSC risk weight: Medium High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five assessments reviewed did not have the complete school history of each child. They also didn't include the reason child was removed or placed at previous homes or RTCs.
HHSC 748.1217(c)(6) — Admission Assessment-Prior to initial service plan, add child's school history
HHSC risk weight: Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Other
Four of five assessments reviewed did not indicate if the children had any criminal history.
HHSC 748.1217(c)(8) — Admission Assessment-Prior to initial service plan, add child's criminal history, if any
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Staff background & training Serious
Two of three employee records reviewed did not contain suicide prevention training.
HHSC 748.125(c)(1) — Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.
HHSC risk weight: High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Records & paperwork
Five of five records reviewed did not contain a suicide screening.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Illness & medication
One of five plans reviewed did not contain the possible side effects of the medication.,
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 2023-07-25. Correction verified 2023-07-19.
-
Other
Five of five plans reviewed did not have a designated person for each child.
HHSC 748.1331(b)(5) — Preliminary Service Plan-For child receiving treatment services, designate who will be responsible for meeting each of the child's needs
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Staff background & training
One of three staff records reviewed indicated that they are using a TB test from 2019 when they started working here 12/2022. The employee has no previous history of working at a GRO/RTC/CPA.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Cleanliness & sanitation
During the walk-through, it was observed that a bathroom door was split open, one hole in the wall, one door has been kicked at the bottom, wooden rods in closet can be easily removed, electrical plug is not connected to wall, and one dresser was missing the drawer.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2023-07-25. Correction verified 2023-07-19.
-
Supervision & ratios
The operation's vehicle has been in the shop for a week and there is no emergency vehicle available.
HHSC 748.4009(c) — General requirements-There must be emergency transportation available at all times
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-07-19.
-
Staff background & training
One of three staff records did not contain an affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-07-18. Correction verified 2023-07-19.
-
Staff background & training
Two of three staff records reviewed did not contain proof of graduating high school or college.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-07-25. Correction verified 2023-07-27.
-
Staff background & training
One of three staff records reviewed indicated that he was exempt from pre-service training due to receiving it at previous employment. There is no documentation of these trainings being completed.
HHSC 748.867(d) — Pre-Service Training Exemption-Document the applicable exemption factors in the appropriate personnel record
HHSC risk weight: Medium Low. Corrected 2023-07-25. Correction verified 2023-07-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2023 Inspection · Deficiencies cited
-
Other
The admission assessment does not contain the child's behavior, why he is in placement, the address/phone numbers for child's caseworker and foster parents. The admission assessment also did not contain the child's behavioral levels while at school.
HHSC 748.1217(b)(3) — Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Other
The admission assessment did not contain the reason for previous placements.
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 2023-02-24. Correction verified 2023-02-24.
-
Other
The plan was not signed or dated by the Treatment Director.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Illness & medication
The discharge paperwork was missing the child's service plans for the last 12 months and the child's list of medications.
HHSC 748.1437(4) — Discharge/Transfer Documentation-Must include copies of child's service plans while in operation's care for the past 12 months
HHSC risk weight: Medium Low. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Cleanliness & sanitation
The sink handle in one of the bathrooms was loose. A tool was observed being used to assist with operating a washing appliance. Two doors were observed with physical breaks and cracks. One bedroom dresser was observed with broken handles. Multiple foundational issues were also observed.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Supervision & ratios
The treatment director is only present once a week at the operation. The treatment director needs to work at least 30 hours a week at the operation to meet the full-time status.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2023-02-20. Correction verified 2023-02-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 16, 2023 Inspection · Deficiencies cited
-
Other
The admission assessment does not contain the child's behavior, why he is in placement, the address/phone numbers for child's caseworker and foster parents. The admission assessment also did not contain the child's behavioral levels while at school.
HHSC 748.1217(b)(3) — Admission Assessment-At admission, must include description of child's behavior, appropriate & maladaptive, behavior posing risk to self/others
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Other
The admission assessment did not contain the reason for previous placements.
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 2023-02-24. Correction verified 2023-02-24.
-
Other
The plan was not signed or dated by the Treatment Director.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Illness & medication
The discharge paperwork was missing the child's service plans for the last 12 months and the child's list of medications.
HHSC 748.1437(4) — Discharge/Transfer Documentation-Must include copies of child's service plans while in operation's care for the past 12 months
HHSC risk weight: Medium Low. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Cleanliness & sanitation
The sink handle in one of the bathrooms was loose. A tool was observed being used to assist with operating a washing appliance. Two doors were observed with physical breaks and cracks. One bedroom dresser was observed with broken handles. Multiple foundational issues were also observed.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Supervision & ratios
The treatment director is only present once a week at the operation. The treatment director needs to work at least 30 hours a week at the operation to meet the full-time status.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2023-02-20. Correction verified 2023-02-24.
-
Other
-
Feb 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 3, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation does not currently have an administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-01-19. Correction verified 2023-01-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Dec 19, 2022 Assessment · Deficiencies cited
-
Supervision & ratios Serious
It was determined that the operation does not currently have an administrator.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-01-19. Correction verified 2023-01-01.
-
Supervision & ratios Serious
-
Dec 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 5, 2022 Report · Deficiencies cited
-
Staff background & training
It was determined that a caregiver was 20 years old working with children 13 years old and older.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2023-01-25. Correction verified 2023-01-18.
-
Staff background & training
-
Dec 5, 2022 Report · Deficiencies cited
-
Staff background & training
It was determined that a caregiver was 20 years old working with children 13 years old and older.
HHSC 748.681(1)(B) — Caregiver qualifications-Must be at least 21 yrs old if all children in group are 13 yrs old or older
HHSC risk weight: Medium Low. Corrected 2023-01-25. Correction verified 2023-01-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
While working for Tree of Life, the administrator was also listed at another facility that was not contiguous.
HHSC 748.533(a)(5) — Child-care administrator-Can be administrator for two operations if the Operations are contiguous
HHSC risk weight: Medium Low. Corrected 2022-10-25. Correction verified 2022-10-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Oct 14, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
While working for Tree of Life, the administrator was also listed at another facility that was not contiguous.
HHSC 748.533(a)(5) — Child-care administrator-Can be administrator for two operations if the Operations are contiguous
HHSC risk weight: Medium Low. Corrected 2022-10-25. Correction verified 2022-10-25.
-
Supervision & ratios
-
Oct 10, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 10, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation has a bedroom downstairs that has 2 windows however there is an office being built therefore there is no outside exposure to natural light.
HHSC 748.3351(4) — Interior Space-provide bedrooms with at least one window with outside exposure to natural light
HHSC risk weight: Low. Corrected 2022-10-03. Correction verified 2023-07-10.
-
Supervision & ratios
-
Sep 19, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation has a bedroom downstairs that has 2 windows however there is an office being built therefore there is no outside exposure to natural light.
HHSC 748.3351(4) — Interior Space-provide bedrooms with at least one window with outside exposure to natural light
HHSC risk weight: Low. Corrected 2022-10-03. Correction verified 2023-07-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2022 Inspection · Deficiencies cited
-
Staff background & training
It was determined that the orientation provided did not include how to make complaints.
HHSC 748.1209(c)(1) — Child Orientation - Include information on how to make complaints to outside agencies
HHSC risk weight: Medium High. Corrected 2022-08-12. Correction verified 2022-08-12.
-
Records & paperwork
One of two records reviewed did not include the child's current level of functioning.
HHSC 748.1217(b)(8) — Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
HHSC risk weight: Medium High. Corrected 2022-08-12. Correction verified 2022-08-12.
-
Records & paperwork
One of the two records reviewed did not include the history of other placements, neonatal history, criminal history, school history, or skills/special interest
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 2022-08-12. Correction verified 2022-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 5, 2022 Inspection · Deficiencies cited
-
Staff background & training
It was determined that the orientation provided did not include how to make complaints.
HHSC 748.1209(c)(1) — Child Orientation - Include information on how to make complaints to outside agencies
HHSC risk weight: Medium High. Corrected 2022-08-12. Correction verified 2022-08-12.
-
Records & paperwork
One of two records reviewed did not include the child's current level of functioning.
HHSC 748.1217(b)(8) — Admission Assessment-At admission, must include child's current developmental, educational and behavioral level of functioning.
HHSC risk weight: Medium High. Corrected 2022-08-12. Correction verified 2022-08-12.
-
Records & paperwork
One of the two records reviewed did not include the history of other placements, neonatal history, criminal history, school history, or skills/special interest
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 2022-08-12. Correction verified 2022-08-12.
-
Staff background & training
-
Aug 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 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.
-
Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2022 Inspection · Deficiencies cited
-
Illness & medication
Three of eight medication logs did not have the accurate count of medication administered.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2022-06-10. Correction verified 2022-06-29.
-
Illness & medication
-
Jun 7, 2022 Inspection · Deficiencies cited
-
Illness & medication
Three of eight medication logs did not have the accurate count of medication administered.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2022-06-10. Correction verified 2022-06-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 27, 2022 Inspection · Deficiencies cited
-
Other
During inspection, it was noted that 2 out of 2 children's files reviewed did not contain an initial/updated service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-05-03.
-
Other
During inspection, it was noted that the discharge plan of 1 child did not include the name, address, telephone number, and relationship of the person to whom the child is discharged.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-05-03.
-
Supervision & ratios
During inspection, it was noted that the Health and Sanitation permit for the operation has expired and needs to be renewed.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2022-04-29. Correction verified 2022-05-02.
-
Supervision & ratios
During inspection, it was noted that there was no copy of the car insurance of the operation's vehicle.
HHSC 748.4003(1)(B) — General requirements-When transporting a child the operation must ensure each driver is covered by automobile insurance
HHSC risk weight: Medium Low. Corrected 2022-04-29. Correction verified 2022-04-27.
-
Staff background & training
During inspection, it was noted that a CPR Certificate of a staff did not contain an expiration and/or renewal date as determined by the organization providing the certificate.
HHSC 748.915(b)(5) — Pediatric CPR training documentation must include the expiration date of the certification determined by the organization providing the certification
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-04-29.
-
Staff background & training
During inspection, it was noted that the training log for one staff did not contain a certificate, letter, or a signed and dated statement of successful completion from a training source on trainings held for the year 2021.
HHSC 748.941(a)(4) — Training Criteria- Must include a certificate, letter, or a signed and dated statement of successful completion from the training source.
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-04-29.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Apr 27, 2022 Inspection · Deficiencies cited
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Other
During inspection, it was noted that 2 out of 2 children's files reviewed did not contain an initial/updated service plan.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-05-03.
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Other
During inspection, it was noted that the discharge plan of 1 child did not include the name, address, telephone number, and relationship of the person to whom the child is discharged.
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-05-03.
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Supervision & ratios
During inspection, it was noted that the Health and Sanitation permit for the operation has expired and needs to be renewed.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2022-04-29. Correction verified 2022-05-02.
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Supervision & ratios
During inspection, it was noted that there was no copy of the car insurance of the operation's vehicle.
HHSC 748.4003(1)(B) — General requirements-When transporting a child the operation must ensure each driver is covered by automobile insurance
HHSC risk weight: Medium Low. Corrected 2022-04-29. Correction verified 2022-04-27.
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Staff background & training
During inspection, it was noted that a CPR Certificate of a staff did not contain an expiration and/or renewal date as determined by the organization providing the certificate.
HHSC 748.915(b)(5) — Pediatric CPR training documentation must include the expiration date of the certification determined by the organization providing the certification
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-04-29.
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Staff background & training
During inspection, it was noted that the training log for one staff did not contain a certificate, letter, or a signed and dated statement of successful completion from a training source on trainings held for the year 2021.
HHSC 748.941(a)(4) — Training Criteria- Must include a certificate, letter, or a signed and dated statement of successful completion from the training source.
HHSC risk weight: Medium Low. Corrected 2022-05-03. Correction verified 2022-04-29.
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Other
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Apr 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 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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Mar 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 25, 2022 Inspection · Deficiencies cited
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Staff background & training
One of two records reviewed did not contain a job description. The one job description reviewed needs more information in regards to the employee position.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Safety & premises
There was no documentation about the severe weather drills.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2022-03-30. Correction verified 2022-04-27.
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Cleanliness & sanitation
The locks on the window in a child's room is broken. Door handle missing on one door.
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 2022-03-30. Correction verified 2022-04-27.
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Supervision & ratios
One of two employee records still does not have a signed copy of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
There is no documentation regarding pre-service training for one of two employee records reviewed.
HHSC 748.4653(a)(1) — Pre-Service Training- All caregivers must receive 8 hours of general pre-service training before being only caregiver responsible for a child in care
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
One of two records reviewed did not contain a notarized affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
One of two records did not contain documentation of training for the administering of medication.
HHSC 748.885(3) — General pre-service training curriculum-Includes techniques and methods of administering medications if caregiver administers psychotropic meds
HHSC risk weight: Medium High. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
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Mar 25, 2022 Inspection · Deficiencies cited
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Staff background & training
One of two records reviewed did not contain a job description. The one job description reviewed needs more information in regards to the employee position.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Safety & premises
There was no documentation about the severe weather drills.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2022-03-30. Correction verified 2022-04-27.
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Cleanliness & sanitation
The locks on the window in a child's room is broken. Door handle missing on one door.
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 2022-03-30. Correction verified 2022-04-27.
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Supervision & ratios
One of two employee records still does not have a signed copy of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
There is no documentation regarding pre-service training for one of two employee records reviewed.
HHSC 748.4653(a)(1) — Pre-Service Training- All caregivers must receive 8 hours of general pre-service training before being only caregiver responsible for a child in care
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
One of two records reviewed did not contain a notarized affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-03-30. Correction verified 2022-04-27.
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Staff background & training
One of two records did not contain documentation of training for the administering of medication.
HHSC 748.885(3) — General pre-service training curriculum-Includes techniques and methods of administering medications if caregiver administers psychotropic meds
HHSC risk weight: Medium High. Corrected 2022-03-30. Correction verified 2022-04-27.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Mar 25, 2022 Report · Deficiencies cited
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Other
The child's service plan was not updated. The last service plan made available was dated 8/9/2021.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-29.
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Other
Staff failed to appropriately supervise a child in care. The child has been involved in several accounts of physical and verbal aggression incidents. Staff have not taken into account the child's mental, emotional and social history and have not been able to prevent the incidents involving this child.
HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs
HHSC risk weight: Medium High. Corrected 2022-05-27. Correction verified 2022-06-29.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Mar 25, 2022 Report · Deficiencies cited
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Other
The child's service plan was not updated. The last service plan made available was dated 8/9/2021.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2022-05-27. Correction verified 2022-06-29.
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Other
Staff failed to appropriately supervise a child in care. The child has been involved in several accounts of physical and verbal aggression incidents. Staff have not taken into account the child's mental, emotional and social history and have not been able to prevent the incidents involving this child.
HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs
HHSC risk weight: Medium High. Corrected 2022-05-27. Correction verified 2022-06-29.
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Other
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Mar 19, 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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Mar 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 9, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code Section 261.001.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other
It was determined that the caregiver did not use appropriate disciplinary measures.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other Serious
It was determined that a caregiver placed a child in a chokehold.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-13.
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Records & paperwork
It was determined that there was no serious incident report documented.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Staff background & training
It was determined that the caregiver was not properly trained in EBI.
HHSC 748.4653(a)(2) — Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
HHSC risk weight: Medium High. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other
It was determined that a caregiver placed a child in a chokehold and slammed him against the wall, hitting the child's head. The child was not provided with medical care and has a history of a traumatic brain injury.
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 2022-05-13. Correction verified 2022-05-13.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
-
Mar 9, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
Caregivers failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code Section 261.001.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other
It was determined that the caregiver did not use appropriate disciplinary measures.
HHSC 748.2301(c) — Disciplinary Measures-goal must be to teach a child acceptable behavior and self-control; caregiver must explain reason for discipline when imposed
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other Serious
It was determined that a caregiver placed a child in a chokehold.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-13.
-
Records & paperwork
It was determined that there was no serious incident report documented.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Staff background & training
It was determined that the caregiver was not properly trained in EBI.
HHSC 748.4653(a)(2) — Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
HHSC risk weight: Medium High. Corrected 2022-05-13. Correction verified 2022-05-13.
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Other
It was determined that a caregiver placed a child in a chokehold and slammed him against the wall, hitting the child's head. The child was not provided with medical care and has a history of a traumatic brain injury.
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 2022-05-13. Correction verified 2022-05-13.
-
Discipline & child guidance Serious
-
Mar 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2022 Report · Deficiencies cited
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Supervision & ratios
It is determined that the administrator was not working full-time at the operation. She was working another job as a CPS Investigator.
HHSC 748.531(a)(3) — Child-care administrator-Is full-time employee of the operation
HHSC risk weight: Medium. Corrected 2022-04-22. Correction verified 2022-04-22.
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Supervision & ratios
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Feb 18, 2022 Report · Deficiencies cited
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Supervision & ratios
It is determined that the administrator was not working full-time at the operation. She was working another job as a CPS Investigator.
HHSC 748.531(a)(3) — Child-care administrator-Is full-time employee of the operation
HHSC risk weight: Medium. Corrected 2022-04-22. Correction verified 2022-04-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 16, 2022 Inspection · Deficiencies cited
-
Staff background & training
One of two records reviewed did not contain a job description.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-03-25.
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Safety & premises
There was no documentation about the severe weather drills.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2022-02-23. Correction verified 2022-03-25.
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Cleanliness & sanitation
The window in the back bedroom does not have locks.
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 2022-02-23. Correction verified 2022-03-25.
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Supervision & ratios
One of two employee records did not have a signed copy of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-03-25.
-
Staff background & training
There is no documentation regarding pre-service training for one of two employee records reviewed.
HHSC 748.4653(a)(1) — Pre-Service Training- All caregivers must receive 8 hours of general pre-service training before being only caregiver responsible for a child in care
HHSC risk weight: Medium. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
One of two records reviewed did not contain a notarized affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
There was no documentation of a training for the administering of medication.
HHSC 748.885(3) — General pre-service training curriculum-Includes techniques and methods of administering medications if caregiver administers psychotropic meds
HHSC risk weight: Medium High. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
It was determined that two caregivers do not have CPR certification.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2022-02-23. Correction verified 2022-03-25.
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Staff background & training
It was observed that two children in care was left with a caregiver/case manager that has an expired CPR certificate.
HHSC 748.981(b)(1) — First-aid-CPR training-At all times, at least one caregiver counted in child/caregiver ratio must have current certification in CPR
HHSC risk weight: Medium High. Corrected 2022-02-18. Correction verified 2022-03-25.
-
Staff background & training
-
Feb 16, 2022 Inspection · Deficiencies cited
-
Staff background & training
One of two records reviewed did not contain a job description.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-03-25.
-
Safety & premises
There was no documentation about the severe weather drills.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Cleanliness & sanitation
The window in the back bedroom does not have locks.
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 2022-02-23. Correction verified 2022-03-25.
-
Supervision & ratios
One of two employee records did not have a signed copy of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2022-02-18. Correction verified 2022-03-25.
-
Staff background & training
There is no documentation regarding pre-service training for one of two employee records reviewed.
HHSC 748.4653(a)(1) — Pre-Service Training- All caregivers must receive 8 hours of general pre-service training before being only caregiver responsible for a child in care
HHSC risk weight: Medium. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
One of two records reviewed did not contain a notarized affidavit.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
There was no documentation of a training for the administering of medication.
HHSC 748.885(3) — General pre-service training curriculum-Includes techniques and methods of administering medications if caregiver administers psychotropic meds
HHSC risk weight: Medium High. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
It was determined that two caregivers do not have CPR certification.
HHSC 748.981(a)(1) — First-aid-CPR training-Each caregiver must have current certification in first-aid
HHSC risk weight: Medium High. Corrected 2022-02-23. Correction verified 2022-03-25.
-
Staff background & training
It was observed that two children in care was left with a caregiver/case manager that has an expired CPR certificate.
HHSC 748.981(b)(1) — First-aid-CPR training-At all times, at least one caregiver counted in child/caregiver ratio must have current certification in CPR
HHSC risk weight: Medium High. Corrected 2022-02-18. Correction verified 2022-03-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 18, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two of two records reviewed did not contain how to make complaints to outside agencies.
HHSC 748.1209(c)(1) — Child Orientation - Include information on how to make complaints to outside agencies
HHSC risk weight: Medium High. Corrected 2022-01-25. Correction verified 2022-01-25.
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Supervision & ratios
Two of two records reviewed did not contain the services the operation plans to provide for the child.
HHSC 748.1217(b)(11) — Admission Assessment-At admission, must include services the operation plans to provide to the child
HHSC risk weight: Medium Low. Corrected 2022-01-25. Correction verified 2022-01-25.
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Records & paperwork
Two of two records reviewed did not contain the child's understanding of being in placement.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected 2022-01-25. Correction verified 2022-01-25.
-
Staff background & training
-
Jan 18, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two of two records reviewed did not contain how to make complaints to outside agencies.
HHSC 748.1209(c)(1) — Child Orientation - Include information on how to make complaints to outside agencies
HHSC risk weight: Medium High. Corrected 2022-01-25. Correction verified 2022-01-25.
-
Supervision & ratios
Two of two records reviewed did not contain the services the operation plans to provide for the child.
HHSC 748.1217(b)(11) — Admission Assessment-At admission, must include services the operation plans to provide to the child
HHSC risk weight: Medium Low. Corrected 2022-01-25. Correction verified 2022-01-25.
-
Records & paperwork
Two of two records reviewed did not contain the child's understanding of being in placement.
HHSC 748.1217(b)(14) — Admission Assessment-At admission, must include child's understanding of the placement
HHSC risk weight: Low. Corrected 2022-01-25. Correction verified 2022-01-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Nov 8, 2021 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the inspection, it was observed that over five windows do not have screens to protect against insects/bugs.
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 2021-11-15. Correction verified 2021-11-15.
-
Cleanliness & sanitation
During the inspection, it was observed that the home should be sanitized before accepting children.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2021-11-15. Correction verified 2021-11-15.
-
Supervision & ratios
Three of three employee records did not contain a signed/dated statement of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2021-11-15. Correction verified 2021-11-15.
-
Staff background & training
Three of three records did not contain orientation.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2021-11-15. Correction verified 2021-11-15.
-
Cleanliness & sanitation
-
Nov 8, 2021 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the inspection, it was observed that over five windows do not have screens to protect against insects/bugs.
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 2021-11-15. Correction verified 2021-11-15.
-
Cleanliness & sanitation
During the inspection, it was observed that the home should be sanitized before accepting children.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2021-11-15. Correction verified 2021-11-15.
-
Supervision & ratios
Three of three employee records did not contain a signed/dated statement of the operational policies.
HHSC 748.363(7) — Personnel records - Include statement signed and dated by the employee that he has read a copy of the operational policies
HHSC risk weight: Medium. Corrected 2021-11-15. Correction verified 2021-11-15.
-
Staff background & training
Three of three records did not contain orientation.
HHSC 748.831(a) — Orientation-Each caregiver or employee must have orientation prior to beginning job duties or having contact with children in care
HHSC risk weight: Medium. Corrected 2021-11-15. Correction verified 2021-11-15.
HHSC inspection history · no longer published by HHSC; kept here
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Cleanliness & sanitation
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.