Caring Heart Residential Care Services LLC
9343 MINERAL ROCK LN, Richmond, TX 77407 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 15
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Adedamola Solawon
- Phone
- (401) 316-5562
- Regulated since
- Dec 13, 2019
- HHSC IDs
- Operation 1321091 · number 1684228
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 2 | Illness & medication (2), Discipline & child guidance (2), Records & paperwork (2) |
| 2025 | 18 | 0 | Cleanliness & sanitation (4), Supervision & ratios (4), Staff background & training (2), Records & paperwork (2), Other (6) |
| 2024 | 12 | 4 | Cleanliness & sanitation (2), Supervision & ratios (2), Discipline & child guidance (4), Safety & premises (2), Staff background & training (2) |
| 2023 | 4 | 4 | Supervision & ratios (2), Other (2) |
| 2022 | 54 | 28 | Cleanliness & sanitation (8), Illness & medication (8), Supervision & ratios (14), Discipline & child guidance (12), Staff background & training (4), Other (8) |
| 2021 | 32 | 10 | Cleanliness & sanitation (4), Illness & medication (10), Supervision & ratios (4), Discipline & child guidance (6), Safety & premises (2), Food & allergies (2), Other (4) |
Inspections, investigations & assessments
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2026 Inspection · Deficiencies cited
-
Illness & medication
A medication review was conducted at 11:20am and the noon medication was already signed for 12pm. The medication is prescribed to be taken at morning and noon.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-14. Correction verified 2026-08-05.
-
Illness & medication
-
Jul 7, 2026 Inspection · Deficiencies cited
-
Illness & medication
A medication review was conducted at 11:20am and the noon medication was already signed for 12pm. The medication is prescribed to be taken at morning and noon.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-14. Correction verified 2026-08-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2026 Report · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2026 Inspection · Deficiencies cited
-
Discipline & child guidance Serious
Three children interviewed stated that they are restricted from outings and use of electronic devices for two weeks as discipline for bringing food and drinks into their rooms.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2026-06-15. Correction verified 2026-06-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jun 11, 2026 Inspection · Deficiencies cited
-
Discipline & child guidance Serious
Three children interviewed stated that they are restricted from outings and use of electronic devices for two weeks as discipline for bringing food and drinks into their rooms.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2026-06-15. Correction verified 2026-06-22.
-
Discipline & child guidance Serious
-
Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Report · No deficiencies cited
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 · Deficiencies cited
-
Records & paperwork
During a monitoring inspection there was 1 serious incident report that indicated a child was arrested and taken to juvenile detention. The incident was reported to DFPS worker, but was not reported to licensing.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2026-03-11. Correction verified 2026-03-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2026 Inspection · Deficiencies cited
-
Records & paperwork
During a monitoring inspection there was 1 serious incident report that indicated a child was arrested and taken to juvenile detention. The incident was reported to DFPS worker, but was not reported to licensing.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2026-03-11. Correction verified 2026-03-24.
-
Records & paperwork
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2025 Report · Deficiencies cited
-
Other
It was indicated a child was yelled at by a staff in a threatening manner without a reason during a zoom call the child had with bio parent and Case worker.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-02-27. Correction verified 2026-03-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Dec 16, 2025 Report · Deficiencies cited
-
Other
It was indicated a child was yelled at by a staff in a threatening manner without a reason during a zoom call the child had with bio parent and Case worker.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2026-02-27. Correction verified 2026-03-04.
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Other
-
Oct 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-10-16. Correction verified 2025-10-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Oct 16, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-10-16. Correction verified 2025-10-16.
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Cleanliness & sanitation
-
Oct 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 1, 2025 Report · No deficiencies cited
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.
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 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-10-02. Correction verified 2025-10-16.
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Cleanliness & sanitation
-
Aug 28, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
During the walkthrough of the home, multiple holes were observed that were covered with paper and had not been fixed. The carpet in the home appeared to be dirty there was a lot of dust collected on the baseboards of the walls.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-10-02. Correction verified 2025-10-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Aug 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2025 Inspection · Deficiencies cited
-
Records & paperwork
An incident report was reported to the hotline 2 days after the incident happened.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
HHSC risk weight: Medium High. Corrected 2025-05-27. Correction verified 2025-05-27.
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Other
A first aid was not found during this inspection.
HHSC 748.3271(5) — First Aid Kits-Each one must be stored in a designated location known to all employees
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-04-24.
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Records & paperwork
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Apr 24, 2025 Inspection · Deficiencies cited
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Records & paperwork
An incident report was reported to the hotline 2 days after the incident happened.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
HHSC risk weight: Medium High. Corrected 2025-05-27. Correction verified 2025-05-27.
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Other
A first aid was not found during this inspection.
HHSC 748.3271(5) — First Aid Kits-Each one must be stored in a designated location known to all employees
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-04-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The evacuation diagram should have a designated shelter in place.
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 2025-02-19. Correction verified 2025-05-30.
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Other
Several beds were missing top sheets.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected 2025-02-19. Correction verified 2025-06-11.
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Supervision & ratios
The operation has not maintained a file advising of which drivers are transporting children.
HHSC 748.4111(a) — Transportation records-Must maintain on file at the operation the name of each driver and a copy of that person's valid driver's license
HHSC risk weight: Low. Corrected 2025-02-19. Correction verified 2025-05-30.
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Staff background & training
A direct care staff only has record of EBI/Sama training taking place annually.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-05-30.
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Supervision & ratios
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Feb 5, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The evacuation diagram should have a designated shelter in place.
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 2025-02-19. Correction verified 2025-05-30.
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Other
Several beds were missing top sheets.
HHSC 748.3365(c)(1) — Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
HHSC risk weight: Medium. Corrected 2025-02-19. Correction verified 2025-06-11.
-
Supervision & ratios
The operation has not maintained a file advising of which drivers are transporting children.
HHSC 748.4111(a) — Transportation records-Must maintain on file at the operation the name of each driver and a copy of that person's valid driver's license
HHSC risk weight: Low. Corrected 2025-02-19. Correction verified 2025-05-30.
-
Staff background & training
A direct care staff only has record of EBI/Sama training taking place annually.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-05-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2024 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2024 Inspection
No violations cited on this visit.
-
Sep 16, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Multiple children advised of being hit by staff.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-11-18. Correction verified 2024-11-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Sep 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Multiple children advised of being hit by staff.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-11-18. Correction verified 2024-11-18.
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Discipline & child guidance Serious
-
Sep 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2024 Inspection · Deficiencies cited
-
Safety & premises
The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
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Cleanliness & sanitation
Damaged doors & window blinds, broken furniture, and wall stains were observed.
HHSC 748.3303(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
-
Safety & premises
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Jul 24, 2024 Inspection · Deficiencies cited
-
Safety & premises
The purpose of this rule is to prevent harm to children from risks associated with fire in the facility.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
-
Cleanliness & sanitation
Damaged doors & window blinds, broken furniture, and wall stains were observed.
HHSC 748.3303(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 19, 2024 Report · Deficiencies cited
-
Supervision & ratios
Records reviewed showed clerical errors.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
-
Staff background & training
Records reviewed show staff did not renew annual trainings timely.
HHSC 748.935(a)(2) — Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 19, 2024 Report · Deficiencies cited
-
Supervision & ratios
Records reviewed showed clerical errors.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
-
Staff background & training
Records reviewed show staff did not renew annual trainings timely.
HHSC 748.935(a)(2) — Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-08-07.
-
Supervision & ratios
-
Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Children reported that one direct staff yelled at the residence, and threatened to hit the residence.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-05-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Apr 19, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
Children reported that one direct staff yelled at the residence, and threatened to hit the residence.
HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HHSC risk weight: High. Corrected 2024-05-10. Correction verified 2024-05-11.
-
Discipline & child guidance Serious
-
Apr 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2024 Inspection · 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
-
Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
During the course of the investigation, it was determined that kids in care were inappropriately supervised due to staff falling asleep while on duty.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-02-20. Correction verified 2024-02-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Dec 19, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
During the course of the investigation, it was determined that kids in care were inappropriately supervised due to staff falling asleep while on duty.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Supervision & ratios Serious
-
Nov 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2023 Report · Deficiencies cited
-
Other Serious
It was determined that a caregiver did not intervene when there was an altercation between three residents.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-12-28. Correction verified 2024-01-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Oct 22, 2023 Report · Deficiencies cited
-
Other Serious
It was determined that a caregiver did not intervene when there was an altercation between three residents.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-12-28. Correction verified 2024-01-19.
-
Other Serious
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2023 Inspection
No violations cited on this visit.
-
Feb 9, 2023 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 7, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
3 out of 3 staff files reviewed did contain proof of education.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-12-21. Correction verified 2022-12-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 7, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
3 out of 3 staff files reviewed did contain proof of education.
HHSC 748.363(4) — Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position
HHSC risk weight: Medium. Corrected 2022-12-21. Correction verified 2022-12-13.
-
Supervision & ratios
-
Nov 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2022 Report · Deficiencies cited
-
Discipline & child guidance
The operation failed to report sexual abuse against a child in care by another resident.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2022-12-12. Correction verified 2022-12-12.
-
Discipline & child guidance
-
Oct 22, 2022 Report · Deficiencies cited
-
Discipline & child guidance
The operation failed to report sexual abuse against a child in care by another resident.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2022-12-12. Correction verified 2022-12-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected at inspection. Corrected 2022-09-21.
-
Supervision & ratios Serious
-
Sep 21, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: Condition Met/Partially Due Condition 2: Condition Met Condition 3: not due Condition 4: Condition Met Condition 5: Condition Met/Partially due Condition 6: Condition Met Condition 7: Condition Met Per condition 1 and condition 5, the operation was supposed to provide documentation to Licensing by 9/1/2022. This documentation was received late on 9/8/2022 and 9/13/2022.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected at inspection. Corrected 2022-09-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-09-08. Correction verified 2022-09-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Condition Met The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation has not provided a sufficient plan to meet the requirements of Condition 6, a physical site tracking log, and other documentation.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-09-08. Correction verified 2022-09-08.
-
Supervision & ratios Serious
-
Aug 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 29, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-09-02. Correction verified 2022-09-06.
-
Supervision & ratios Serious
-
Aug 29, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Condition 1: not due Condition 2: not due Condition 3: not due Condition 4: Condition Met Condition 5: not due Condition 6: Deficient/not met Condition 7: Deficient/not met The operation did not have the probation notice posted near the entrance or anywhere in the operation. This was corrected once it was brought to the Director and Administrator's attention. Condition 7 states that the Administrator must submit to RCCR by 5:00 p.m. each Friday his/her schedule for the following week. The operation has not been providing their schedule by 5:00pm each Friday. Instead, it has been provided after the deadline at various times. The operation did not provide all required documentation to meet the condition regarding physical site repairs (Condition 6). The operation also did not provide it once it was developed.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-09-02. Correction verified 2022-09-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Aug 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 1, 2022 Report · Deficiencies cited
-
Supervision & ratios
Operation failed to send the required 14-day planning review notice in a timely manner.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2022-09-05. Correction verified 2022-08-31.
-
Discipline & child guidance
The operation failed to report multiple serious incidents to licensing.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2022-08-31. Correction verified 2022-08-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 1, 2022 Report · Deficiencies cited
-
Supervision & ratios
Operation failed to send the required 14-day planning review notice in a timely manner.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2022-09-05. Correction verified 2022-08-31.
-
Discipline & child guidance
The operation failed to report multiple serious incidents to licensing.
HHSC 748.303(a)(5)(A) — Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
HHSC risk weight: Medium High. Corrected 2022-08-31. Correction verified 2022-08-31.
-
Supervision & ratios
-
Jun 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 29, 2022 Report · Deficiencies cited
-
Illness & medication
During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-07-18. Correction verified 2022-08-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 29, 2022 Report · Deficiencies cited
-
Illness & medication
During review of medication records -A.H. On 1/11/22 and 1/26/2022 Dr. Thompson did a medication review for the child and he was prescribed Trazodone 100 mg 1 tab @ PM (PRN). Medication log reviewed for January shows the staff incorrectly wrote the wrong strength. On 2/8/2022 Dr. Thompson did a medication review for the child and changed the Trazodone 100mg to 50mg 1 tab @ PM (PRN). February and March Medication log shows the staff gave the correct dosage and strength for the child.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-07-18. Correction verified 2022-08-27.
-
Illness & medication
-
Jun 24, 2022 Report · Deficiencies cited
-
Other
A caregiver displayed a lack of self -control when he punched a hole in a wall.
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 2022-08-05. Correction verified 2022-08-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 24, 2022 Report · Deficiencies cited
-
Other
A caregiver displayed a lack of self -control when he punched a hole in a wall.
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 2022-08-05. Correction verified 2022-08-08.
-
Other
-
Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2022 Inspection · Deficiencies cited
-
Illness & medication
Several medication records reviewed were missing the reason the medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-06-23. Correction verified 2022-07-05.
-
Illness & medication
-
Jun 16, 2022 Inspection · Deficiencies cited
-
Illness & medication
Several medication records reviewed were missing the reason the medication was prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-06-23. Correction verified 2022-07-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.
HHSC 748.3303(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-06-02.
-
Cleanliness & sanitation
-
Jun 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
There is a hole in a wall in the children's bedroom downstairs. The restroom downstairs has strong urine ordor.
HHSC 748.3303(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-06-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2022 Report · Deficiencies cited
-
Staff background & training
Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-07-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Mar 31, 2022 Report · Deficiencies cited
-
Staff background & training
Staff recorded an exchange between an adult asking a child what day the incident occurred, the child says that he believes it occurred on a Friday, and is then asked how he was "scratched" and then the adult says that "he scratches himself, then why are you saying they scratched you."
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-07-18.
-
Staff background & training
-
Mar 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.
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 2022-07-29. Correction verified 2022-07-28.
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Other Serious
A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.
HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2022-07-29. Correction verified 2022-07-28.
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Cleanliness & sanitation
One of the bedrooms smelled of urine.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-08-03. Correction verified 2022-07-28.
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Discipline & child guidance Serious
-
Mar 6, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver put a child in care at risk of physical harm when he slammed the child to the ground.
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 2022-07-29. Correction verified 2022-07-28.
-
Other Serious
A caregiver slammed a child in care to the ground as a form of discipline which caused the child physical pain.
HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child
HHSC risk weight: High. Corrected 2022-07-29. Correction verified 2022-07-28.
-
Cleanliness & sanitation
One of the bedrooms smelled of urine.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-08-03. Correction verified 2022-07-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Feb 18, 2022 Inspection · Deficiencies cited
-
Illness & medication
1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2022 Inspection · Deficiencies cited
-
Illness & medication
1 of the 6 children's medication records reviewed contained medication errors and there was no documentation of the errors.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-18.
-
Illness & medication
-
Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2022 Inspection · Deficiencies cited
-
Discipline & child guidance Serious
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
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Supervision & ratios Serious
One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.
HHSC 748.2553(2)(B) — EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
-
Supervision & ratios Serious
Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan
HHSC 748.2605(b)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
-
Discipline & child guidance Serious
-
Feb 11, 2022 Inspection · Deficiencies cited
-
Discipline & child guidance Serious
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them./Operation need to provide corrective action plan
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
-
Supervision & ratios Serious
One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes/Operation need to provide corrective action plan.
HHSC 748.2553(2)(B) — EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
-
Supervision & ratios Serious
Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold./Operation need to provide corrective action plan
HHSC 748.2605(b)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2022-02-14. Correction verified 2022-02-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jan 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2022 Assessment · Deficiencies cited
-
Cleanliness & sanitation
During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.
HHSC 748.3307(b)(3) — Physical Site-Bathrooms must be lighted to avoid accidents
HHSC risk weight: Medium High. Corrected 2022-01-21. Correction verified 2022-01-28.
-
Cleanliness & sanitation
-
Jan 12, 2022 Assessment · Deficiencies cited
-
Cleanliness & sanitation
During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.
HHSC 748.3307(b)(3) — Physical Site-Bathrooms must be lighted to avoid accidents
HHSC risk weight: Medium High. Corrected 2022-01-21. Correction verified 2022-01-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver used hitting as a method of discipline.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-20. Correction verified 2022-04-19.
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Cleanliness & sanitation Serious
A caregiver placed a child in a closet as a method of discipline.
HHSC 748.2307(10) — Other Prohibited Punishments-placing a child in a dark room, bathroom, or closet
HHSC risk weight: High. Corrected 2022-04-20. Correction verified 2022-04-19.
-
Discipline & child guidance Serious
-
Jan 11, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A caregiver used hitting as a method of discipline.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-04-20. Correction verified 2022-04-19.
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Cleanliness & sanitation Serious
A caregiver placed a child in a closet as a method of discipline.
HHSC 748.2307(10) — Other Prohibited Punishments-placing a child in a dark room, bathroom, or closet
HHSC risk weight: High. Corrected 2022-04-20. Correction verified 2022-04-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jan 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-02-11.
-
Discipline & child guidance Serious
-
Jan 6, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
All residents interviewed stated they have either been hit by the staff or witnessed the staff hit another resident. Also, a staff stated they have heard the same staff yell at children in care and 3 of the 4 children interviewed stated the staff yells at them.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-01-21. Correction verified 2022-02-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2022 Inspection · Deficiencies cited
-
Illness & medication
Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.
HHSC 748.2003(b)(11) — Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-02-11.
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Other Serious
One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes
HHSC 748.2553(2)(B) — EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
HHSC risk weight: High. Corrected 2022-01-10. Correction verified 2022-02-11.
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Other Serious
Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.
HHSC 748.2605(b)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2022-01-10. Correction verified 2022-02-11.
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Staff background & training Serious
2 of the 3 staff files reviewed did not have a record of a TB screening
HHSC 748.505(b)(2) — Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583
HHSC risk weight: High. Corrected 2022-01-13. Correction verified 2022-02-11.
-
Illness & medication
-
Jan 6, 2022 Inspection · Deficiencies cited
-
Illness & medication
Medication record documentation states that a child in care was administered 2 separate medications that belonged to another person.
HHSC 748.2003(b)(11) — Administration of prescription medication-only the child for whom the prescription medication was prescribed may use the medication
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-02-11.
-
Other Serious
One personal restraint documentation reviewed stated a child in care was restrained in the prone position for 5 minutes
HHSC 748.2553(2)(B) — EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
HHSC risk weight: High. Corrected 2022-01-10. Correction verified 2022-02-11.
-
Other Serious
Personal restraint documentation reviewed states that a prone restraint was performed on a child in care but it does not indicate it was used as a transitional hold.
HHSC 748.2605(b)(1) — Personal Restraints Prohibited-Prone and supine restraints except as a transitional hold that lasts no longer than 1 minute
HHSC risk weight: High. Corrected 2022-01-10. Correction verified 2022-02-11.
-
Staff background & training Serious
2 of the 3 staff files reviewed did not have a record of a TB screening
HHSC 748.505(b)(2) — Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583
HHSC risk weight: High. Corrected 2022-01-13. Correction verified 2022-02-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2021 Report · Deficiencies cited
-
Illness & medication
Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-02-18.
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Illness & medication
2 medication records reviewed shows that medication was not disposed of after being discontinued.
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 2022-01-20. Correction verified 2022-02-18.
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Illness & medication
1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
Several child records shows that children missed at least 1 dosage and there is no documentation as to why.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.
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 2022-01-20. Correction verified 2022-02-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Dec 18, 2021 Report · Deficiencies cited
-
Illness & medication
Several children's medication records reviewed shows that a children missed at least 1 dosage of medication. Also, a child's record reviewed shows that a child in care was not receiving the correct medication dosage.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-02-18.
-
Illness & medication
2 medication records reviewed shows that medication was not disposed of after being discontinued.
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 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
1 medication record reviewed was missing the time the medication was administered and the staff's initial/signature.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
Several child records shows that children missed at least 1 dosage and there is no documentation as to why.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
Staff did not demonstrate prudent judgment when 2 residents were administered medications after the medications had been discontinued by the provider.
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 2022-01-20. Correction verified 2022-02-18.
-
Illness & medication
-
Dec 15, 2021 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2021-12-29. Correction verified 2022-01-06.
-
Cleanliness & sanitation
During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.
HHSC 748.3307(b)(3) — Physical Site-Bathrooms must be lighted to avoid accidents
HHSC risk weight: Medium High. Corrected 2021-12-17. Correction verified 2022-01-12.
-
Supervision & ratios
The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).
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 2021-12-17. Correction verified 2022-01-06.
-
Cleanliness & sanitation
-
Dec 15, 2021 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During the walk through at the operation it was observed that the bathrooms upstairs and downstairs had a urine smell. The backyard had a a pile of (10) rocks right outside the door (photos taken). The walls of the operation have writing through out the operation/home. 12/22 was provided due to the walls and writing.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2021-12-29. Correction verified 2022-01-06.
-
Cleanliness & sanitation
During the walk through it was observed that the 1st floor master bathroom was missing 4 light bulbs over the sink.
HHSC 748.3307(b)(3) — Physical Site-Bathrooms must be lighted to avoid accidents
HHSC risk weight: Medium High. Corrected 2021-12-17. Correction verified 2022-01-12.
-
Supervision & ratios
The thermometer in the refrigerator was above 40 degrees (photo taken). Additionally, during the walk through the deep freezer stored in the garage did not have a thermometer. The Freezer attached to the refrigerator did not have a thermometer (photo taken).
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 2021-12-17. Correction verified 2022-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 10, 2021 Report · Deficiencies cited
-
Safety & premises Serious
3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2022-04-05. Correction verified 2022-04-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
Dec 10, 2021 Report · Deficiencies cited
-
Safety & premises Serious
3 children described restraints with their hands behind their back and being placed on their stomachs, 2 of the children stated that this is how restraints are done. 1 staff member stated that restraints were done with hands behind their backs. A different staff stated that she placed one of the children?s hands behind their back to retrieve a comb. The child stated that he was on the floor with his hands behind his back.
HHSC 748.2605(a)(5) — Personal Restraints Prohibited-Restraints that twist or place the child's limb(s) behind the child's back
HHSC risk weight: High. Corrected 2022-04-05. Correction verified 2022-04-07.
-
Safety & premises Serious
-
Dec 8, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2021 Report · Deficiencies cited
-
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 261.401 when 2 caregivers caused physical harm and injury to children in care.
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 2022-02-08. Correction verified 2022-05-03.
-
Discipline & child guidance Serious
2 caregivers used corporal punishment on children in care when they punched the child/ren.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-02-08. Correction verified 2022-05-03.
-
Discipline & child guidance
The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.
HHSC 748.535(2)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2022-02-10. Correction verified 2022-05-03.
-
Discipline & child guidance Serious
-
Dec 1, 2021 Report · Deficiencies cited
-
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 261.401 when 2 caregivers caused physical harm and injury to children in care.
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 2022-02-08. Correction verified 2022-05-03.
-
Discipline & child guidance Serious
2 caregivers used corporal punishment on children in care when they punched the child/ren.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2022-02-08. Correction verified 2022-05-03.
-
Discipline & child guidance
The child-care administrator failed to provide oversight of staffing patterns, which resulted in the systematic failure, which in turn facilitated the physical abuse of a child in care by a caregiver that was previously believed to have physically abused a child in care before.
HHSC 748.535(2)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
HHSC risk weight: Medium High. Corrected 2022-02-10. Correction verified 2022-05-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Nov 29, 2021 Report · Deficiencies cited
-
Other Serious
3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2022-01-07. Correction verified 2022-01-07.
-
Other Serious
-
Nov 29, 2021 Report · Deficiencies cited
-
Other Serious
3 of the 3 children interviewed stated that a staff member pinches and pulls on the residents.
HHSC 748.2307(6) — Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child
HHSC risk weight: High. Corrected 2022-01-07. Correction verified 2022-01-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Nov 16, 2021 Report · Deficiencies cited
-
Supervision & ratios
It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.
HHSC 748.1101(b)(3)(G) — Children's rights-comfortable clothing suitable to age/size/similar to peers in community. Teenagers have reasonable chance to select clothing
HHSC risk weight: Medium. Corrected 2022-01-11. Correction verified 2022-01-06.
-
Food & allergies Serious
During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.
HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HHSC risk weight: High. Corrected 2022-01-11. Correction verified 2022-01-06.
-
Other
While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2022-01-11. Correction verified 2022-01-06.
-
Supervision & ratios
-
Nov 16, 2021 Report · Deficiencies cited
-
Supervision & ratios
It was learned during an interview at the children's school that a child in care arrived to school wearing a female's blouse. All residents at the operation are boys. The school provided the child with a change of clothing.
HHSC 748.1101(b)(3)(G) — Children's rights-comfortable clothing suitable to age/size/similar to peers in community. Teenagers have reasonable chance to select clothing
HHSC risk weight: Medium. Corrected 2022-01-11. Correction verified 2022-01-06.
-
Food & allergies Serious
During initial walkthrough the refrigerator contained no food of substance, when addressed, staff stated the residents were having left over from the day before, there was no food cooking and only a cake in the refrigerator.
HHSC 748.1693(a)(1) — Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HHSC risk weight: High. Corrected 2022-01-11. Correction verified 2022-01-06.
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Other
While conducting interviews, children stated they are allowed to play shooting games. During the walkthrough, a PS4 was observed with video games rated MA and 17. These are not appropriate to the children's needs.
HHSC 748.3701(a) — Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
HHSC risk weight: Medium Low. Corrected 2022-01-11. Correction verified 2022-01-06.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Nov 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.