Autistic Treatment Center, INC.
10503 METRIC DR, Dallas, TX 75243 · Dallas County
Program
- Type
- General residential operation
- Licensed capacity
- 31
- Ages
- 2-17
- Hours
- -
- Phone
- (972) 644-2076
- Regulated since
- May 9, 2002
- HHSC IDs
- Operation 206448 · number 817512
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 32 | 2 | Cleanliness & sanitation (2), Illness & medication (13), Supervision & ratios (8), Staff background & training (1), Records & paperwork (3), Other (5) |
| 2025 | 24 | 4 | Cleanliness & sanitation (5), Illness & medication (1), Supervision & ratios (8), Discipline & child guidance (1), Safety & premises (1), Staff background & training (7), Other (1) |
| 2024 | 4 | 1 | Cleanliness & sanitation (1), Staff background & training (1), Records & paperwork (1), Other (1) |
| 2023 | 9 | 2 | Illness & medication (1), Supervision & ratios (2), Discipline & child guidance (2), Staff background & training (1), Records & paperwork (1), Other (2) |
| 2022 | 16 | 3 | Cleanliness & sanitation (1), Illness & medication (4), Discipline & child guidance (2), Safety & premises (2), Staff background & training (2), Records & paperwork (3), Other (2) |
| 2021 | 5 | 2 | Illness & medication (2), Supervision & ratios (2), Other (1) |
Inspections, investigations & assessments
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Sep 18, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2026 Assessment
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · Deficiencies cited
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Illness & medication Serious
Prescription and over the counter medications were stored unlocked in one out of three homes.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-09-08. Correction verified 2026-09-17.
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Illness & medication
Agency staff did not report to the Hotline when a child sustained an open toe fracture.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2026-09-08. Correction verified 2026-09-17.
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Cleanliness & sanitation
Cleaning chemicals were accessible to children in the home by not being stored out of reach.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2026-09-08. Correction verified 2026-09-17.
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Illness & medication Serious
-
Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
In the child's bedroom, the glass pane of the window was dislodged from the metal frame, leaving the glass exposed.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-09-01.
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Other
Items such as hydrogen peroxide, clorox, windex, and antibiotic ointment were left unlocked and accessible to children.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-18.
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Other
The unauthorized absence log did not include all required all information.
HHSC 748.453(a)(1) — Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-09-01.
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Staff background & training
Transportation training was not completed annually by staff.
HHSC 748.930(b)(4) — Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old.
HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-09-01.
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Cleanliness & sanitation
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Aug 17, 2026 Assessment · Deficiencies cited
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Supervision & ratios
Damaged fence slats were again identified in House 29. This is a repeat deficiency, as the same issue was previously identified in 2025. The reoccurrence indicates that corrective actions were not effectively implemented or sustained. In addition, there was an exposed plastic pipe in the backyard.
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 2026-08-31. Correction verified 2026-09-01.
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Supervision & ratios
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Aug 15, 2026 Report · Deficiencies cited
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Records & paperwork
A child's caseworker/parent reported that she did not receive an invitation to the child's initial service plan meeting.
HHSC 748.1339(c) — Initial Service Plan-Child & parent must be invited to meeting to develop service plan & discuss participation in childhood activities
HHSC risk weight: Low. Corrected 2026-09-25. Correction verified 2026-09-25.
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Supervision & ratios
A child, who is developmentally 3 years old or younger, ran away, and the operation failed to report this to the Hotline.
HHSC 748.303(a)(8)(A) — Serious Incident-Report to CCL within 2 hours of notifying law enforcement unauthorized absence of a child developmentally/chronologically under 6yrs
HHSC risk weight: Medium High. Corrected 2026-08-26. Correction verified 2026-09-01.
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Supervision & ratios
A child's service plan mandated line of sight supervision. Despite this requirement, the child was able to leave the facility during daytime hours because staff were only checking on him every one to two hours in his room.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2026-09-25. Correction verified 2026-09-25.
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Records & paperwork
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Aug 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
The operation conducted an internal investigation regarding the allegations of this DFPS investigation.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2026-09-01. Correction verified 2026-09-01.
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Supervision & ratios
A different child's name was written on a child's service plan several times. There are two different names listed for a child's caseworker on the service plan.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-09-01. Correction verified 2026-09-01.
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Supervision & ratios
Operation staff did not provide follow-up medical treatment to a child in care as recommended by a health-care professional.
HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
HHSC risk weight: Medium High. Corrected 2026-09-01. Correction verified 2026-09-01.
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Records & paperwork
The child's age, gender, and date of admission were not included on the serious incident report.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2026-09-01. Correction verified 2026-09-01.
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Supervision & ratios Serious
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Jul 6, 2026 Inspection · Deficiencies cited
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Illness & medication
The reason for the medications were not documented on the medication log.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-07-20. Correction verified 2026-07-20.
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Illness & medication
-
Jun 22, 2026 Inspection · Deficiencies cited
-
Records & paperwork
The admission assessment was not signed.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2026-07-14. Correction verified 2026-07-02.
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Other
Several pieces of information were missing from the admission document, and the reasons why were not provided.
HHSC 748.1221(c)(1) — Admission Assessment-Document why a particular piece of information is unavailable
HHSC risk weight: Medium. Corrected 2026-07-14. Correction verified 2026-07-02.
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Other
The preliminary service plan was not completed within 72 hours of admission.
HHSC 748.1331(a) — Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
HHSC risk weight: Medium Low. Corrected 2026-07-06. Correction verified 2026-07-02.
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Records & paperwork
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Inspection
No violations cited on this visit.
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2026 Assessment · Deficiencies cited
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Supervision & ratios
During a review conducted on 03/12/2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.
HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-13.
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Supervision & ratios
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Mar 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Inspection · Deficiencies cited
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Illness & medication
During an inspection it was found that the operation is only maintaining a current pill count on the controlled substance medications and not not all medication.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-03-04.
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Illness & medication
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Assessment · Deficiencies cited
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Other
During a heightened monitoring visit on 2/9/26, House 29 there were Clorox wipes on the kitchen counter and one of the cabinets where chemicals are stored above the washer and dryer was left unlocked which contained laundry soap.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2026-02-25. Correction verified 2026-03-04.
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Other
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Feb 5, 2026 Inspection · Deficiencies cited
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Illness & medication
A medication report was missing a time of when an emergency medication was given.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2026-02-05. Correction verified 2026-02-19.
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Illness & medication
During an inspection it was found that the operation is only maintaining a current pill count on the controlled substance medications and not not all medication.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-19.
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Illness & medication
During an inspection it was noted the operation is not completing a triggered review for children in 3 Emergency Medication incidents have occurred within 30 days.
HHSC 748.2903(a) — Triggered Reviews-Must occur as soon as possible, but no later than 30 days after the review is triggered
HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-19.
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Supervision & ratios
During an inspection, the operation indicated that it has not been completing an annual review.
HHSC 748.2951(a)(1) — Evaluation-Overall annual evaluation includes use and effectiveness of emergency behavior interventions at operation
HHSC risk weight: Medium. Corrected 2026-02-19. Correction verified 2026-02-19.
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Illness & medication
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Feb 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Assessment · Deficiencies cited
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Illness & medication
A heightened monitoring visit occurred on 1/29/26 and a child's medication log was reviewed. This medication log did not contain initials that three medications were administered on 1/28/26 PM.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-02-17. Correction verified 2026-02-19.
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Illness & medication
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Jan 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2026 Assessment · Deficiencies cited
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Illness & medication
A child's prescription medication was stored in a blister pack created by the operation; however, it did not contain the same label.
HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2026-01-26. Correction verified 2026-02-06.
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Illness & medication
One of the child's medications did not have the name of prescribing physician in the medication record.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2026-01-26. Correction verified 2026-02-19.
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Illness & medication
A child's medication record shows that there are 5 prescribed medications, and none have the reason the medications were prescribed.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2026-01-26. Correction verified 2026-02-19.
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Illness & medication
There were no initials on who administered two separate medications in two separate days.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-01-26. Correction verified 2026-02-06.
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Illness & medication
A child's medication record containing 5 prescribed medications do not reflect a medication count for any of the medications.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-01-26. Correction verified 2026-02-19.
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Illness & medication
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Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Assessment · Deficiencies cited
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Supervision & ratios Serious
The operation had 60 days from 09/15/25 to acquire a licensed childcare administrator and one was obtained.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2026-01-15. Correction verified 2026-01-21.
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Supervision & ratios Serious
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
An adult in care attacked two children in care, a staff, and another adult in care. There is a DFPS investigation pertaining to similar incidents involving the same adult in care.
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 2026-01-27. Correction verified 2026-02-05.
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Supervision & ratios Serious
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The operation does not currently have a treatment director.
HHSC 748.601 — Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director
HHSC risk weight: Medium High. Corrected 2025-11-19. Correction verified 2025-11-18.
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Supervision & ratios
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Oct 31, 2025 Assessment · Deficiencies cited
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Illness & medication Serious
There were three instances that medication was not properly stored that included an unsecured single dose medication blister on the van floor, 10 medication bubble pack cards sitting on a table and medication cups out in an open area. Photographs were taken.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2025-11-07. Correction verified 2025-11-12.
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Cleanliness & sanitation
Noted in a visit was soiled bed linen and strong smell of urine in a home along with clothes scattered in a closet. Observed was a broken barbeque grill in the courtyard. Photographs were taken.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2025-11-07. Correction verified 2025-11-12.
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Illness & medication Serious
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Oct 31, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2025 Assessment · Deficiencies cited
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Other
During a walkthrough of House 12, a cabinet in the laundry area containing chemicals was not locked. This laundry room is located in an area that is accessible to children in care.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-11-24.
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Other
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Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 9, 2025 Assessment · Deficiencies cited
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Cleanliness & sanitation
In House 12, a child's headboard was not attached to the frame of the bed and staff confirmed that a child currently slept in that bed. Photographs were taken. In a separate bedroom, a detached exposed cable was observed in a room that a child with has a history of aggressive behavior.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2025-10-23. Correction verified 2025-10-27.
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Cleanliness & sanitation
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Sep 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2025 Assessment · Deficiencies cited
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Supervision & ratios
Operation's full controlling person information has been requested multiple times and has not been submitted.
HHSC 748.153(3)(B) — Notification - New controlling person
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-31.
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Supervision & ratios
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Sep 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Assessment · Deficiencies cited
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Safety & premises
During a heightened monitoring visit, a staff member who transports children did not have a copy of their driver's license or driver's license check in their personnel file.
HHSC 748.363(12) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
HHSC risk weight: Medium. Corrected 2025-09-17. Correction verified 2025-09-03.
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Safety & premises
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Sep 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2025 Report · Deficiencies cited
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Discipline & child guidance
The operation's staffing schedule allowed children in care unsupervised time outside the home.
HHSC 748.535(3)(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 2025-10-03. Correction verified 2025-10-16.
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Supervision & ratios Serious
A child in care was left unsupervised outside the operation home.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-10-03. Correction verified 2025-10-16.
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Discipline & child guidance
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Aug 19, 2025 Inspection
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Assessment · Deficiencies cited
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Supervision & ratios
During an HM visit, the operation could not produce a psychological exam completed on 09/2024 and several months have lapsed.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2025-07-22. Correction verified 2025-07-23.
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Supervision & ratios
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Jun 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2025 Assessment · Deficiencies cited
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Staff background & training
A caregiver was hired in 10/2021 and there was no trauma informed care training until 09/3/2024.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2025-07-07. Correction verified 2025-06-23.
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Staff background & training
A caregiver was hired in October 2021 and there was no psychotropic medication training until 2025.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2025-07-07. Correction verified 2025-06-23.
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Staff background & training
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Jun 23, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a walkthrough of the operation it was noted that the front gate to home 25 cannot be closed due to a bent lock. It was also noted home 29 had parts of the fence broken.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-06-30. Correction verified 2025-06-25.
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Cleanliness & sanitation
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Jun 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Report · Deficiencies cited
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Staff background & training
The EBI training reviewed for three staff members were not completed within the 6 months' timeframe.
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 2025-07-28. Correction verified 2025-07-25.
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Staff background & training
Three EBI training certificates did not document the number of training hours completed.
HHSC 748.949(b)(5) — Annual Training Documentation-Includes the length of the training in hours
HHSC risk weight: Medium Low. Corrected 2025-07-28. Correction verified 2025-07-25.
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Staff background & training
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Jun 2, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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May 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Assessment · Deficiencies cited
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Supervision & ratios
One of the homes where children currently reside has missing or damaged fence pickets. There are also visible nails that are not properly driven in. Also, in this same home the skylight in the porch was damaged. Photographs were obtained.
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 2025-05-29. Correction verified 2025-06-10.
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Supervision & ratios
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May 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Inspection · Deficiencies cited
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Supervision & ratios
During the walk through of house 12, there were three knives, a screwdriver, and sharp freezer thermometer was unlocked and accessible to children in care.
HHSC 748.3021 — Tools-Dangerous tools & equipment stored so they are inaccessible to children; children use these with caregiver supervision as appropriate
HHSC risk weight: Medium High. Corrected 2025-05-12. Correction verified 2025-06-10.
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Cleanliness & sanitation
During the inspection at the operation: House 12 had cleaning supplies that were accessible to youth in care in the kitchen, laundry room, under the boy's bathroom sink, and in the closet in the boy's bathroom. House 29 had cleaning supplies unlocked and accessible to youth in care in the kitchen.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2025-05-12. Correction verified 2025-06-10.
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Supervision & ratios
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Apr 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Assessment · Deficiencies cited
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Staff background & training
There is no documented trauma informed care training for a caregiver during 2023 and 2024.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2025-05-06. Correction verified 2025-06-02.
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Staff background & training
There was no documented psychotropic medication training for a caregiver during 2023 or 2024.
HHSC 748.930(b)(5) — Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
HHSC risk weight: Medium High. Corrected 2025-05-06. Correction verified 2025-06-02.
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Staff background & training
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Apr 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2025 Inspection · Deficiencies cited
-
Staff background & training
Two employee files were reviewed, and their SAMA training certificates for the previous annual year could not be provided.
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 2025-04-11. Correction verified 2025-04-14.
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Staff background & training
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Mar 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Assessment · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2025 Report · Deficiencies cited
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Cleanliness & sanitation
During the inspection at the operation, cleaning supplies and other chemicals were observed in the laundry room, kitchen, and closet in the boy's bedroom that were all unlocked and accessible to the youth in care.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2025-05-05. Correction verified 2025-05-08.
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Cleanliness & sanitation
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Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Report · Deficiencies cited
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Other Serious
Caregivers were not aware of child's on-going activity, which led to inappropriate contact with residents.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-11-25. Correction verified 2024-11-14.
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Other Serious
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Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2024 Report · Deficiencies cited
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Staff background & training
When reviewing annual training hours, it was found that two employees had not completed Normalcy training, and one employee's Trauma Informed Care training had expired on June 9, 2023.
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 2024-09-27. Correction verified 2024-09-27.
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Staff background & training
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Jun 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2024 Report · Deficiencies cited
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Cleanliness & sanitation
One of the two bathrooms did not have toilet paper in the bathroom. This was corrected at Inspection, when staff put toilet paper in the bathroom
HHSC 748.3393(d) — Toilets-Toilets must be equipped with toilet paper at all times
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-05-23.
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Records & paperwork
An SIR report does not document a debriefing with the child.
HHSC 748.455(a)(2) — Unauthorized Absence?Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies
HHSC risk weight: Medium. Corrected 2024-07-12. Correction verified 2024-07-05.
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Cleanliness & sanitation
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Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
14- and 16-year-old children in care were left unsupervised by a caregiver. This resulted in a physical altercation, damaged property, and self-harm. At an inspection completed on 1/3/2024, this standard was evaluated for compliance and found to be compliant, the operation terminated the staff member involved in the incident.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-01-15. Correction verified 2024-01-03.
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Supervision & ratios
Children in care's supervision plan required constant supervision. This plan was not followed by direct care staff.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2024-01-15. Correction verified 2024-01-03.
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Discipline & child guidance Serious
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Jun 7, 2023 Inspection · Deficiencies cited
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Records & paperwork
Five of five child's records reviewed contained service plans that were missing required signatures.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2023-09-08. Correction verified 2023-08-11.
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Other
Five of the five child files reviewed contained service plans that did not have two professionals participate.
HHSC 748.1339(b) — Initial Service Plan-For treatment services, service planning team must include two professionals
HHSC risk weight: Low. Corrected 2023-08-11. Correction verified 2023-08-11.
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Supervision & ratios
Three of the five child files reviewed contained service plans that did not indicate if the child participated in the service plan.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2023-09-08. Correction verified 2023-08-11.
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Other
Four of the five child files reviewed contained service plans that were not completed every 90 days.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-09-08. Correction verified 2023-08-11.
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Records & paperwork
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May 9, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care touches a caregiver's back. The caregiver turns and gestures as if to hit the child due to this interaction.
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 2023-06-19. Correction verified 2023-06-07.
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Discipline & child guidance Serious
-
Apr 27, 2023 Inspection · Deficiencies cited
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Staff background & training
The operation had not validated their person list in the last 12 months.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2023-04-27. Correction verified 2023-05-11.
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Illness & medication
The child's prescription required that Pediasure, Risperidone and Clonidine should be given 3 times daily. Methylphenidate was prescribed daily. This recommendation was not being followed.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2023-04-27. Correction verified 2023-05-11.
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Staff background & training
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Apr 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2022 Report · Deficiencies cited
-
Staff background & training
The CANS Assessment for 5 children in care recommended that the child participate in Case Management and Skills Training and see a Developmental Disability Specialist these services were not being provided to the child.
HHSC 748.1101(b)(6)(A) — Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services
HHSC risk weight: Medium. Corrected 2022-12-23. Correction verified 2022-12-23.
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Records & paperwork
Of the five child files reviewed, two had a service plan team meeting invite that was not sent out to the CPS worker.
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 2022-12-23. Correction verified 2022-12-23.
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Illness & medication
Numerous medication logs did not document the prescribing physician's name, the reason for the medication or the administration of the medication.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2022-12-23. Correction verified 2022-12-23.
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Staff background & training
There were 2 staff members that did not complete Trauma Informed Care training in 2021.
HHSC 748.930(b)(2) — Annual Training- Caregivers must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2022-12-23. Correction verified 2022-12-23.
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Staff background & training
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Jul 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2022 Inspection · Deficiencies cited
-
Records & paperwork
Of the three child files reviewed, one child's file did not have the Child Right's form signed by the child and one child's file did not have the form.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-10.
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Illness & medication
There was one prescription medication that was in the refrigerator not locked up. While at the facility, the medication was placed in a locked box and placed back in the fridge.
HHSC 748.2101(4) — Medication Storage-make provisions for storing medication that requires refrigeration
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-05-09.
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Illness & medication
Multiple medication logs reviewed did not have the prescribing professional's name or the reason the medication was prescribed documented on the log.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Records & paperwork
Serious incident reports were not being documented.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
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Cleanliness & sanitation
During the walk through of all four resident homes there were broken blinds, a hole in a closet door, mold in two bathrooms, a broken soap holder in one shower, and numerous used cigarettes butts on ground outside one home.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-05-23. Correction verified 2022-06-16.
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Safety & premises
One employee who has been transporting children has an expired drivers license. The agency came into compliance during the inspection by having the employee sign a statement that he would not transport children in care until he provides the facility with a copy of his updated and current driver's license.
HHSC 748.363(10) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-09.
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Other
The facility has not been documenting unauthorized absences.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2022-05-13. Correction verified 2022-05-13.
-
Records & paperwork
-
Apr 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A 14 year old child in care sustained injuries to the face from being slapped by a staff member.
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 2022-06-08. Correction verified 2022-06-08.
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Discipline & child guidance Serious
Physical discipline was used on a child in care.
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 2022-06-08. Correction verified 2022-06-08.
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Illness & medication
A child in care hit a staff member multiple times. The staff member did not implement a restraint.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2022-06-08. Correction verified 2022-06-08.
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Other Serious
A child in care ran out of the room after being slapped. Two staff members observed this incident and did not respond.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2022-06-08. Correction verified 2022-06-08.
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Discipline & child guidance Serious
-
Feb 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2022 Inspection · Deficiencies cited
-
Safety & premises
In one of the homes it was observed that a child was sleeping on a mattress on the floor.
HHSC 748.3365(a) — Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate
HHSC risk weight: Medium. Corrected 2022-02-02. Correction verified 2022-02-12.
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Safety & premises
-
Oct 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2021 Report · Deficiencies cited
-
Supervision & ratios
A child's service plan is not tailored to their individual and specific supervision needs.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2021-12-31. Correction verified 2021-12-23.
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Supervision & ratios Serious
A child had a safety plan in place stating he would remain in line of sight supervision but this was not followed by the caregiver which resulted in the child injuring another child in care.
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 2021-12-31. Correction verified 2021-12-23.
-
Supervision & ratios
-
Oct 12, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
A child in care took another child's medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-22.
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Illness & medication Serious
Children in care were left unattended with distributed medication.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected at inspection. Corrected 2021-10-22.
-
Illness & medication
-
Sep 18, 2021 Report · Deficiencies cited
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Other
A staff member has used inappropriate language around children in care multiple times and has made inappropriate remarks to children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2021-11-17. Correction verified 2021-11-17.
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Other
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
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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.