Prime Residential Care
1902 ASCOT DEW CT, Richmond, TX 77469 · Fort Bend County
Program
- Type
- General residential operation
- Licensed capacity
- 12
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Ebony Mochay Bailey-Johnson
- Phone
- (346) 843-2600
- Regulated since
- Sep 8, 2022
- HHSC IDs
- Operation 1379903 · number 1722710
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 1 | Safety & premises (1), Records & paperwork (1), Other (2) |
| 2025 | 16 | 2 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (5), Discipline & child guidance (1), Safety & premises (2), Staff background & training (2), Records & paperwork (1), Other (3) |
| 2024 | 25 | 3 | Cleanliness & sanitation (6), Illness & medication (4), Supervision & ratios (3), Staff background & training (2), Records & paperwork (2), Other (8) |
| 2023 | 16 | 3 | Cleanliness & sanitation (3), Illness & medication (1), Supervision & ratios (5), Safety & premises (1), Staff background & training (2), Other (4) |
| 2022 | 17 | 6 | Illness & medication (5), Supervision & ratios (5), Discipline & child guidance (1), Safety & premises (1), Other (5) |
| 2021 | 2 | 0 | Supervision & ratios (1), Discipline & child guidance (1) |
Inspections, investigations & assessments
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2026 Inspection
No violations cited on this visit.
-
Aug 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2026 Report
No violations cited on this visit.
-
Aug 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Report · Deficiencies cited
-
Records & paperwork
A child and staff were reported to have been communicating via email and text message with one another. The staff also reported that she allowed children in care to use her personal iPad.
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 2026-07-23. Correction verified 2026-08-04.
-
Records & paperwork
-
Jun 11, 2026 Inspection · Deficiencies cited
-
Safety & premises
The fire extinguisher system in the kitchen was last serviced May 2025.
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected 2026-06-15. Correction verified 2026-06-22.
-
Safety & premises
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2026 Inspection
No violations cited on this visit.
-
May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2026 Report · Deficiencies cited (self-report)
-
Other
Children in care were not being supervised as instructed on their service plans.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2026-05-11. Correction verified 2026-05-14.
-
Other
-
Mar 23, 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 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 4, 2026 Report · Deficiencies cited
-
Other Serious
A child in care was found to be in another child in care bedroom during the incident.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2026-03-25. Correction verified 2026-03-26.
-
Other Serious
-
Jan 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 21, 2025 Report · Deficiencies cited (self-report)
-
Discipline & child guidance
The child's service plan did not discuss a plan for treatment of substance abuse.
HHSC 748.4763(a)(1) — Initial Service Plan- Include the plans to obtain alcohol treatment, substance abuse treatment, or both, for children who require it
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-04.
-
Discipline & child guidance
-
Oct 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Report · Deficiencies cited
-
Safety & premises
Based on the interviews, it was determined child was pushed down on multiple occasions as a means to comply.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2026-05-20. Correction verified 2026-05-28.
-
Safety & premises
-
Sep 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 8, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
One requested personnel file was reported to be located at the LCCA personal residence.
HHSC 748.361(a) — Personnel records - All active records maintained at the operation
HHSC risk weight: Medium Low. Corrected 2025-07-15. Correction verified 2025-07-15.
-
Supervision & ratios
-
Jul 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2025 Inspection · Deficiencies cited
-
Illness & medication
There were three expired medications stored with other medications currently being used.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-04.
-
Supervision & ratios Serious
The operation had holes in the wall which exposed wired, there was mold growing in the ceiling and the attic lock was broken leaving it accessible to children s area in the second floor.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2025-06-09. Correction verified 2025-06-18.
-
Supervision & ratios
While conducting a walkthrough of the operation, multiple doors that have chemicals stored in were unlocked.
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 2025-06-04.
-
Illness & medication
-
May 23, 2025 Inspection · Deficiencies cited
-
Staff background & training
It was found in childs files reviewed that there was no documentation of an orientation occuring or reason for omission.
HHSC 748.1209(d) — Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
HHSC risk weight: Low. Corrected 2025-05-23. Correction verified 2025-05-23.
-
Staff background & training
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2025 Report · Deficiencies cited (self-report)
-
Other
A suicide screening was not administered at admission for a child who has a history of suicidal ideations.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2025-06-10. Correction verified 2025-06-10.
-
Supervision & ratios
A child in care threatened to self-harm and was admitted into a behavioral hospital on 04/26/25. There were no screenings conducted by the operation upon his discharge from the hospital. The child subsequently attempted suicide on 05/01/25.
HHSC 748.125(f)(2)(A) — Protocols must include weekly screenings for the first 30 days or until the child is no longer reporting suicidal thoughts, whichever is longer.
HHSC risk weight: Medium High. Corrected 2025-06-10. Correction verified 2025-06-10.
-
Records & paperwork
A documented suicide attempt that occurred on 05/01/2025 at or around 10:48 p.m. was not reported to Licensing until 05/02/2025 6:09 p.m.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2025-06-10. Correction verified 2025-06-10.
-
Other
-
Apr 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2025 Inspection · Deficiencies cited
-
Staff background & training
It was found in childs files reviewed that there was no documentation of an orientation occuring or reason for omission.
HHSC 748.1209(d) — Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions
HHSC risk weight: Low. Corrected 2025-05-09. Correction verified 2025-05-23.
-
Other Serious
It was found during an inspection that the second story banister was unstable and spindles were missing.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2025-05-02. Correction verified 2025-05-23.
-
Cleanliness & sanitation
It was found during an inspection that walls were in malrepair ,needed paint,blinds were broken in the living room downstairs, and there was exposed wires from an smoke dectector in a childs bedroom.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-05-09. Correction verified 2025-05-23.
-
Supervision & ratios
It was found during a walkthrough of the grounds of the operation several fence posts were missing or in malrepair 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 2025-05-09. Correction verified 2025-05-23.
-
Other
It was found at the inspection that a child did not have a fitted sheet on their bed.
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 at inspection. Corrected 2025-04-24.
-
Staff background & training
-
Apr 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2025 Report · Deficiencies cited
-
Safety & premises
It is alleged that the caregiver did not arrange suitable transportation home from the workplace for a child in care.
HHSC 748.685(d)(3) — Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity
HHSC risk weight: Medium High. Corrected 2025-04-07. Correction verified 2025-04-14.
-
Safety & premises
-
Jan 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2024 Inspection · Deficiencies cited
-
Records & paperwork
There is no indication that the child's rights were reviewed with the child and that they understood their rights as the form was not signed by the child and did not indicate a reason why it was not signed.
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 2024-12-03. Correction verified 2025-01-28.
-
Records & paperwork
A child's admission assessment was not in the child record as required.
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 at inspection. Corrected 2024-11-26.
-
Cleanliness & sanitation
The operation had rubbing alcohol and a cleaning agent in the kitchen 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 2024-11-26.
-
Records & paperwork
-
Nov 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 8, 2024 Inspection · Deficiencies cited
-
Other Serious
In the laundry area and hallway it was observed that the ceiling is bubbled up and has mold.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2024-11-29. Correction verified 2025-01-28.
-
Other Serious
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2024 Report · Deficiencies cited
-
Other
Based on information gathered, it was determined one staff member uses profanity towards the children in care.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2025-06-04.
-
Illness & medication
Medication logs reviewed, indicated medication was not provided to child in care as prescribed. In addition, there was no medical log for child's inhaler.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2025-06-04.
-
Other Serious
Based on the information reviewed, it was determined staff conducted a restraint that caused impairment in child's breathing.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2024-12-13. Correction verified 2025-06-04.
-
Other
Based on the information gathered, it was determined that staff does not inform children in care why they are being restrained when a restraint occurs.
HHSC 748.2851(b)(1) — EBI Follow-Up-Caregiver involved in EBI must conduct post discussion with child to discuss child's behavior and circumstances that required EBI
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2025-06-04.
-
Illness & medication
Based on the information gathered, staff did not appropriately handle a situation regarding administration of medication leading to a restraint.
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 2024-12-13. Correction verified 2025-06-04.
-
Other
-
Oct 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Report · Deficiencies cited
-
Other
The log did not indicate the date of the unauthorized absence.
HHSC 748.453(a)(2) — Unauthorized Absence - Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2024-12-09. Correction verified 2024-12-10.
-
Other
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2024 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
The operation was made aware of the need for medical attention to an injury to a child on 9/16/24. Medical care was not provided until 9/18/2024.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2024-10-18. Correction verified 2024-11-26.
-
Illness & medication
The operation waited 3 days to report an injury before going to the doctor.
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 2024-10-18. Correction verified 2024-11-26.
-
Illness & medication Serious
-
Sep 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 29, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
Serious Incidents are missing physical address, telephone number of the operation, the age of the child, and follow up information after the incident.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-08-29.
-
Other
During the walkthrough of the inspection, blinds were missing from the window in the downstairs bedroom close to the kitchen.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2024-09-05. Correction verified 2024-11-26.
-
Staff background & training
There were multiple staff files with no training record to reflect the required components.
HHSC 748.363(13) — Personnel records-Include record of training and training hours.
HHSC risk weight: Medium. Corrected 2024-08-29. Correction verified 2024-11-26.
-
Other
The unauthorized absence evaluation is nonexistent.
HHSC 748.463(a) — Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period
HHSC risk weight: Medium. Corrected 2024-09-05. Correction verified 2024-11-26.
-
Staff background & training
While reviewing staff records it was noted that reference checks were missing from a staff record.
HHSC 748.753(a)(1) — Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references.
HHSC risk weight: Medium. Corrected 2024-09-05. Correction verified 2024-11-26.
-
Supervision & ratios
-
Aug 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the walkthrough, we observed the emergency evacuation plan lacked a designated meeting spot outside in case of fire or inside for inclement weather.
HHSC 748.3233(b)(2) — Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
HHSC risk weight: Medium High. Corrected 2024-08-13. Correction verified 2024-08-19.
-
Cleanliness & sanitation
During the walkthrough, we observed an upstairs window that lacked a screen.
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 2024-08-13. Correction verified 2024-08-19.
-
Supervision & ratios
-
Aug 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The gas stove was malfunctioning in that it emmitted a clicking noise.
HHSC 748.3161(a) — Heating Devices-Gas appliances must be safe and in good repair
HHSC risk weight: Medium High. Corrected 2024-07-15. Correction verified 2024-07-19.
-
Cleanliness & sanitation
There were multiple holes in the wall observed in one of the bedrooms upstairs, in addition one of the bedroom upstairs was observed with a broken window with shattered glass.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2024-07-15. Correction verified 2024-07-19.
-
Cleanliness & sanitation
Sinks in the bathrooms throughout the operation were observed without soap or anything for the children to dry their hands with.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-13.
-
Other
The showers do not have hot water and only has cold running water.
HHSC 748.3397(d)(1) — Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children
HHSC risk weight: Low. Corrected 2024-07-16. Correction verified 2024-07-19.
-
Cleanliness & sanitation
-
Jul 8, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
The operations last Gas Inspection was conducted on 04/03/2021.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-03-27.
-
Cleanliness & sanitation
A bottle of Multi Purpose cleaner was found in an unlocked cabinet 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 at inspection. Corrected 2024-03-27.
-
Supervision & ratios
-
Jan 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · Deficiencies cited
-
Other
The Unauthorized Absence log does not mention how long the children were gone.
HHSC 748.453(a)(3) — Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
HHSC risk weight: Medium. Corrected 2024-01-10. Correction verified 2024-01-10.
-
Other
There was not a trigger review conducted for a child that had run away 3 times within a 60 day period.
HHSC 748.457(a) — Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
HHSC risk weight: Medium High. Corrected 2024-01-10. Correction verified 2024-01-10.
-
Other
-
Nov 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 23, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Caregivers failed to institute a safety plan for two residents who both had high risk behaviors for sexually acting out and sexual aggression despite noting the plan would be put in place in the children's service plans. The two children were also placed in bedrooms directly across from each other despite the operation's knowledge of their alleged previous sexual interactions at their shared previous placement.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-11-28. Correction verified 2023-11-27.
-
Supervision & ratios
-
Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
Video footage reviewed during inspection showed a staff member sitting down engaged on their phone while two children in care walked up to another child and assaulted him by slapping, shoving, and punching them.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2023-12-08. Correction verified 2023-12-12.
-
Other Serious
-
Sep 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2023 Report · Deficiencies cited
-
Other
Staff member was using profane language towards children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-12-27. Correction verified 2024-01-26.
-
Other
-
Sep 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2023 Report · Deficiencies cited
-
Supervision & ratios
Two staff members sleep during night shifts.
HHSC 748.4703(b) — Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
HHSC risk weight: Medium High. Corrected 2023-10-23. Correction verified 2023-11-16.
-
Supervision & ratios
-
Jul 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Inspection · Deficiencies cited
-
Staff background & training
There is no documentation to show that a staff member has completed pre-service EBI training.
HHSC 748.4653(a)(2) — Pre-Service Training- All caregivers must receive 16 hours of EBI training, if operation prohibits EBI then 8 hours only.
HHSC risk weight: Medium High. Corrected 2023-07-21. Correction verified 2023-08-22.
-
Staff background & training
Staff has not completed 4 hours of EBI ever 6 months.
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 2023-07-21. Correction verified 2023-08-22.
-
Staff background & training
-
Jun 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 18, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
A child took automobile keys from an unlocked drawer and drove off with another resident. The automobile belonged to the operation.
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 2024-03-07. Correction verified 2024-03-04.
-
Supervision & ratios Serious
-
May 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
During the inspection, multiple were observed in the walls of the operation in various places. At least three holes bigger than the size of large fists were observed in the walls of more than one bedroom upstairs and behind the doors of at least one bathroom. There was one exceptionally large hole in onoe bedroom where planks of wood were exposed through the hole on the other side of the wall. Pieces of the wall were observed on the floor of the bedroom. Missing rail posts on the stairway were also observed in two different places. Lighter fluid was observed outside of the residence in the backyard near the trash.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-06-26.
-
Cleanliness & sanitation
During the inspection, a pile of trash bags were observed outside of the home in the backyard. The trash was not in a trash can. The trash had a distinct smell and flies were surrounding the garbage.
HHSC 748.3301(g) — Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner
HHSC risk weight: Medium. Corrected 2023-06-05. Correction verified 2023-06-26.
-
Cleanliness & sanitation
During the inspection, it was observed that multiple items in the freezer and the pantry were not properly stored. Expired items were also observed in the freezer and pantry as well.
HHSC 748.3445(a) — Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2023-06-05. Correction verified 2023-06-26.
-
Cleanliness & sanitation
-
May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 8, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
A child on 1:1 supervision was not being adequately supervised. A child in care on 1:1 supervision stated he is not always supervised 1:1.
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 2023-05-11. Correction verified 2023-05-25.
-
Supervision & ratios Serious
-
Apr 28, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Child in cares service plan stated the wrong name in several sections.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-05-18. Correction verified 2023-05-18.
-
Supervision & ratios
-
Apr 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2023 Inspection · Deficiencies cited
-
Illness & medication
In review of multiple medication records, it has been found that multiple med logs do not match the count of the pills in the pill packs and bottles.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2023-03-17. Correction verified 2023-04-13.
-
Safety & premises
Both fire extinguishers in the kitchen area are out of compliance, as the last fire inspection for extinguisher was conducted in February 2022
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 2023-03-17. Correction verified 2023-04-13.
-
Illness & medication
-
Feb 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2022 Report · Deficiencies cited
-
Supervision & ratios
a staff member made the choice to have a child in care get out of the car to follow another child in care to convince him to get in the car instead of contacting the operation/ law enforcement that she knew where the child in care was.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2023-02-25. Correction verified 2023-01-05.
-
Supervision & ratios
-
Oct 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2022 Report · Deficiencies cited
-
Supervision & ratios
Staff did not follow the operations policy in regard to cellphone use.
HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures
HHSC risk weight: Medium. Corrected 2022-10-06. Correction verified 2022-10-12.
-
Other
Staff provided resident with a cellphone.
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 2022-10-06. Correction verified 2022-10-12.
-
Supervision & ratios
-
Aug 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2022 Inspection · Deficiencies cited
-
Illness & medication
Medication directions advise that medication is to be taken every 3 hours but medication has been administered once daily.
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 2022-08-15. Correction verified 2022-08-23.
-
Illness & medication
While counting medications, it was found for multiple medications, there was more medication is missing from the pill packs, than recording as administered on the medication logs.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2022-08-15. Correction verified 2022-08-23.
-
Illness & medication
Each medication log is missing the reason the residence are receiving the medications.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-08-15. Correction verified 2022-08-23.
-
Illness & medication
-
Aug 4, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2022 Inspection · Deficiencies cited
-
Other Serious
Light fixtures has wires expose and it hanging from the ceiling.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2022-06-10. Correction verified 2022-06-06.
-
Other Serious
-
May 31, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
There are two residence under the age on 10 and under the height of 4'9 that require booster seats when being transported, the operation, does not have booster seats for either child.
HHSC 748.4041 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: High. Corrected 2022-06-01. Correction verified 2022-06-01.
-
Supervision & ratios Serious
-
May 28, 2022 Report · Deficiencies cited
-
Discipline & child guidance Serious
A child in care was inappropriately restrained leading to injuries.
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 2022-12-21. Correction verified 2022-12-21.
-
Other Serious
A child in care was restrained by a staff in a prone position.
HHSC 748.2461(b)(1) — Short Personal Restraint-Caregiver may not use a prone or supine restraint
HHSC risk weight: High. Corrected 2022-12-21. Correction verified 2022-12-21.
-
Other Serious
A child in care was restrained in a manner that obstructed the child's breathing.
HHSC 748.2461(b)(3) — Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HHSC risk weight: High. Corrected 2022-12-21. Correction verified 2022-12-21.
-
Discipline & child guidance Serious
-
May 21, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Three of 4 children had knowledge that the incident took and the children were left unsupervised.
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 2022-06-27. Correction verified 2022-06-29.
-
Supervision & ratios Serious
-
May 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2022 Inspection · Deficiencies cited
-
Other
Resident does not have documentation for a TB exam.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2022-04-11. Correction verified 2022-07-15.
-
Illness & medication
Medication log shows that a child's last AM pill was given on 4/4/22 with a remaining 6 pills. The medication pack shows 5 pills are remaining. Documentation does not show that the pill was given or refused.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2022-04-11. Correction verified 2022-08-09.
-
Illness & medication
Medication log is missing the reason the medication is being taken on each of the medication logs.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2022-04-11. Correction verified 2022-04-15.
-
Supervision & ratios
The operation has not developed an unauthorized absence log.
HHSC 748.453(a)(3) — Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
HHSC risk weight: Medium. Corrected 2022-04-11. Correction verified 2022-08-15.
-
Other
-
Apr 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2022 Inspection · Deficiencies cited
-
Safety & premises
Fire extinguisher inspection expired Jan 2022
HHSC 748.3115(3) — Fire Extinguisher-Must ensure fire extinguishers are serviced as required by manufacturer's instructions, or as required by fire inspector
HHSC risk weight: Medium High. Corrected 2022-02-14. Correction verified 2022-02-07.
-
Safety & premises
-
Dec 21, 2021 Inspection · Deficiencies cited
-
Supervision & ratios
Operation needs evacuation drill forms.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected 2021-12-31. Correction verified 2021-12-21.
-
Supervision & ratios
-
Oct 26, 2021 Inspection · Deficiencies cited
-
Discipline & child guidance
In review of the two staff files the items list below were missing: A copy of the record of tuberculosis screening, A statement signed and dated by the employee documenting that the employee has read a copy of the operational policies required A statement signed and dated by the employee indicating the employee must immediately report any suspected incident of child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline and to the operation?s administrator or administrator?s designee A current job description Documentation showing the date of employment
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2021-11-02. Correction verified 2021-11-02.
-
Discipline & child guidance
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.