Roy Maas Youth Alternatives Meadows
121 OLD SAN ANTONIO RD, Boerne, TX 78006 · Kendall County
Program
- Type
- General residential operation
- Licensed capacity
- 48
- Ages
- 6-17
- Hours
- -
- Director / administrator
- Julian Bell
- Phone
- (830) 816-2425
- Regulated since
- Apr 4, 1986
- HHSC IDs
- Operation 99330 · number 185528
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 2 | Supervision & ratios (2), Other (4) |
| 2025 | 8 | 4 | Illness & medication (2), Discipline & child guidance (4), Staff background & training (2) |
| 2024 | 14 | 4 | Cleanliness & sanitation (2), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (2), Other (6) |
| 2023 | 12 | 6 | Cleanliness & sanitation (2), Illness & medication (4), Supervision & ratios (2), Staff background & training (2), Other (2) |
| 2022 | 24 | 0 | Illness & medication (20), Supervision & ratios (2), Staff background & training (2) |
| 2021 | 8 | 6 | Discipline & child guidance (6), Staff background & training (2) |
Inspections, investigations & assessments
-
Sep 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 9, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 30, 2026 Report · Deficiencies cited
-
Supervision & ratios
Review of video footage showed the operation failed to follow their approved policy and procedures related to Handle With Care EBI restraint protocol for a two-person escort or containment of a child in care.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2026-07-31. Correction verified 2026-07-30.
-
Other Serious
Video footage obtained of a restraint showed staff dragging a child out of their room by their foot, which showed a disregard for the risk of physical discomfort or pain.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2026-07-31. Correction verified 2026-07-30.
-
Supervision & ratios
-
Jun 30, 2026 Report · Deficiencies cited
-
Supervision & ratios
Review of video footage showed the operation failed to follow their approved policy and procedures related to Handle With Care EBI restraint protocol for a two-person escort or containment of a child in care.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2026-07-31. Correction verified 2026-07-30.
-
Other Serious
Video footage obtained of a restraint showed staff dragging a child out of their room by their foot, which showed a disregard for the risk of physical discomfort or pain.
HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child
HHSC risk weight: High. Corrected 2026-07-31. Correction verified 2026-07-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 14, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 30, 2026 Report · Deficiencies cited
-
Other
Staff member was confirmed to be making inappropriate comments with a child in care.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2026-03-06. Correction verified 2026-03-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jan 30, 2026 Report · Deficiencies cited
-
Other
Staff member was confirmed to be making inappropriate comments with a child in care.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2026-03-06. Correction verified 2026-03-11.
-
Other
-
Jan 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 29, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 30, 2025 Report · Deficiencies cited
-
Staff background & training
During interviews, children corroborated a staff member did not attempt to de-escalate a child's behaviors before restraining a child.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2026-02-03. Correction verified 2026-02-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 30, 2025 Report · Deficiencies cited
-
Staff background & training
During interviews, children corroborated a staff member did not attempt to de-escalate a child's behaviors before restraining a child.
HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HHSC risk weight: Medium High. Corrected 2026-02-03. Correction verified 2026-02-20.
-
Staff background & training
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 6, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2025-12-04. Correction verified 2025-12-08.
-
Discipline & child guidance Serious
A caregiver became irate and shoved and physically aggressed a child.
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 2025-12-04. Correction verified 2025-12-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Nov 6, 2025 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2025-12-04. Correction verified 2025-12-08.
-
Discipline & child guidance Serious
A caregiver became irate and shoved and physically aggressed a child.
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 2025-12-04. Correction verified 2025-12-08.
-
Discipline & child guidance Serious
-
Sep 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication
Video revealed staff gave a second EpiPen dose to child 64 seconds after they had already received a first dose. Pharmacy confirmed the instruction label of second dose needing to be given after 10 minutes of a first dose.
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 2025-04-11. Correction verified 2025-05-15.
-
Illness & medication
-
Mar 13, 2025 Report · Deficiencies cited (self-report)
-
Illness & medication
Video revealed staff gave a second EpiPen dose to child 64 seconds after they had already received a first dose. Pharmacy confirmed the instruction label of second dose needing to be given after 10 minutes of a first dose.
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 2025-04-11. Correction verified 2025-05-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2024 Report · Deficiencies cited
-
Supervision & ratios
Operation used another child in care for support during a restraint and another child attempted to sit on the resident's leg who was being restrained.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 7, 2024 Report · Deficiencies cited
-
Supervision & ratios
Operation used another child in care for support during a restraint and another child attempted to sit on the resident's leg who was being restrained.
HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-12.
-
Supervision & ratios
-
Nov 4, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 4, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 14, 2024 Report · Deficiencies cited
-
Other Serious
Interviews confirmed staff interfering on investigation by asking resident what questions licensing asked.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2024-11-20. Correction verified 2024-11-19.
-
Other
Interviews confirmed staff threatening residents with loss of placement.
HHSC 748.2307(3) — Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
HHSC risk weight: Medium Low. Corrected 2024-11-20. Correction verified 2024-11-19.
-
Other Serious
-
Oct 14, 2024 Report · Deficiencies cited
-
Other Serious
Interviews confirmed staff interfering on investigation by asking resident what questions licensing asked.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2024-11-20. Correction verified 2024-11-19.
-
Other
Interviews confirmed staff threatening residents with loss of placement.
HHSC 748.2307(3) — Other Prohibited Punishments-threatening with the loss of placement as discipline or punishment
HHSC risk weight: Medium Low. Corrected 2024-11-20. Correction verified 2024-11-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2024 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
Punching bag was not on the chain to hold it and left lying on the floor.
HHSC 748.3713(5) — Higher Risk Activity-Supervisor must ensure that all necessary equipment is complete, in good repair, and safe to use
HHSC risk weight: Medium High. Corrected 2024-11-14. Correction verified 2024-11-07.
-
Safety & premises
Staff allowed the resident to use the punching bag with no protective equipment when gloves were available for the resident when using the punching bag.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2024-11-14. Correction verified 2024-11-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Oct 3, 2024 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
Punching bag was not on the chain to hold it and left lying on the floor.
HHSC 748.3713(5) — Higher Risk Activity-Supervisor must ensure that all necessary equipment is complete, in good repair, and safe to use
HHSC risk weight: Medium High. Corrected 2024-11-14. Correction verified 2024-11-07.
-
Safety & premises
Staff allowed the resident to use the punching bag with no protective equipment when gloves were available for the resident when using the punching bag.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2024-11-14. Correction verified 2024-11-07.
-
Cleanliness & sanitation
-
Oct 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 5, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-07-10. Correction verified 2024-07-10.
-
Other
Staff shared their social media with the residents in a way to keep communicate with each other. It was also observed in video footage that staff left children unattended for a period of time at an outing considering these children had high risk behaviors.
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 2024-07-08. Correction verified 2024-07-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Apr 5, 2024 Report · Deficiencies cited
-
Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-07-10. Correction verified 2024-07-10.
-
Other
Staff shared their social media with the residents in a way to keep communicate with each other. It was also observed in video footage that staff left children unattended for a period of time at an outing considering these children had high risk behaviors.
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 2024-07-08. Correction verified 2024-07-23.
-
Discipline & child guidance Serious
-
Mar 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Children using cart to play on is not intended for recreational use.
HHSC 748.705(b)(8) — Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate
HHSC risk weight: Medium. Corrected 2024-01-03. Correction verified 2024-02-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 21, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Children using cart to play on is not intended for recreational use.
HHSC 748.705(b)(8) — Reasonable & prudent parent standard-must consider the outside supervision of the activity, if available and appropriate
HHSC risk weight: Medium. Corrected 2024-01-03. Correction verified 2024-02-01.
-
Supervision & ratios
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
When reviewing service plans child did have a history of harming others and getting aggressive twice in the last 60 days from the incident.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2023-11-09. Correction verified 2023-11-03.
-
Other Serious
-
Sep 30, 2023 Report · Deficiencies cited (self-report)
-
Other Serious
When reviewing service plans child did have a history of harming others and getting aggressive twice in the last 60 days from the incident.
HHSC 748.1337(b)(1)(H)(i) — Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
HHSC risk weight: High. Corrected 2023-11-09. Correction verified 2023-11-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
The incident occurred 08/09/2023 at 6:50 pm. The incident was not reported to the hotline until 08/11/2023 at 9:11 am, by phone.
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 2023-09-23. Correction verified 2023-09-21.
-
Illness & medication
-
Aug 11, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
The incident occurred 08/09/2023 at 6:50 pm. The incident was not reported to the hotline until 08/11/2023 at 9:11 am, by phone.
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 2023-09-23. Correction verified 2023-09-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation Serious
Children in care were left unsupervised, for 5 minutes when staff went to the bathroom. Video did show children were unsupervised from 7:15 pm - 7:20 pm.
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 2023-08-03. Correction verified 2023-08-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Jun 29, 2023 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation Serious
Children in care were left unsupervised, for 5 minutes when staff went to the bathroom. Video did show children were unsupervised from 7:15 pm - 7:20 pm.
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 2023-08-03. Correction verified 2023-08-03.
-
Cleanliness & sanitation Serious
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2023 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
Staff member was counted in child in care ratio without proper background check.
HHSC HRC42.056(g) - BGC-persons cannot provide direct care/have d — HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria.
HHSC risk weight: High. Corrected 2023-07-21. Correction verified 2023-07-19.
-
Staff background & training Serious
-
Jun 20, 2023 Report · Deficiencies cited (self-report)
-
Staff background & training Serious
Staff member was counted in child in care ratio without proper background check.
HHSC HRC42.056(g) - BGC-persons cannot provide direct care/have d — HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria.
HHSC risk weight: High. Corrected 2023-07-21. Correction verified 2023-07-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jun 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2023 Inspection · Deficiencies cited
-
Illness & medication
I observed a medication log to have a missing time for medication administration in the Laurence and Davis Cabin, and this medication log had been checked by three staff to ensure accuracy.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2023-04-04. Correction verified 2023-04-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 28, 2023 Inspection · Deficiencies cited
-
Illness & medication
I observed a medication log to have a missing time for medication administration in the Laurence and Davis Cabin, and this medication log had been checked by three staff to ensure accuracy.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2023-04-04. Correction verified 2023-04-03.
-
Illness & medication
-
Mar 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2022 Inspection · Deficiencies cited
-
Illness & medication
Several of the medication logs reviewed did not indicate if the medication was administered during the morning or night. In the Poston, the medication was documented as being administered at PM but the prescription is for morning medication.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2023-01-12. Correction verified 2023-01-12.
-
Illness & medication
In Poston Cabin, one of three medication logs reviewed was missing a signature for the staff who administered the medication. In Wright Cabin, one of three medication logs reviewed didn't include a staff signature or home pass indication for six days.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2023-01-12. Correction verified 2023-01-12.
-
Illness & medication
One of six medication records, indicated a discrepancy in the amount remaining for the medication from one day to the next day.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-01-12. Correction verified 2023-01-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Dec 29, 2022 Inspection · Deficiencies cited
-
Illness & medication
Several of the medication logs reviewed did not indicate if the medication was administered during the morning or night. In the Poston, the medication was documented as being administered at PM but the prescription is for morning medication.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2023-01-12. Correction verified 2023-01-12.
-
Illness & medication
In Poston Cabin, one of three medication logs reviewed was missing a signature for the staff who administered the medication. In Wright Cabin, one of three medication logs reviewed didn't include a staff signature or home pass indication for six days.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2023-01-12. Correction verified 2023-01-12.
-
Illness & medication
One of six medication records, indicated a discrepancy in the amount remaining for the medication from one day to the next day.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-01-12. Correction verified 2023-01-12.
-
Illness & medication
-
Dec 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 22, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 21, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 26, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2022 Report · Deficiencies cited
-
Illness & medication
Medication logs reviewed were incomplete. Medication logs were missing date and time. Medication log also reflected inaccurate date.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication log reviewed a staff name and signature was missing on the entry log.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred. It was not documented within 24 hours.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred however documentation was not completed.
HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred, there was not documentation of the error.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 13, 2022 Report · Deficiencies cited
-
Illness & medication
Medication logs reviewed were incomplete. Medication logs were missing date and time. Medication log also reflected inaccurate date.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication log reviewed a staff name and signature was missing on the entry log.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred. It was not documented within 24 hours.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred however documentation was not completed.
HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
Medication error occurred, there was not documentation of the error.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-04.
-
Illness & medication
-
Aug 5, 2022 Report · Deficiencies cited
-
Supervision & ratios
It was determined that a Restraint Detail and Debriefing document had discrepancies from the Serious Incident Report. The child referenced throughout the document was not the same as the child identified in the header.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-10-10. Correction verified 2022-10-04.
-
Supervision & ratios
-
Aug 5, 2022 Report · Deficiencies cited
-
Supervision & ratios
It was determined that a Restraint Detail and Debriefing document had discrepancies from the Serious Incident Report. The child referenced throughout the document was not the same as the child identified in the header.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-10-10. Correction verified 2022-10-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 30, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 30, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 26, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 26, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
During administrating medications, a staff gave a child another child's prescribed medication by mistake.
HHSC 748.2003(b)(10) — Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
HHSC risk weight: Medium High. Corrected 2022-05-02. Correction verified 2022-04-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 28, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
During administrating medications, a staff gave a child another child's prescribed medication by mistake.
HHSC 748.2003(b)(10) — Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
HHSC risk weight: Medium High. Corrected 2022-05-02. Correction verified 2022-04-28.
-
Illness & medication
-
Mar 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2022 Inspection · Deficiencies cited
-
Staff background & training
1 out of 6 staff did not have all of the required EBI training hours completed within 90 days of hire.
HHSC 748.863(a)(4) — Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days
HHSC risk weight: Medium High. Corrected 2022-03-02. Correction verified 2022-02-28.
-
Staff background & training
-
Feb 16, 2022 Inspection · Deficiencies cited
-
Staff background & training
1 out of 6 staff did not have all of the required EBI training hours completed within 90 days of hire.
HHSC 748.863(a)(4) — Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days
HHSC risk weight: Medium High. Corrected 2022-03-02. Correction verified 2022-02-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Feb 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2022 Report · Deficiencies cited
-
Illness & medication
CPS caseworker was not notified of the medication error by the operation.
HHSC 748.307(1)(B) — Other occurrences-Report to parents within 7 days and document medically pertinent incidents, that do not rise to the level of a serious incident
HHSC risk weight: Medium. Corrected 2022-02-28. Correction verified 2022-02-23.
-
Illness & medication
-
Jan 22, 2022 Report · Deficiencies cited
-
Illness & medication
CPS caseworker was not notified of the medication error by the operation.
HHSC 748.307(1)(B) — Other occurrences-Report to parents within 7 days and document medically pertinent incidents, that do not rise to the level of a serious incident
HHSC risk weight: Medium. Corrected 2022-02-28. Correction verified 2022-02-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jan 17, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 17, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 28, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 13, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 10, 2021 Report · Deficiencies cited
-
Staff background & training
A staff failed to complete 4 hours of EBI training within six months from the last date of EBI training.
HHSC 748.931(a)(2)(B)(iii) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-01-10. Correction verified 2022-01-10.
-
Staff background & training
-
Nov 10, 2021 Report · Deficiencies cited
-
Staff background & training
A staff failed to complete 4 hours of EBI training within six months from the last date of EBI training.
HHSC 748.931(a)(2)(B)(iii) — Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
HHSC risk weight: Medium High. Corrected 2022-01-10. Correction verified 2022-01-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Nov 8, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
A staff member used unwarranted and excessive force on two children in care on two separate occasions. One child sustained an injury.
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 2022-03-24. Correction verified 2022-03-24.
-
Discipline & child guidance Serious
A staff ripped a child's poster as discipline.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2022-03-24. Correction verified 2022-03-24.
-
Discipline & child guidance Serious
-
Nov 8, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
A staff member used unwarranted and excessive force on two children in care on two separate occasions. One child sustained an injury.
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 2022-03-24. Correction verified 2022-03-24.
-
Discipline & child guidance Serious
A staff ripped a child's poster as discipline.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2022-03-24. Correction verified 2022-03-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Nov 2, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 2, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 2, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 2, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 6, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 6, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 15, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
A staff member harbored a child in care who was on runaway for several days. The employee failed to take proper actions which placed the child at substantial risk of potential harm.
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 2021-11-19. Correction verified 2021-11-19.
-
Discipline & child guidance Serious
-
Sep 8, 2021 Report · Deficiencies cited
-
Discipline & child guidance Serious
A staff member harbored a child in care who was on runaway for several days. The employee failed to take proper actions which placed the child at substantial risk of potential harm.
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 2021-11-19. Correction verified 2021-11-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Sep 3, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.