Safe Haven Youth Ranch
28158 SH 6, Hempstead, TX 77445 · Waller County
Program
- Type
- General residential operation
- Licensed capacity
- 32
- Ages
- 10-17
- Hours
- -
- Director / administrator
- Yvonne Dionne Robinson
- Phone
- (979) 575-8936
- Regulated since
- Jun 15, 2020
- HHSC IDs
- Operation 1333314 · number 1692813
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 11 | 8 | Illness & medication (5), Supervision & ratios (2), Staff background & training (1), Other (3) |
| 2025 | 32 | 15 | Illness & medication (4), Supervision & ratios (8), Discipline & child guidance (3), Safety & premises (1), Staff background & training (2), Records & paperwork (7), Other (7) |
| 2024 | 14 | 11 | Illness & medication (4), Supervision & ratios (3), Safety & premises (2), Staff background & training (1), Records & paperwork (2), Other (2) |
| 2023 | 16 | 11 | Illness & medication (4), Supervision & ratios (2), Discipline & child guidance (4), Safety & premises (1), Records & paperwork (1), Other (4) |
| 2022 | 15 | 11 | Cleanliness & sanitation (2), Illness & medication (6), Supervision & ratios (3), Discipline & child guidance (1), Safety & premises (1), Staff background & training (2) |
Enforcement actions
- Seen Oct 1, 2026 — Corrective action in effect (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2026 Report · Deficiencies cited
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Supervision & ratios Serious
A staff member fell asleep for approximately 10-15 minutes while being the only one responsible for two children in care.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2026-09-15. Correction verified 2026-09-28.
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Supervision & ratios Serious
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Assessment · Deficiencies cited
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Illness & medication Serious
During a review of medication logs, several children's medications were documented as dispensed at 7:00am, however the children were still asleep and the medication had not been dispensed. The time this was observed was sometime after 7:30am.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2026-08-05. Correction verified 2026-08-05.
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Illness & medication Serious
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Jul 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 10, 2026 Report · Deficiencies cited
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Supervision & ratios
The serious incident report did not have the operations address
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2026-06-30. Correction verified 2026-07-01.
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Supervision & ratios
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May 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 20, 2026 Inspection · Deficiencies cited
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Illness & medication Serious
One mediation log was observed to be missing the time the medication was administered to a child in care.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-04-23.
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Illness & medication
Two medication logs for one child in care were observed to be missing signatures of the staff member who administered the medications on 04/14/26, 04/16/26, and 04/17/26.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2026-04-24. Correction verified 2026-04-23.
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Illness & medication Serious
A medication log for a child in care was observed to have an inaccurate count of remaining medication.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-04-23.
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Illness & medication Serious
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 10, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
An employee was observed to be delinquent in completing the required annual Normalcy Training.
HHSC 748.930(b)(3) — Annual Training- Caregivers must have 1 hour normalcy training.
HHSC risk weight: Medium High. Corrected 2026-02-13. Correction verified 2026-02-12.
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Staff background & training Serious
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Feb 10, 2026 Report · Deficiencies cited (self-report)
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Other
During the review of the investigation, it was found that the unauthorized absence did not contain the name of the caregiver responsible at the time of the absence.
HHSC 748.453(a)(4) — Unauthorized Absence - Annual summary log must include name of caregiver responsible for child at time absence discovered
HHSC risk weight: Medium. Corrected 2026-04-15. Correction verified 2026-04-15.
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Other
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Feb 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2026 Report · Deficiencies cited
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Other Serious
Two of four children confirmed that staff member made improper comments.
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2026-03-04. Correction verified 2026-02-26.
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Other Serious
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Jan 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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Jan 8, 2026 Inspection · Deficiencies cited
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Other Serious
Condition #1-Met Condition #2-Not met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2026-01-15. Correction verified 2026-01-15.
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Illness & medication Serious
A medication log for a child in care indicated a remaining count of 30 pills; however, a physical count revealed only 16 pills.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2026-01-15. Correction verified 2026-01-15.
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Other Serious
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Jan 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Inspection · Deficiencies cited
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Other Serious
Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Not Met Condition #5-Met Condition #6-Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-12-19. Correction verified 2025-12-19.
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Records & paperwork
Notification of a Service Plan meeting occurring on 05/15/25 was not sent until 05/07/25.
HHSC 748.1341(a) — Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
HHSC risk weight: Low. Corrected 2025-12-19. Correction verified 2025-12-19.
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Records & paperwork
A child's records reviewed did not have documentation that the service plan meeting letter was sent to all parties
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2025-12-19. Correction verified 2025-12-19.
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Other
A Service Plan Review was observed to be completed past 90 days of the Initial Service Plan completion date.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2025-12-19. Correction verified 2025-12-19.
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Supervision & ratios
Admissions Assessments for two children in care were observed to be missing pertinent information.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2025-12-19.
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Safety & premises
There is no documentation showing that the smoke detector was tested in October 2025 in the Brazos House, and none from July through December 2025 in the Llano House.
HHSC 748.3111(a) — Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2025-12-19.
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Other Serious
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Dec 13, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Operational staff "chest bumped" child in care in a demeaning manner.
HHSC 748.1101(b)(4)(A)(vii) — Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-07-07.
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Supervision & ratios Serious
Operation staff engaged in a physical altercation with child in care and failed to call additional staff for assistance.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-07-07.
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Supervision & ratios Serious
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Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2025 Inspection · Deficiencies cited
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Other Serious
Condition #1-Not Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Met Condition #6-Met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-11-28. Correction verified 2025-11-28.
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Records & paperwork
One Child's Right's form was observed to be missing the child's signature.
HHSC 748.1103(d) — Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-11-28.
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Other Serious
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2025 Report · Deficiencies cited
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Supervision & ratios
A child in care was reported to have been on a one-to-one level of supervision, yet there are multiple incidents where the same child was involved in horseplay with a second child in care. These same incidents were documented and required further investigation.
HHSC 748.685(a)(1) — Caregiver responsibility - knowing which children they are responsible for
HHSC risk weight: Medium. Corrected 2025-12-09. Correction verified 2025-12-09.
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Supervision & ratios
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Oct 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 24, 2025 Report · Deficiencies cited (self-report)
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Other Serious
During the course of this investigation, it was determined that a staff member was utilized inappropriate disciplinary practices by referring to a child using derogatory names.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2025-11-21. Correction verified 2025-12-05.
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Other Serious
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Oct 23, 2025 Inspection
No violations cited on this visit.
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Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2025 Report · Deficiencies cited
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Illness & medication Serious
Six children in care missed dosages of prescribed medications on multiple occasions for consecutive days.
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 2025-08-05. Correction verified 2025-08-05.
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Illness & medication Serious
Medication errors were not documented for missed dosages of prescription medication for six children in care.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2025-08-05. Correction verified 2025-08-05.
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Illness & medication Serious
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Jun 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios
While reviewing the child service plan it was discovered in the "Transitioning To Successful Adulthood," several statements indicated the child was a twelve-year-old, which was not true or accurate at the time this plan was completed. This section of the plan was also not current, as the child plan was a review and this section should've been completed at the time of the review as the child was fourteen years old at the time the plan was completed.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-08-11. Correction verified 2025-08-11.
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Supervision & ratios
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Jun 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2025 Report
No violations cited on this visit.
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May 28, 2025 Inspection · No deficiencies cited
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Other Serious
A child admitted on 06/11/2024 did not receive an initial medical visit until 08/14/2024.
HHSC 748.1531(a)(1) — Medical care-A child in care must receive medical care initially according to the requirements in 748.1223
HHSC risk weight: Medium High. Corrected 2025-06-04. Correction verified 2025-06-10.
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Records & paperwork
Documentation related to the medical records of a child admitted in June 2024 was not observed in the child's file.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2025-06-04. Correction verified 2025-06-10.
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Other
An employee file was observed to lack documentation related to pre-employment screening.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2025-06-04. Correction verified 2025-06-10.
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Other Serious
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May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 6, 2025 Inspection · No deficiencies cited
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Supervision & ratios Serious
One caregiver was observed to be supervising 7 children in Llanos House.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-11.
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Supervision & ratios Serious
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Apr 4, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
The allegations are related to a DFPS abuse/neglect 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 2025-05-23. Correction verified 2025-05-23.
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Discipline & child guidance Serious
A staff member choked a child in care as a form of discipline.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2025-05-23. Correction verified 2025-05-23.
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Discipline & child guidance Serious
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Apr 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · Deficiencies cited
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Illness & medication Serious
Children's records reviewed did not have an immunization record in the file.
HHSC 748.1205(a)(7) — Admission Documentation-Includes child's immunization record
HHSC risk weight: Medium High. Corrected 2025-03-18. Correction verified 2025-03-19.
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Other
During the review of files, services plans were not signed by all parties involved.
HHSC 748.1337(b)(1)(N) — Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
HHSC risk weight: Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Records & paperwork
Children's records reviewed did not have documentation that the service plan meeting letter was sent to all parties.
HHSC 748.1341(b) — Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents
HHSC risk weight: Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Records & paperwork
Children's records reviewed did not have current service plans completed in the file.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Supervision & ratios
One of four child's records reviewed had a different child's name listed in file.Additionally, one of the employee records reviewed lacked documentation of a drug tests being taken
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-03-18. Correction verified 2025-03-19.
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Illness & medication Serious
Medical attention was sought for a child in care after a restraint was administered. Child reported of having stomach pains and was taken to the doctor the next day. Serious incident occurred on 2.11.2025, but was not called into RCCR.
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 2025-03-18. Correction verified 2025-03-25.
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Supervision & ratios
Records were supplied in two formats: electronic and paper. However, the documents in both formats lacked uniformity, which created challenges in processing the information. Additionally, there were several missing documents in both the electronic and paper submissions, further complicating the review and analysis of the records.
HHSC 748.361(d) — Personnel records-The system for maintaining all records must be uniform throughout the operation
HHSC risk weight: Medium Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Records & paperwork
During the review of four employee records, it was noted that two of them lacked documentation verifying the completion of reference checks.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Staff background & training
Three of four employee records reviewed were observed to be missing recent training certificates.
HHSC 748.915(a) — Document the caregiver?s completion of each training with cert or letter of completion in the appropriate FH or personnel record
HHSC risk weight: Medium Low. Corrected 2025-03-18. Correction verified 2025-03-19.
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Staff background & training Serious
One of four records revewed observed EBI was not completed; last completion was 07/23/2024.
HHSC 748.936(1) — Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services
HHSC risk weight: Medium High. Corrected 2025-03-18. Correction verified 2025-03-19.
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Illness & medication Serious
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Mar 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 7, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 4, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care suffered pain to the face as a result of a staff member horseplaying with the child.
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 2025-03-17. Correction verified 2025-03-11.
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Discipline & child guidance Serious
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Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2024 Report · Deficiencies cited
-
Safety & premises Serious
Staff described physically picking up a child in care and placing him in his bedroom after an altercation with another child.
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 2025-01-23. Correction verified 2025-01-22.
-
Safety & premises Serious
-
Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2024 Report · Deficiencies cited
-
Illness & medication Serious
HHSC 748.2001(b) — Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication
HHSC risk weight: High. Corrected 2024-12-30. Correction verified 2025-01-31.
-
Illness & medication Serious
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-12-30. Correction verified 2025-01-31.
-
Illness & medication Serious
-
Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2024 Inspection · Deficiencies cited
-
Other Serious
There were three serious incidents involving one child in care exhibiting suicidal ideations. There were no documented suicide screenings for neither incident.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-09-30.
-
Supervision & ratios
The person list in the portal shows 8 active employees that are not documented on the employee list provided by the operation.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-09-27. Correction verified 2024-09-27.
-
Records & paperwork Serious
Three serious incidents for one child in care indicated suicide ideations and/or attempts. Neither of the three incidents were reported to Licensing.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2024-09-27. Correction verified 2024-09-30.
-
Records & paperwork
One of four employee files reviewed was observed to be missing notarization on the Licensing Affidavit for Applicants for Employment form.
HHSC 748.363(7) — Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059
HHSC risk weight: Medium. Corrected 2024-09-27. Correction verified 2024-09-27.
-
Supervision & ratios
It was observed in one of four employee files reviewed that the operation did not contact each employer included in the five-year employment history.
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2024-09-27. Correction verified 2024-09-27.
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Other Serious
-
Sep 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2024 Report · Deficiencies cited
-
Staff background & training Serious
It was determined that two trainings were over a year old.
HHSC 748.931(b)(1) — Annual Training- Administrators, PLSP's, treatment directors and case managers who do not hold a prof. license must have 2 hrs trauma informed care.
HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-29.
-
Staff background & training Serious
-
Jul 17, 2024 Report · Deficiencies cited
-
Safety & premises Serious
A caregiver sought assistance from other children in care to restrain a child.
HHSC 748.2453 — Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint
HHSC risk weight: High. Corrected 2024-09-04. Correction verified 2024-09-04.
-
Supervision & ratios Serious
Children in care reported that staff were asleep on shift, staff were observed unresponsive with their eyes closed shut.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-09-04. Correction verified 2024-09-04.
-
Safety & premises Serious
-
Jul 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2024 Report · Deficiencies cited
-
Illness & medication Serious
One child in care was not administered prescribed medication for one month. A second child in care received two more milligrams of medication than what was prescribed.
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 2024-08-20. Correction verified 2024-08-15.
-
Illness & medication Serious
-
Jun 5, 2024 Inspection · Deficiencies cited
-
Illness & medication Serious
One of the child files reviewed was observed to have an inaccurate count of two medications documented on the medication log.
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 2024-06-12. Correction verified 2024-08-21.
-
Illness & medication Serious
-
May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2024 Report
No violations cited on this visit.
-
Feb 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2024 Report
No violations cited on this visit.
-
Feb 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2024 Report · Deficiencies cited (self-report)
-
Other Serious
Staff and residents interviewed stated a staff member called a resident a derogatory name.
HHSC 748.1101(b)(4)(A)(v) — Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family
HHSC risk weight: Medium High. Corrected 2024-03-04. Correction verified 2024-03-07.
-
Other Serious
-
Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 13, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
Caregiver did not provide the 1:1 supervision required for a youth in care.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-02-20. Correction verified 2024-02-20.
-
Supervision & ratios Serious
-
Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
It was determined a staff member made inappropriate comments to a child in care regarding family and also engaged in an unnecessary power struggle with a child in care.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2024-02-14. Correction verified 2024-02-16.
-
Discipline & child guidance Serious
-
Oct 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2023 Report · Deficiencies cited
-
Records & paperwork
Several incident reports do not document the length of time a child was restrained.
HHSC 748.2855(a)(6) — EBI Documentation-Must include the length of time the child was restrained or secluded
HHSC risk weight: Medium. Corrected 2024-02-29. Correction verified 2024-03-07.
-
Records & paperwork
-
Jul 31, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Inspection
No violations cited on this visit.
-
Jul 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2023 Report · Deficiencies cited
-
Other Serious
Staff have fallen asleep when supervising children in care.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-10-06. Correction verified 2023-10-06.
-
Other Serious
-
Jul 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 15, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
A child in care was subjected to physical abuse by a staff member.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-02-05. Correction verified 2024-02-05.
-
Discipline & child guidance Serious
A child in care was slapped in the face by a staff member as a means of punishment.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-02-05. Correction verified 2024-02-05.
-
Other Serious
A staff member directed profanity towards a child in care as a means of discipline.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-02-05. Correction verified 2024-02-05.
-
Discipline & child guidance Serious
-
Jun 13, 2023 Inspection · Deficiencies cited
-
Other Serious
Admission Assessments reviewed did not include any known contraindications to restraints.
HHSC 748.1205(a)(10) — Admission Documentation-Includes known contraindications to the use of restraint
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Other
Admission Assessments did not include information for parents.
HHSC 748.1205(a)(3) — Admission Documentation-Include names, addresses, phone numbers of bio or adoptive parents, unless parental rights terminated
HHSC risk weight: Medium Low. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Illness & medication
Admission Assessments did not include medications the children were taking.
HHSC 748.1205(a)(6) — Admission Documentation-Includes medication the child is taking
HHSC risk weight: Low. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Illness & medication
Admission Assessments does not include known allergies.
HHSC 748.1205(a)(8) — Admission Documentation-Includes allergies (food, medication, sting, and skin allergies)
HHSC risk weight: Medium Low. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Safety & premises
Log shows that smoke detectors were not tested in May 2023.
HHSC 748.3111(a) — Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
HHSC risk weight: Medium. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Supervision & ratios Serious
It was observed that an employee transported children in care with an expired driver's license.
HHSC 748.4003(1)(C) — General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
HHSC risk weight: Medium High. Corrected 2023-06-19. Correction verified 2023-06-19.
-
Other Serious
-
Jun 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2023 Report · Deficiencies cited (self-report)
-
Discipline & child guidance Serious
Video camera footage, captured by the facility, showed a staff using her forearm to push a child back into his room, forcing him to comply to directives for quiet, calm down time.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2023-04-07. Correction verified 2023-04-13.
-
Discipline & child guidance Serious
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2023 Report · Deficiencies cited
-
Illness & medication Serious
While conducting the investigation of the facility it was found that the medication error was found on 1-18-23 and the child had still not received any medical attention as of 2-2-23 when the investigation was initiated.
HHSC 748.2203(a) — Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations
HHSC risk weight: Medium High. Corrected 2023-03-16. Correction verified 2023-03-25.
-
Illness & medication Serious
During the course of the investigation, it was found that the medication error happened on 1-9-23 and it was not documented until 1-20-23.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2023-03-16. Correction verified 2023-03-25.
-
Illness & medication Serious
-
Jan 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 13, 2022 Report · Deficiencies cited
-
Illness & medication Serious
Staff performed a personal restraint on a child in care without there being an emergency situation.
HHSC 748.2455(a)(2) — Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
HHSC risk weight: Medium High. Corrected 2023-03-06. Correction verified 2023-03-06.
-
Illness & medication Serious
-
Nov 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
A child was inappropriately touched by another child while outside and under the supervision of staff.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2022-12-26. Correction verified 2022-12-19.
-
Supervision & ratios Serious
-
Oct 19, 2022 Report · Deficiencies cited (self-report)
-
Discipline & child guidance
The reportable incident occurred on 10.15.22 and it was not reported by the operation to licensing until 10.19.22
HHSC 748.309 — Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2022-12-20. Correction verified 2022-12-19.
-
Discipline & child guidance
-
Oct 12, 2022 Inspection · Deficiencies cited
-
Illness & medication Serious
2 children in care were given one extra dosage of medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2022-10-12. Correction verified 2022-10-12.
-
Illness & medication Serious
-
Sep 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
Two staff members administered an additional prescription medication dosage to a child in care.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-11-11. Correction verified 2022-10-12.
-
Illness & medication Serious
-
Sep 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
A child in care was administered an incorrect dosage of medication.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-10-21. Correction verified 2022-10-13.
-
Illness & medication Serious
-
Aug 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 1, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
2 children in care were given one extra dosage of medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2022-10-07. Correction verified 2022-10-12.
-
Illness & medication Serious
-
Jun 29, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 14, 2022 Inspection · Deficiencies cited
-
Illness & medication
Four of the four child records reviewed were observed to be missing immunization records.
HHSC 748.1539(b) — Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
HHSC risk weight: Medium Low. Corrected 2022-06-21. Correction verified 2022-06-22.
-
Staff background & training
In one of the four employee files reviewed, it was observed that an employee who began 01/24/22 did not have a notarized Affidavit for Applicants until 06/13/22.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2022-06-21. Correction verified 2022-06-22.
-
Staff background & training
One of the four employee files reviewed was observed to be missing a high school diploma. The employee has been working at the operation since 01/24/22.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2022-06-21. Correction verified 2022-06-22.
-
Illness & medication
-
Jun 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 2, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
On the date of the incident the agency was not in ratio.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2022-06-10. Correction verified 2022-06-10.
-
Supervision & ratios Serious
-
Mar 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 2, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
During the walk through it was observed that one building had a door with a board over the window. Photos taken.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2022-03-16. Correction verified 2022-03-10.
-
Cleanliness & sanitation Serious
During the inspection it was observed that the operation had expired food in the pantry and not stored properly. There were two open food boxes in the pantry..mash potatoes, pancakes (photos taken).
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2022-03-09. Correction verified 2022-03-10.
-
Cleanliness & sanitation Serious
-
Feb 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2022 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
It was reported that a staff member was asleep while providing supervision to children in care.
HHSC 748.1013(a) — Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision
HHSC risk weight: High. Corrected 2022-03-02. Correction verified 2022-03-01.
-
Supervision & ratios Serious
-
Jan 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2022 Report · Deficiencies cited
-
Safety & premises Serious
It was determined that a child in care was restrained for walking/not listening.
HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply
HHSC risk weight: Medium High. Corrected 2022-03-11. Correction verified 2022-03-16.
-
Safety & premises Serious
-
Nov 18, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 30, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 22, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2021 Report · No deficiencies cited (self-report)
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, via 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.