New Horizons Audrey Grace House Rtc
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 40
- Ages
- 5-17
- Hours
- -
- Director / administrator
- Michelle Leigh Primeaux Perkins
- Phone
- (325) 437-1852
- Regulated since
- Jan 29, 2010
- HHSC IDs
- Operation 483290 · number 1000050
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Records & paperwork (1) |
| 2025 | 11 | 3 | Illness & medication (3), Discipline & child guidance (1), Records & paperwork (3), Other (4) |
| 2024 | 10 | 4 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (1), Discipline & child guidance (2), Records & paperwork (3), Other (2) |
| 2023 | 5 | 0 | Cleanliness & sanitation (1), Other (4) |
| 2022 | 11 | 4 | Cleanliness & sanitation (1), Illness & medication (3), Supervision & ratios (3), Safety & premises (1), Records & paperwork (2), Other (1) |
| 2021 | 3 | 0 | Illness & medication (3) |
Inspections, investigations & assessments
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2026 Report · Recorded (self-report)
No violations cited on this visit.
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 10, 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.
-
Aug 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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May 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Report
No violations cited on this visit.
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Mar 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2026 Inspection
No violations cited on this visit.
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Mar 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Report · Deficiencies cited
-
Records & paperwork
One staff admitted to pushing a child onto their bed as well as three children reported that same staff gets into the children's faces and uses intimidation as a scare tactic.
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 2026-02-17. Correction verified 2026-02-11.
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Records & paperwork
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Jan 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 5, 2025 Report
No violations cited on this visit.
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Nov 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 16, 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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Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 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 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 29, 2025 Report
No violations cited on this visit.
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Mar 25, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 1, 2025 Report
No violations cited on this visit.
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Feb 21, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
A child in care was grabbed by the arm to comply.
HHSC 748.1101(b)(4)(A) — Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
HHSC risk weight: High. Corrected 2025-03-28. Correction verified 2025-03-28.
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Discipline & child guidance Serious
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Feb 20, 2025 Report · Deficiencies cited
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Other
A staff member made demeaning, crude, inappropriate comments and threats to children in care.
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 2025-04-11. Correction verified 2025-04-07.
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Other
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Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2025 Report · Deficiencies cited
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Other
The Clinical Director admitted to cussing when children in care were present. Six other individuals confirmed hearing Clinical Director cuss on several occasions while children in care were present, during therapy sessions or in professional settings.
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 2025-04-04. Correction verified 2025-03-28.
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Other
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Feb 13, 2025 Report · Deficiencies cited (self-report)
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Other
One child's service plan did not have a caregiver participant/signature when reviewed.
HHSC 748.1339(a)(1) — Initial Service Plan-Service planning team must include at least one of the child's current caregivers
HHSC risk weight: Low. Corrected 2025-03-24. Correction verified 2025-03-11.
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Records & paperwork
A personal restraint occurred on 2/13/24, but was not documented until 3 days later, 2/16/24.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2025-03-24. Correction verified 2025-03-11.
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Other
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Feb 11, 2025 Inspection · Deficiencies cited
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Illness & medication
A child in care had a medication error not reported.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2025-02-18. Correction verified 2025-02-17.
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Other
Four first aid kits reviewed did not have all the required supplies needed.
HHSC 748.3273(6) — First Aid Kits-Each one must contain scissors
HHSC risk weight: Medium Low. Corrected 2025-02-18. Correction verified 2025-02-17.
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Illness & medication
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Feb 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
Three run away incident reports were reviewed. Two of the reports did not include law enforcement notification date and time- One of those two also did not include the name of person notified. The other run-away incident report did not include name of person spoken to.
HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
HHSC risk weight: Medium. Corrected 2025-04-11. Correction verified 2025-04-01.
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Records & paperwork
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Jan 18, 2025 Report · Deficiencies cited
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Illness & medication Serious
A child in care had unsupervised access to the medication cabinet that a staff member left unlocked. As a result of this, the child in care ingested a significant amount of medication in a suicide attempt.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2025-03-21. Correction verified 2025-03-19.
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Illness & medication Serious
A child was left unsupervised with an unlocked medication cabinet, resulting in the child ingesting a significant amount of medication in a suicide attempt.
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 2025-03-21. Correction verified 2025-03-19.
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Illness & medication Serious
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Jan 15, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
In a review of the incident report, there are concerns with the times of the runaway notification not being documented to the guardian and to law enforcement. Additionally, the date is not listed for the notification to law enforcement, only the name of the person who was spoken to and the case number are documented. The name of the guardian who was notified is also missing.
HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
HHSC risk weight: Medium. Corrected 2025-01-31. Correction verified 2025-01-29.
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Records & paperwork
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Dec 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
During the DFPS ANE investigation, this standard was found to be deficient. A child in care was slapped by a staff member.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2024-08-23. Correction verified 2024-08-27.
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Discipline & child guidance Serious
A staff slapped a child in care.
HHSC 748.2303(a) — Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
HHSC risk weight: High. Corrected 2024-08-23. Correction verified 2024-08-27.
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Discipline & child guidance Serious
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Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2024 Report · Deficiencies cited (self-report)
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Records & paperwork Serious
A child was restrained for more than 30 minutes. Three children and three staff involved said it was about 35-40 minutes, and the incident report states 38 minutes.
HHSC 748.2801(2)(A) — EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
HHSC risk weight: High. Corrected 2024-07-31. Correction verified 2024-07-26.
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Records & paperwork
The child's case worker was not notified of the restraint within 72 hours.
HHSC 748.2857(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
HHSC risk weight: Medium. Corrected 2024-07-31. Correction verified 2024-07-26.
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Records & paperwork Serious
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May 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2024 Report · Deficiencies cited
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Cleanliness & sanitation Serious
Three children in care put cleaning supplies into another child's shampoo and on their deodorant. Staff were present during the time of children cleaning; however, the children were still able to obtain and create these mixtures without staff noticing.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2024-06-12. Correction verified 2024-06-10.
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Cleanliness & sanitation Serious
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Apr 11, 2024 Report · Deficiencies cited
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Supervision & ratios
5 out of 7 children interviewed stated a night staff was asleep while working.
HHSC 748.4703(b) — Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
HHSC risk weight: Medium High. Corrected 2024-06-24. Correction verified 2024-06-24.
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Supervision & ratios
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Apr 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2024 Report · Deficiencies cited
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Other
Multiple staff and children in care stated an employee cussed at children in care.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-06-04. Correction verified 2024-06-02.
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Other
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Mar 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 19, 2024 Report · Deficiencies cited
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Records & paperwork
All children interviewed reported staff yelling at children, and/or being loud and in their faces. Two staff reported they have seen staff yell or raise their voice when they could have handled the situation better.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-04-17.
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Records & paperwork
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Mar 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 8, 2024 Report · Deficiencies cited
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Other
One staff admitted calling a child a liar and in a separate incident a different staff admitted making a comment to a child in care stating they should cut down on eating cookies and mashed potatoes, making an implication to weight.
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 2024-03-22. Correction verified 2024-03-21.
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Other
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2024 Report · Deficiencies cited
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Illness & medication
A medication log stated that a pill was borrowed from another child in care. The campus nurse confirmed that this did occur based on her medical knowledge and approval.
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 2024-02-26. Correction verified 2024-02-23.
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Illness & medication
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Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2023 Report · Deficiencies cited (self-report)
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Other
A staff member admitted to playing games on their cell phone when directly supervising children in care.
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 2024-02-02. Correction verified 2024-01-25.
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Other
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Nov 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 20, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
Cleaning supplies were found in an unlocked cabinet under the sink in a bathroom that is assessible to children in care.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-20.
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Cleanliness & sanitation
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Aug 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 10, 2023 Report · Deficiencies cited (self-report)
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Other
A staff member provided razors to children in care with a history of self-harm. Although using razors for shaving is a part of normalcy for teenage children, it seems the staff did not ensure the razors were taken back from the children.
HHSC 748.705(b)(3) — Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity
HHSC risk weight: Medium. Corrected 2023-03-17. Correction verified 2023-03-16.
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Other
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Feb 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 2, 2023 Report · Deficiencies cited
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Other
A staff member admitted to yelling at a child during their interview. Other staff members, who were 50 yards away, then responded after hearing the yelling.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-03-09. Correction verified 2023-03-03.
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Other
A staff member admitted to cursing at a child during an interaction with the child. Witnesses, including staff and children, corroborated this incident.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2023-03-09. Correction verified 2023-03-03.
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Other
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Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
A child did not receive a medication due to arrest and runaway. Documentation for the missed dosages were not noted on the medication log/medication error.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2023-02-22. Correction verified 2023-02-17.
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Illness & medication
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Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2022 Report · Deficiencies cited
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Safety & premises
3 children and one staff all consistently described another staff calling a child an elephant, referring to their weight.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-01-26. Correction verified 2023-01-25.
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Records & paperwork Serious
A child was held in a supine hold for about 28 minutes, as stated in the incident report. It is noted that staff involved stated they gave the child opportunities to transition out of the hold but the child was fighting back.
HHSC 748.2553(2)(B) — EBI Release-Child released from personal restraint within one minute of implementation of a prone or supine hold
HHSC risk weight: High. Corrected 2023-01-26. Correction verified 2023-01-25.
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Records & paperwork
The incident report did not state the specific restraint that was used. It states "held on the ground as safely as possible," which references a supine hold. Several staff involved were interviewed to confirm the child was in a supine hold.
HHSC 748.2855(c) — EBI Documentation-If personal restraint, must include specific restraint techniques used, including prone/supine restraint used as transitional hold
HHSC risk weight: Medium. Corrected 2023-01-26. Correction verified 2023-01-25.
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Safety & premises
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Oct 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 7, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A child eloped at night from the operation and staff was not aware that the child was gone.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2022-12-16. Correction verified 2022-12-14.
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Supervision & ratios Serious
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Oct 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 2, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 30, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Several children mixed and drank almond and mint extracts during lunch at the operation. Staff were present during lunch, however the children were still able to obtain and ingest these mixtures without staff noticing. As a direct result, one child who drank the mixture later had an allergic reaction that required medical treatment.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2022-09-30. Correction verified 2022-09-20.
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Supervision & ratios Serious
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Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
During a walk through cleaning supplies were observed under a the bathroom's cabinet.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-08-23.
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Cleanliness & sanitation
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Aug 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2022 Report · Deficiencies cited
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Supervision & ratios
There was conflicting information in the serious incident report including referring to a prone restraint instead of a supine restraint. Also, the times of the total restraint were inaccurate and information about a staff being present when the staff had stepped out of the room during the incident.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2022-10-05. Correction verified 2022-09-27.
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Supervision & ratios
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Aug 4, 2022 Report · Deficiencies cited
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Other Serious
It was found that a child in care was in a prone restraint for longer than 1 minute.
HHSC 748.2801(2)(B) — EBI Time Limits-Prone or supine personal restraint hold may not exceed one minute.
HHSC risk weight: High. Corrected 2022-09-21. Correction verified 2022-09-12.
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Other Serious
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Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 26, 2022 Report · Deficiencies cited
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Illness & medication
During the course of the investigation it was determined that staff failed to confirm address and coordinate with relative that resulted in child in care being dropped off in unapproved location. Staff also failed to provide medication to adult relative which resulted in child gaining direct access to the medication.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2022-07-22. Correction verified 2022-07-12.
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Illness & medication
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May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Report · Deficiencies cited
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Illness & medication
There were two documented instances in the same month of medication records showing that a dose of medication was missing from the containers.
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 2022-06-09. Correction verified 2022-06-01.
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Illness & medication
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Apr 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 20, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2021 Report · Deficiencies cited
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Illness & medication
Missing dosages were not administered or partial dosages were administered according to the medication logs for more than one 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 2022-01-06. Correction verified 2022-01-04.
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Illness & medication
There were discrepancies on the medication count on three medication logs that were reviewed. No documentation of the purpose of remaining medication for each 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 2022-01-06. Correction verified 2022-01-04.
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Illness & medication
While reviewing the medication logs for Clonidine 0.1mg, Concerta 36mg, Focalin (Dexmethylphenidate) 10mg and Focalin 40mg it was found that there were no medication error reports for missing dosages.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-01-06. Correction verified 2022-01-04.
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Illness & medication
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Nov 3, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 13, 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.