RecordWell Data

Fostering Life Youth Ranch, LLC

1313 W WASHINGTON ST, Levelland, TX 79336 · Hockley County

108cited violations
20serious
560inspections & investigations
1enforcement actions

Program

Type
General residential operation
Licensed capacity
15
Ages
6-17
Hours
12:00 AM-
Phone
(806) 598-6251
Regulated since
Mar 14, 2022
HHSC IDs
Operation 1370039 · number 1716949
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202540 Supervision & ratios (2), Other (2)
2024248 Illness & medication (6), Supervision & ratios (6), Discipline & child guidance (2), Safety & premises (2), Other (8)
2023426 Illness & medication (18), Supervision & ratios (8), Discipline & child guidance (2), Records & paperwork (6), Other (8)
2022284 Illness & medication (8), Supervision & ratios (10), Safety & premises (4), Other (6)
2021102 Illness & medication (4), Safety & premises (4), Other (2)

Enforcement actions

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

  1. Sep 1, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 1, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  3. Feb 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Feb 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  5. Feb 10, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on February 10, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 15, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium high weighted citation in a pattern/trend category on January 15, 2025. Specifically, the operation was cited for 748.1101(b)(3)(C) Children's Rights-Adhere to the child's rights to have religious needs met. The operation met compliance on January 23, 2025. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with medium high and/or high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2025-02-11. Correction verified 2025-02-11.

    HHSC inspection history

  6. Feb 10, 2025 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on February 10, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 15, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium high weighted citation in a pattern/trend category on January 15, 2025. Specifically, the operation was cited for 748.1101(b)(3)(C) Children's Rights-Adhere to the child's rights to have religious needs met. The operation met compliance on January 23, 2025. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with medium high and/or high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2025-02-11. Correction verified 2025-02-11.

    HHSC inspection history · no longer published by HHSC; kept here

  7. Feb 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  8. Feb 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  9. Feb 3, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  10. Feb 3, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  11. Jan 24, 2025 Report · Deficiencies cited
    • Other

      Two caregivers showed inappropriate videos/photos on their cell phones to children in care. Two caregivers failed to maintain personal boundaries with one another around 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 2025-05-15. Correction verified 2025-05-01.

    HHSC inspection history

  12. Jan 24, 2025 Report · Deficiencies cited
    • Other

      Two caregivers showed inappropriate videos/photos on their cell phones to children in care. Two caregivers failed to maintain personal boundaries with one another around 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 2025-05-15. Correction verified 2025-05-01.

    HHSC inspection history · no longer published by HHSC; kept here

  13. Jan 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Jan 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  15. Jan 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  16. Jan 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  19. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Dec 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  21. Dec 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  22. Dec 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. Dec 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. Dec 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  25. Dec 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Dec 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  27. Dec 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  28. Dec 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Dec 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  30. Dec 9, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  31. Dec 9, 2024 Report · Deficiencies cited
    • Other Serious

      Children in care were found to be using vapes

      HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers

      HHSC risk weight: High. Corrected 2025-02-13. Correction verified 2025-02-12.

    • Safety & premises

      Multiple staff were using vapes inside with children on the premises.

      HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids

      HHSC risk weight: Medium High. Corrected 2025-02-13. Correction verified 2025-02-12.

    HHSC inspection history · no longer published by HHSC; kept here

  32. Dec 9, 2024 Report · Deficiencies cited
    • Other Serious

      Children in care were found to be using vapes

      HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers

      HHSC risk weight: High. Corrected 2025-02-13. Correction verified 2025-02-12.

    • Safety & premises

      Multiple staff were using vapes inside with children on the premises.

      HHSC 748.1661(b) — Tobacco Products-Adult may not smoke tobacco products, e-cigarettes, or vaporizers in children's living areas/inside any building on premises w/ kids

      HHSC risk weight: Medium High. Corrected 2025-02-13. Correction verified 2025-02-12.

    HHSC inspection history

  33. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  35. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  36. Dec 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  37. Dec 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Dec 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  39. Dec 2, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Dec 2, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  41. Nov 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. Nov 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  43. Nov 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  44. Nov 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. Nov 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  46. Nov 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  47. Nov 23, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  48. Nov 23, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. Nov 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  50. Nov 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  51. Nov 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  52. Nov 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Nov 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  54. Nov 20, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  55. Nov 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Nov 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  57. Nov 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  58. Nov 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  59. Nov 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  60. Nov 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  61. Nov 12, 2024 Report · Deficiencies cited
    • Other

      A child in care's religious needs were not bet by having a child get vaccinated even though there was a documented exemption due to religious reasons.

      HHSC 748.1101(b)(3)(C) — Children's rights-Adhere to the child's rights to have religious needs met

      HHSC risk weight: Medium High. Corrected 2025-01-22. Correction verified 2025-01-23.

    • Other

      An employee did not read the child's documentation that showed the child had a religious exemption to not get vaccinated.

      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 2025-01-22. Correction verified 2025-01-23.

    HHSC inspection history · no longer published by HHSC; kept here

  62. Nov 12, 2024 Report · Deficiencies cited
    • Other

      A child in care's religious needs were not bet by having a child get vaccinated even though there was a documented exemption due to religious reasons.

      HHSC 748.1101(b)(3)(C) — Children's rights-Adhere to the child's rights to have religious needs met

      HHSC risk weight: Medium High. Corrected 2025-01-22. Correction verified 2025-01-23.

    • Other

      An employee did not read the child's documentation that showed the child had a religious exemption to not get vaccinated.

      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 2025-01-22. Correction verified 2025-01-23.

    HHSC inspection history

  63. Nov 8, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  64. Nov 8, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  65. Oct 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Oct 28, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  67. Oct 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  68. Oct 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  69. Oct 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Oct 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  71. Oct 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  72. Oct 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  73. Oct 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  74. Oct 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Oct 9, 2024 Report · Deficiencies cited
    • Supervision & ratios Serious

      Five children stated they saw a staff sleeping.

      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 2024-11-06. Correction verified 2024-11-13.

    HHSC inspection history · no longer published by HHSC; kept here

  76. Oct 9, 2024 Report · Deficiencies cited
    • Supervision & ratios Serious

      Five children stated they saw a staff sleeping.

      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 2024-11-06. Correction verified 2024-11-13.

    HHSC inspection history

  77. Sep 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. Sep 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  79. Sep 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  80. Sep 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  81. Sep 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Sep 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  83. Aug 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  84. Aug 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  85. Aug 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  86. Aug 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Aug 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  88. Aug 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  89. Aug 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Aug 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  91. Aug 9, 2024 Assessment · Deficiencies cited
    • Illness & medication

      During a review conducted on August 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on July 8, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on July 8, 2024. Specifically, the operation was cited for 748.2003(b)(2) Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions. The operation met compliance on July 22, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $100.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2024-08-10. Correction verified 2024-08-10.

    HHSC inspection history

  92. Aug 9, 2024 Assessment · Deficiencies cited
    • Illness & medication

      During a review conducted on August 9, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on July 8, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on July 8, 2024. Specifically, the operation was cited for 748.2003(b)(2) Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions. The operation met compliance on July 22, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan. An administrative penalty will be assessed as a result of this citation, in accordance with Texas Human Resources Code Sec. 42.078. The maximum daily penalty for your operation is $100.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2024-08-10. Correction verified 2024-08-10.

    HHSC inspection history · no longer published by HHSC; kept here

  93. Aug 8, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  94. Aug 8, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  95. Aug 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  96. Aug 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  97. Jul 26, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  98. Jul 26, 2024 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  99. Jul 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  100. Jul 22, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  101. Jul 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  102. Jul 22, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  103. Jul 8, 2024 Inspection · Deficiencies cited
    • Illness & medication

      Two bottles of melatonin contained pills of different sizes and colors.

      HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions

      HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-07-22.

    HHSC inspection history · no longer published by HHSC; kept here

  104. Jul 8, 2024 Inspection · Deficiencies cited
    • Illness & medication

      Two bottles of melatonin contained pills of different sizes and colors.

      HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions

      HHSC risk weight: Medium High. Corrected 2024-07-12. Correction verified 2024-07-22.

    HHSC inspection history

  105. Jun 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  106. Jun 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  107. Jun 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  108. Jun 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  109. Jun 12, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  110. Jun 12, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  111. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  112. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  113. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  114. Jun 12, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  115. Jun 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  116. Jun 10, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  117. May 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  118. May 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. May 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  120. May 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  121. May 8, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  122. May 8, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  123. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  124. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  125. Apr 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  126. Apr 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  127. Apr 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  128. Apr 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  129. Mar 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  130. Mar 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  131. Mar 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  132. Mar 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  133. Mar 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  134. Mar 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  135. Mar 8, 2024 Assessment · Deficiencies cited
    • Illness & medication

      Two medication logs did not have documentation what the medication was prescribed for.

      HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication

      HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-08.

    HHSC inspection history

  136. Mar 8, 2024 Assessment · Deficiencies cited
    • Illness & medication

      Two medication logs did not have documentation what the medication was prescribed for.

      HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication

      HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-08.

    HHSC inspection history · no longer published by HHSC; kept here

  137. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  138. Mar 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  139. Mar 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Mar 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  141. Feb 26, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  142. Feb 26, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  143. Feb 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  144. Feb 26, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  145. Feb 22, 2024 Report

    No violations cited on this visit.

    HHSC inspection history

  146. Feb 22, 2024 Report

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  147. Feb 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  148. Feb 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  149. Feb 16, 2024 Report · Deficiencies cited
    • Discipline & child guidance Serious

      This standard was found deficient as part of a DFPS Investigation.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-12.

    • Other

      A caregiver permitted a child in care to view information that was intended to be accessible only to staff members.

      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 2024-06-04. Correction verified 2024-06-12.

    • Supervision & ratios Serious

      A caregiver permitted a child in care to assault another child in care and video recorded children play fighting which would sometimes turn into real altercations.

      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 2024-06-04. Correction verified 2024-06-12.

    HHSC inspection history · no longer published by HHSC; kept here

  150. Feb 16, 2024 Report · Deficiencies cited
    • Discipline & child guidance Serious

      This standard was found deficient as part of a DFPS Investigation.

      HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

      HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-12.

    • Other

      A caregiver permitted a child in care to view information that was intended to be accessible only to staff members.

      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 2024-06-04. Correction verified 2024-06-12.

    • Supervision & ratios Serious

      A caregiver permitted a child in care to assault another child in care and video recorded children play fighting which would sometimes turn into real altercations.

      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 2024-06-04. Correction verified 2024-06-12.

    HHSC inspection history

  151. Feb 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  152. Feb 16, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  153. Feb 13, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  154. Feb 13, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  155. Feb 8, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  156. Feb 8, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  157. Feb 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  158. Feb 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  159. Feb 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  160. Feb 7, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  161. Feb 7, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on February 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 4, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on January 4, 2024. Specifically, the operation was cited for 748.685(a)(4) Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being. The operation met compliance on January 10, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-02-07.

    HHSC inspection history · no longer published by HHSC; kept here

  162. Feb 7, 2024 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on February 7, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on January 4, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on January 4, 2024. Specifically, the operation was cited for 748.685(a)(4) Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being. The operation met compliance on January 10, 2024. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with high weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-02-07.

    HHSC inspection history

  163. Jan 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  164. Jan 23, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  165. Jan 19, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  166. Jan 19, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  167. Jan 10, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  168. Jan 10, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  169. Jan 10, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  170. Jan 10, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  171. Jan 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  172. Jan 9, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  173. Jan 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  174. Jan 5, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  175. Dec 28, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  176. Dec 28, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  177. Dec 27, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  178. Dec 27, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  179. Dec 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  180. Dec 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  181. Dec 22, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  182. Dec 22, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  183. Dec 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  184. Dec 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  185. Dec 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  186. Dec 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  187. Dec 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  188. Dec 12, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  189. Dec 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  190. Dec 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  191. Dec 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  192. Dec 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  193. Dec 2, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      A caregiver shoved a child in care on the shoulder during an argument.

      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 2024-01-04. Correction verified 2024-01-09.

    • Other

      A caregiver engaged in a verbal altercation with a child in care, yelling at and shaming the child.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2024-01-04. Correction verified 2024-01-09.

    HHSC inspection history

  194. Dec 2, 2023 Report · Deficiencies cited
    • Discipline & child guidance Serious

      A caregiver shoved a child in care on the shoulder during an argument.

      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 2024-01-04. Correction verified 2024-01-09.

    • Other

      A caregiver engaged in a verbal altercation with a child in care, yelling at and shaming the child.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2024-01-04. Correction verified 2024-01-09.

    HHSC inspection history · no longer published by HHSC; kept here

  195. Nov 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  196. Nov 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  197. Nov 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  198. Nov 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  199. Nov 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  200. Nov 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  201. Nov 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  202. Nov 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  203. Nov 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  204. Nov 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  205. Nov 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  206. Nov 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  207. Nov 15, 2023 Inspection · Deficiencies cited
    • Illness & medication

      One out of three service plans reviewed did not have psychological recommendations documented in the service plan.

      HHSC 748.1337(b)(1)(A)(vii) — Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications

      HHSC risk weight: Low. Corrected 2023-11-22. Correction verified 2023-11-21.

    HHSC inspection history · no longer published by HHSC; kept here

  208. Nov 15, 2023 Inspection · Deficiencies cited
    • Illness & medication

      One out of three service plans reviewed did not have psychological recommendations documented in the service plan.

      HHSC 748.1337(b)(1)(A)(vii) — Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications

      HHSC risk weight: Low. Corrected 2023-11-22. Correction verified 2023-11-21.

    HHSC inspection history

  209. Nov 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  210. Nov 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  211. Nov 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  212. Nov 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  213. Oct 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  214. Oct 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  215. Oct 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  216. Oct 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  217. Oct 24, 2023 Report · Deficiencies cited (self-report)
    • Other

      Staff failed to implement an EBI restraint when a child in care was engaging in self-harm. Additionally, staff failed to de-escalate the behaviors and provoked escalation when an intervention could have prevented the injuries.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2023-12-14. Correction verified 2023-12-11.

    • Supervision & ratios

      Caregivers created an unsafe environment for an escalated child by verbally provoking the child until law enforcement was called to intervene by arrest.

      HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being

      HHSC risk weight: Medium. Corrected 2023-12-14. Correction verified 2023-12-11.

    HHSC inspection history · no longer published by HHSC; kept here

  218. Oct 24, 2023 Report · Deficiencies cited (self-report)
    • Other

      Staff failed to implement an EBI restraint when a child in care was engaging in self-harm. Additionally, staff failed to de-escalate the behaviors and provoked escalation when an intervention could have prevented the injuries.

      HHSC 748.2551(a) — EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

      HHSC risk weight: Medium High. Corrected 2023-12-14. Correction verified 2023-12-11.

    • Supervision & ratios

      Caregivers created an unsafe environment for an escalated child by verbally provoking the child until law enforcement was called to intervene by arrest.

      HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being

      HHSC risk weight: Medium. Corrected 2023-12-14. Correction verified 2023-12-11.

    HHSC inspection history

  219. Oct 20, 2023 Report · Deficiencies cited
    • Other

      Multiple children in care were denied the right to contact their caseworker.

      HHSC 748.1101(b)(2) — Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest

      HHSC risk weight: Medium. Corrected 2023-11-28. Correction verified 2023-11-24.

    • Other

      Direct Care Staff and Administrative staff failed to follow the directives included in a child's service plan which calls for contact with the child's caseworker outside of normal business hours when the child is escalated.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2023-11-28. Correction verified 2023-11-24.

    HHSC inspection history · no longer published by HHSC; kept here

  220. Oct 20, 2023 Report · Deficiencies cited
    • Other

      Multiple children in care were denied the right to contact their caseworker.

      HHSC 748.1101(b)(2) — Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest

      HHSC risk weight: Medium. Corrected 2023-11-28. Correction verified 2023-11-24.

    • Other

      Direct Care Staff and Administrative staff failed to follow the directives included in a child's service plan which calls for contact with the child's caseworker outside of normal business hours when the child is escalated.

      HHSC 748.685(c)(6) — Implement and follow the children's service plans.

      HHSC risk weight: Medium. Corrected 2023-11-28. Correction verified 2023-11-24.

    HHSC inspection history

  221. Oct 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  222. Oct 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  223. Oct 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  224. Oct 17, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  225. Oct 15, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  226. Oct 15, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  227. Oct 6, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  228. Oct 6, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  229. Oct 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  230. Oct 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  231. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  232. Oct 4, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  233. Oct 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  234. Oct 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  235. Sep 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  236. Sep 25, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  237. Sep 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  238. Sep 23, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  239. Sep 19, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was not given one medication for 3 days in a row and was also not given a lunch dose of another 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 2023-09-19. Correction verified 2023-10-03.

    HHSC inspection history

  240. Sep 19, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was not given one medication for 3 days in a row and was also not given a lunch dose of another 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 2023-09-19. Correction verified 2023-10-03.

    HHSC inspection history · no longer published by HHSC; kept here

  241. Sep 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  242. Sep 14, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  243. Sep 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  244. Sep 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  245. Sep 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  246. Sep 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  247. Aug 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  248. Aug 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  249. Aug 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  250. Aug 29, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  251. Aug 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  252. Aug 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  253. Aug 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  254. Aug 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  255. Aug 21, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care has not been given two doses of her Clonidine 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 2023-08-23. Correction verified 2023-09-05.

    HHSC inspection history

  256. Aug 21, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care has not been given two doses of her Clonidine 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 2023-08-23. Correction verified 2023-09-05.

    HHSC inspection history · no longer published by HHSC; kept here

  257. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  258. Aug 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  259. Aug 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  260. Aug 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  261. Aug 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  262. Aug 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  263. Aug 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  264. Aug 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  265. Aug 10, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  266. Aug 10, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  267. Aug 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  268. Aug 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  269. Aug 8, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on August 8, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2023-08-09. Correction verified 2023-08-08.

    HHSC inspection history · no longer published by HHSC; kept here

  270. Aug 8, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on August 8, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2023-08-09. Correction verified 2023-08-08.

    HHSC inspection history

  271. Aug 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  272. Aug 1, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  273. Jul 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  274. Jul 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  275. Jul 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  276. Jul 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  277. Jul 30, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  278. Jul 30, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  279. Jul 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  280. Jul 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  281. Jul 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  282. Jul 25, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  283. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  284. Jul 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  285. Jul 21, 2023 Report · Deficiencies cited
    • Illness & medication

      Two staff failed to follow the operations policies and procedures. One staff brought into the operation their personal prescribed medication. The second staff failed to follow policy by allowing children into the kitchen.

      HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures

      HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-17.

    HHSC inspection history

  286. Jul 21, 2023 Report · Deficiencies cited
    • Illness & medication

      Two staff failed to follow the operations policies and procedures. One staff brought into the operation their personal prescribed medication. The second staff failed to follow policy by allowing children into the kitchen.

      HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures

      HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-17.

    HHSC inspection history · no longer published by HHSC; kept here

  287. Jul 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  288. Jul 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  289. Jul 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  290. Jul 5, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  291. Jul 3, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  292. Jul 3, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  293. Jun 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  294. Jun 26, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  295. Jun 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  296. Jun 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  297. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  298. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  299. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  300. Jun 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  301. Jun 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  302. Jun 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  303. Jun 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  304. Jun 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  305. May 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  306. May 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  307. May 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  308. May 31, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  309. May 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  310. May 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  311. May 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  312. May 19, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  313. May 15, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given another child in care's 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 2023-05-17. Correction verified 2023-05-31.

    • Illness & medication

      There were four children in care with medication errors that did not have a full explenation of what the errors were.

      HHSC 748.2203(c)(2) — Medication Error-Document the medication error

      HHSC risk weight: Medium High. Corrected 2023-05-17. Correction verified 2023-05-31.

    HHSC inspection history · no longer published by HHSC; kept here

  314. May 15, 2023 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given another child in care's 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 2023-05-17. Correction verified 2023-05-31.

    • Illness & medication

      There were four children in care with medication errors that did not have a full explenation of what the errors were.

      HHSC 748.2203(c)(2) — Medication Error-Document the medication error

      HHSC risk weight: Medium High. Corrected 2023-05-17. Correction verified 2023-05-31.

    HHSC inspection history

  315. May 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  316. May 11, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  317. May 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  318. May 9, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  319. May 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  320. May 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  321. May 1, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  322. May 1, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  323. Apr 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  324. Apr 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  325. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  326. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  327. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  328. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  329. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  330. Apr 20, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  331. Apr 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  332. Apr 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  333. Apr 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  334. Apr 18, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  335. Apr 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  336. Apr 17, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  337. Apr 17, 2023 Report · Deficiencies cited
    • Illness & medication

      A child in care was administered prescription medications which were prescribed to another child in care.

      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 2023-05-23. Correction verified 2023-05-19.

    HHSC inspection history · no longer published by HHSC; kept here

  338. Apr 17, 2023 Report · Deficiencies cited
    • Illness & medication

      A child in care was administered prescription medications which were prescribed to another child in care.

      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 2023-05-23. Correction verified 2023-05-19.

    HHSC inspection history

  339. Apr 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  340. Apr 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  341. Apr 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  342. Apr 14, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  343. Apr 12, 2023 Report · Deficiencies cited
    • Records & paperwork

      Child received medical attention for an injury to the knee three days prior to child reporting they had slipped and fell in the shower. The incident, of the child falling in the shower was not documented and medical attention was not provided. Staff failed to use prudent judgement when decided to not document the incident or offer medical attention knowing that the child had received an injury three days prior to reporting the fall.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-31.

    HHSC inspection history

  344. Apr 12, 2023 Report · Deficiencies cited
    • Records & paperwork

      Child received medical attention for an injury to the knee three days prior to child reporting they had slipped and fell in the shower. The incident, of the child falling in the shower was not documented and medical attention was not provided. Staff failed to use prudent judgement when decided to not document the incident or offer medical attention knowing that the child had received an injury three days prior to reporting the fall.

      HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      HHSC risk weight: Medium High. Corrected 2023-05-25. Correction verified 2023-05-31.

    HHSC inspection history · no longer published by HHSC; kept here

  345. Apr 10, 2023 Report · Deficiencies cited
    • Supervision & ratios

      A child in care injured her knee at the operation and was transported to the hospital via ambulance the attending physician provided orders that the child receive a follow up within two days with the child's primary care physician. The operation did not take the child for a follow up appointment.

      HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional

      HHSC risk weight: Medium High. Corrected 2023-05-18. Correction verified 2023-05-31.

    • Illness & medication

      A child in care was injured at the operation and had to be transported to the hospital via ambulance and Licensing was not notified of the child's injury.

      HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

      HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-05-31.

    • Illness & medication

      A child in care was injured at the operation and had to be transported to the hospital via ambulance and the managing conservator was not notified of the child's injury.

      HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.

      HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-05-31.

    HHSC inspection history

  346. Apr 10, 2023 Report · Deficiencies cited
    • Supervision & ratios

      A child in care injured her knee at the operation and was transported to the hospital via ambulance the attending physician provided orders that the child receive a follow up within two days with the child's primary care physician. The operation did not take the child for a follow up appointment.

      HHSC 748.1531(d) — Medical care-Obtain follow-up medical treatment as recommended by the health-care professional

      HHSC risk weight: Medium High. Corrected 2023-05-18. Correction verified 2023-05-31.

    • Illness & medication

      A child in care was injured at the operation and had to be transported to the hospital via ambulance and Licensing was not notified of the child's injury.

      HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

      HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-05-31.

    • Illness & medication

      A child in care was injured at the operation and had to be transported to the hospital via ambulance and the managing conservator was not notified of the child's injury.

      HHSC 748.303(a)(2)(B) — AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.

      HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-05-31.

    HHSC inspection history · no longer published by HHSC; kept here

  347. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  348. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  349. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  350. Apr 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  351. Mar 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  352. Mar 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  353. Mar 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  354. Mar 21, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  355. Mar 13, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  356. Mar 13, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  357. Mar 13, 2023 Report · Deficiencies cited
    • Records & paperwork Serious

      Children in care reported that they only have access to phones to communicate with their CASA or Case Manger during their call day and are not allowed to contact their workers on the weekend. Several staff stated that they must get approval from the Caseworker for children in make calls. Caseworker stated he tries to get phone calls completed during the week due to not having floater staff on the weekends which would enable a staff to take the child to make calls.

      HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously

      HHSC risk weight: High. Corrected 2023-04-27. Correction verified 2023-05-01.

    HHSC inspection history

  358. Mar 13, 2023 Report · Deficiencies cited
    • Records & paperwork Serious

      Children in care reported that they only have access to phones to communicate with their CASA or Case Manger during their call day and are not allowed to contact their workers on the weekend. Several staff stated that they must get approval from the Caseworker for children in make calls. Caseworker stated he tries to get phone calls completed during the week due to not having floater staff on the weekends which would enable a staff to take the child to make calls.

      HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously

      HHSC risk weight: High. Corrected 2023-04-27. Correction verified 2023-05-01.

    HHSC inspection history · no longer published by HHSC; kept here

  359. Mar 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  360. Mar 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  361. Mar 6, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  362. Mar 6, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  363. Mar 1, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  364. Mar 1, 2023 Assessment · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  365. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  366. Feb 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  367. Feb 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  368. Feb 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  369. Feb 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  370. Feb 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  371. Feb 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  372. Feb 16, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  373. Feb 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  374. Feb 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  375. Feb 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  376. Feb 7, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  377. Feb 6, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on 2/6/2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on January 20, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: The operation received a High weighted citation in a pattern/trend category on January 20, 2023. Specifically, the operation was cited for 748.685(a)(3) Caregiver responsibility - being aware of and accountable for each child's on-going activity. The operation met compliance on January 30, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2023-02-07. Correction verified 2023-02-06.

    HHSC inspection history · no longer published by HHSC; kept here

  378. Feb 6, 2023 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on 2/6/2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on January 20, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: The operation received a High weighted citation in a pattern/trend category on January 20, 2023. Specifically, the operation was cited for 748.685(a)(3) Caregiver responsibility - being aware of and accountable for each child's on-going activity. The operation met compliance on January 30, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2023-02-07. Correction verified 2023-02-06.

    HHSC inspection history

  379. Jan 23, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  380. Jan 23, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  381. Jan 19, 2023 Report · Deficiencies cited (self-report)
    • Records & paperwork Serious

      A child in care was intimidated by staff regarding allegations of a previous investigation. Children in care were offered incentives to provide information to staff regarding activity on the unit.

      HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously

      HHSC risk weight: High. Corrected 2023-03-24. Correction verified 2023-04-03.

    HHSC inspection history

  382. Jan 19, 2023 Report · Deficiencies cited (self-report)
    • Records & paperwork Serious

      A child in care was intimidated by staff regarding allegations of a previous investigation. Children in care were offered incentives to provide information to staff regarding activity on the unit.

      HHSC 748.1101(b)(7) — Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously

      HHSC risk weight: High. Corrected 2023-03-24. Correction verified 2023-04-03.

    HHSC inspection history · no longer published by HHSC; kept here

  383. Jan 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  384. Jan 9, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  385. Dec 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  386. Dec 29, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  387. Dec 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  388. Dec 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  389. Dec 19, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  390. Dec 19, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  391. Dec 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  392. Dec 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  393. Dec 12, 2022 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given a full tablet instead of a half tablet as prescribed by the doctor

      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 2022-12-12. Correction verified 2022-12-16.

    • Illness & medication

      The time medication was administered was not documeted for at least two children in care and for several of there medications.

      HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered

      HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-16.

    HHSC inspection history · no longer published by HHSC; kept here

  394. Dec 12, 2022 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given a full tablet instead of a half tablet as prescribed by the doctor

      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 2022-12-12. Correction verified 2022-12-16.

    • Illness & medication

      The time medication was administered was not documeted for at least two children in care and for several of there medications.

      HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered

      HHSC risk weight: Medium High. Corrected 2022-12-16. Correction verified 2022-12-16.

    HHSC inspection history

  395. Nov 29, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  396. Nov 29, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  397. Nov 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  398. Nov 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  399. Nov 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  400. Nov 28, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  401. Nov 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  402. Nov 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  403. Nov 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  404. Nov 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  405. Nov 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  406. Nov 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  407. Nov 10, 2022 Report · Deficiencies cited (self-report)
    • Safety & premises

      A child in care was subject to a short personal restraint for throwing a water bottle and hitting staff. The staff member failed to utilize any form of de-escalation prior to implementing the restraint. Other staff present noted that de-escalation strategies should have been attempted prior to the restraint.

      HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective

      HHSC risk weight: Medium High. Corrected 2022-12-28. Correction verified 2022-12-27.

    • Other Serious

      A child in care was placed in a short personal restraint in a bedroom, between two wooden beds. During the restraint, the child complained of not being able to breathe. After the restraint, the was observed with scratches on her face and bruising on her wrist and was later taken to the doctor for complaints of pain in her chest and arms.

      HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child

      HHSC risk weight: High. Corrected 2022-12-28. Correction verified 2022-12-27.

    HHSC inspection history

  408. Nov 10, 2022 Report · Deficiencies cited (self-report)
    • Safety & premises

      A child in care was subject to a short personal restraint for throwing a water bottle and hitting staff. The staff member failed to utilize any form of de-escalation prior to implementing the restraint. Other staff present noted that de-escalation strategies should have been attempted prior to the restraint.

      HHSC 748.2455(a)(1) — Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective

      HHSC risk weight: Medium High. Corrected 2022-12-28. Correction verified 2022-12-27.

    • Other Serious

      A child in care was placed in a short personal restraint in a bedroom, between two wooden beds. During the restraint, the child complained of not being able to breathe. After the restraint, the was observed with scratches on her face and bruising on her wrist and was later taken to the doctor for complaints of pain in her chest and arms.

      HHSC 748.2551(c)(1) — EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child

      HHSC risk weight: High. Corrected 2022-12-28. Correction verified 2022-12-27.

    HHSC inspection history · no longer published by HHSC; kept here

  409. Nov 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  410. Nov 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  411. Nov 9, 2022 Report · Deficiencies cited
    • Illness & medication

      A caregiver implemented an emergency behavior intervention on a child in care through a short personal restraint in a non-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 2022-12-22. Correction verified 2022-12-21.

    • Safety & premises

      A caregiver performed a short personal restraint on a child in care as a means to get a child to comply in a non-emergency situation. The caregiver grabbed the child's arm so that the caregiver could remove photographs from the child's hand.

      HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2022-12-22. Correction verified 2022-12-21.

    HHSC inspection history · no longer published by HHSC; kept here

  412. Nov 9, 2022 Report · Deficiencies cited
    • Illness & medication

      A caregiver implemented an emergency behavior intervention on a child in care through a short personal restraint in a non-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 2022-12-22. Correction verified 2022-12-21.

    • Safety & premises

      A caregiver performed a short personal restraint on a child in care as a means to get a child to comply in a non-emergency situation. The caregiver grabbed the child's arm so that the caregiver could remove photographs from the child's hand.

      HHSC 748.2463(3) — Emergency Behavior Intervention-Never used as a means to get a child to comply

      HHSC risk weight: Medium High. Corrected 2022-12-22. Correction verified 2022-12-21.

    HHSC inspection history

  413. Nov 7, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  414. Nov 7, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  415. Nov 7, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  416. Nov 7, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  417. Oct 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  418. Oct 31, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  419. Oct 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  420. Oct 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  421. Oct 24, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      A child in care was taken into police custody following a motor vehicle accident on October 22, 2022. The operation did not report the incident until October 24, 2022.

      HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.

      HHSC risk weight: Medium. Corrected 2022-12-06. Correction verified 2022-12-14.

    • Supervision & ratios

      During an outing, staff allowed two children with histories of elopements, to be out of visual range supervision. Staff were also unaware the children had taken keys to the operation's vehicle.

      HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks

      HHSC risk weight: Medium High. Corrected 2022-12-06. Correction verified 2022-12-14.

    HHSC inspection history

  422. Oct 24, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios

      A child in care was taken into police custody following a motor vehicle accident on October 22, 2022. The operation did not report the incident until October 24, 2022.

      HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.

      HHSC risk weight: Medium. Corrected 2022-12-06. Correction verified 2022-12-14.

    • Supervision & ratios

      During an outing, staff allowed two children with histories of elopements, to be out of visual range supervision. Staff were also unaware the children had taken keys to the operation's vehicle.

      HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks

      HHSC risk weight: Medium High. Corrected 2022-12-06. Correction verified 2022-12-14.

    HHSC inspection history · no longer published by HHSC; kept here

  423. Oct 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  424. Oct 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  425. Oct 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  426. Oct 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  427. Oct 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  428. Oct 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  429. Sep 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  430. Sep 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  431. Sep 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  432. Sep 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  433. Sep 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  434. Sep 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  435. Aug 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  436. Aug 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  437. Aug 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  438. Aug 21, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  439. Aug 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  440. Aug 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  441. Aug 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  442. Aug 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  443. Aug 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  444. Aug 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  445. Aug 5, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on August 5, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on May 18, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: The operation received a medium-high weighted citation in a pattern/trend category on May 18, 2022. Specifically, the operation was cited for 748.2307(8) Other prohibited Punishments. The operation met compliance on June 2, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2022-08-06. Correction verified 2022-08-05.

    HHSC inspection history · no longer published by HHSC; kept here

  446. Aug 5, 2022 Assessment · Deficiencies cited
    • Supervision & ratios

      During a review conducted on August 5, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on May 18, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: The operation received a medium-high weighted citation in a pattern/trend category on May 18, 2022. Specifically, the operation was cited for 748.2307(8) Other prohibited Punishments. The operation met compliance on June 2, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

      HHSC 748.535(2) — Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

      HHSC risk weight: Medium High. Corrected 2022-08-06. Correction verified 2022-08-05.

    HHSC inspection history

  447. Aug 4, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  448. Aug 4, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  449. Aug 2, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver failed to comply with the operation's tobacco and e-cigarette policy by vaping in an operation owned vehicle when children were not in the vehicle.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-09-09. Correction verified 2022-09-08.

    HHSC inspection history

  450. Aug 2, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver failed to comply with the operation's tobacco and e-cigarette policy by vaping in an operation owned vehicle when children were not in the vehicle.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-09-09. Correction verified 2022-09-08.

    HHSC inspection history · no longer published by HHSC; kept here

  451. Jul 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  452. Jul 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  453. Jul 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  454. Jul 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  455. Jul 26, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  456. Jul 26, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  457. Jul 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  458. Jul 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  459. Jul 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  460. Jul 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  461. Jun 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  462. Jun 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  463. Jun 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  464. Jun 30, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  465. Jun 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  466. Jun 29, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  467. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  468. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  469. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  470. Jun 14, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  471. Jun 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  472. Jun 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  473. Jun 12, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  474. Jun 12, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  475. Jun 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  476. Jun 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  477. Jun 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  478. Jun 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  479. Jun 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  480. Jun 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  481. May 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  482. May 17, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  483. May 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  484. May 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  485. May 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  486. May 5, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  487. May 3, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  488. May 3, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  489. Apr 22, 2022 Report · Deficiencies cited
    • Other

      A caregiver yells and uses profanity in the presence of children in care.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2022-05-27. Correction verified 2022-06-02.

    HHSC inspection history · no longer published by HHSC; kept here

  490. Apr 22, 2022 Report · Deficiencies cited
    • Other

      A caregiver yells and uses profanity in the presence of children in care.

      HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child

      HHSC risk weight: Medium High. Corrected 2022-05-27. Correction verified 2022-06-02.

    HHSC inspection history

  491. Apr 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  492. Apr 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  493. Apr 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  494. Apr 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  495. Apr 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  496. Apr 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  497. Apr 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  498. Apr 13, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  499. Apr 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  500. Apr 11, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  501. Apr 7, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  502. Apr 7, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  503. Apr 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  504. Apr 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  505. Mar 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  506. Mar 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  507. Mar 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  508. Mar 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  509. Feb 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  510. Feb 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  511. Feb 10, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver failed to follow the operation's policies and procedures by bringing tobacco products onto the campus and into the facility.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-04-05. Correction verified 2022-04-14.

    • Other Serious

      Three children in care accessed and used an e-cigarette lost by an employee in the facility.

      HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers

      HHSC risk weight: High. Corrected 2022-04-05. Correction verified 2022-04-14.

    HHSC inspection history · no longer published by HHSC; kept here

  512. Feb 10, 2022 Report · Deficiencies cited
    • Supervision & ratios

      A caregiver failed to follow the operation's policies and procedures by bringing tobacco products onto the campus and into the facility.

      HHSC 748.125(b) — All employees and caregivers must be aware of and follow your operation's policies and procedures

      HHSC risk weight: Medium. Corrected 2022-04-05. Correction verified 2022-04-14.

    • Other Serious

      Three children in care accessed and used an e-cigarette lost by an employee in the facility.

      HHSC 748.1661(a) — Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers

      HHSC risk weight: High. Corrected 2022-04-05. Correction verified 2022-04-14.

    HHSC inspection history

  513. Feb 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  514. Feb 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  515. Feb 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  516. Feb 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  517. Jan 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  518. Jan 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  519. Jan 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  520. Jan 25, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  521. Jan 10, 2022 Inspection · Deficiencies cited
    • Illness & medication

      There were two missed medications. One on 1/8/2022 and one on 1/9/2022.

      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 2022-01-17. Correction verified 2022-01-25.

    HHSC inspection history

  522. Jan 10, 2022 Inspection · Deficiencies cited
    • Illness & medication

      There were two missed medications. One on 1/8/2022 and one on 1/9/2022.

      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 2022-01-17. Correction verified 2022-01-25.

    HHSC inspection history · no longer published by HHSC; kept here

  523. Jan 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  524. Jan 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  525. Dec 29, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  526. Dec 29, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  527. Dec 28, 2021 Inspection · Deficiencies cited
    • Illness & medication

      This standard is being tasked as a follow up to inspection 3854778. There have been 12 different medications given in inproper dosages to children in care according to the instructions on the label. These medications were either not given to children at all or were given in a higher dosage than 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 2022-01-04. Correction verified 2022-01-10.

    HHSC inspection history

  528. Dec 28, 2021 Inspection · Deficiencies cited
    • Illness & medication

      This standard is being tasked as a follow up to inspection 3854778. There have been 12 different medications given in inproper dosages to children in care according to the instructions on the label. These medications were either not given to children at all or were given in a higher dosage than 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 2022-01-04. Correction verified 2022-01-10.

    HHSC inspection history · no longer published by HHSC; kept here

  529. Dec 22, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  530. Dec 22, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  531. Dec 15, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  532. Dec 15, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  533. Dec 14, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  534. Dec 14, 2021 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  535. Dec 13, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  536. Dec 13, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  537. Dec 13, 2021 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given another child in care's 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 2021-12-27. Correction verified 2021-12-28.

    HHSC inspection history

  538. Dec 13, 2021 Inspection · Deficiencies cited
    • Illness & medication

      A child in care was given another child in care's 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 2021-12-27. Correction verified 2021-12-28.

    HHSC inspection history · no longer published by HHSC; kept here

  539. Dec 9, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  540. Dec 9, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  541. Dec 7, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  542. Dec 7, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  543. Nov 30, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  544. Nov 30, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  545. Nov 15, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  546. Nov 15, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  547. Nov 4, 2021 Report · Deficiencies cited (self-report)
    • Other Serious

      A caregiver did not complete a pre-employment drug screening prior to having contact with children in care.

      HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access

      HHSC risk weight: High. Corrected 2022-01-12. Correction verified 2022-01-07.

    HHSC inspection history · no longer published by HHSC; kept here

  548. Nov 4, 2021 Report · Deficiencies cited (self-report)
    • Other Serious

      A caregiver did not complete a pre-employment drug screening prior to having contact with children in care.

      HHSC 745.4151(c)(4)(A) — Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access

      HHSC risk weight: High. Corrected 2022-01-12. Correction verified 2022-01-07.

    HHSC inspection history

  549. Nov 3, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  550. Nov 3, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  551. Nov 1, 2021 Inspection · Deficiencies cited
    • Safety & premises

      Emergency behavior Intervention for a child in care documentation was not fully completed within 24 hours. Missing information includes any injuries the child sustained during the intervention and the action the caregiver took to help the child return to normal activity.

      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 2021-11-08. Correction verified 2021-11-15.

    • Safety & premises

      An emergency behavior incident report did not include a documented review by the supervisor of the incident within 72 hours.

      HHSC 748.2855(b) — EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident

      HHSC risk weight: Medium High. Corrected 2021-11-08. Correction verified 2021-11-15.

    HHSC inspection history · no longer published by HHSC; kept here

  552. Nov 1, 2021 Inspection · Deficiencies cited
    • Safety & premises

      Emergency behavior Intervention for a child in care documentation was not fully completed within 24 hours. Missing information includes any injuries the child sustained during the intervention and the action the caregiver took to help the child return to normal activity.

      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 2021-11-08. Correction verified 2021-11-15.

    • Safety & premises

      An emergency behavior incident report did not include a documented review by the supervisor of the incident within 72 hours.

      HHSC 748.2855(b) — EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident

      HHSC risk weight: Medium High. Corrected 2021-11-08. Correction verified 2021-11-15.

    HHSC inspection history

  553. Oct 29, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  554. Oct 29, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  555. Oct 25, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  556. Oct 25, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  557. Oct 20, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  558. Oct 20, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  559. Oct 7, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  560. Oct 7, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

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.