A Better Choice ABC LLC
1835 S PERRY RD, Carrollton, TX 75006 · Dallas County
Program
- Type
- General residential operation
- Licensed capacity
- 9
- Ages
- 14-17
- Hours
- -
- Director / administrator
- Michael Atwater
- Phone
- (469) 877-1559
- Regulated since
- Oct 12, 2023
- HHSC IDs
- Operation 1420250 · number 1752752
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 13 | 4 | Illness & medication (1), Supervision & ratios (3), Discipline & child guidance (1), Safety & premises (2), Records & paperwork (3), Other (3) |
| 2025 | 31 | 8 | Cleanliness & sanitation (2), Illness & medication (5), Supervision & ratios (2), Discipline & child guidance (2), Safety & premises (2), Staff background & training (7), Records & paperwork (7), Other (4) |
| 2024 | 20 | 2 | Illness & medication (5), Supervision & ratios (6), Staff background & training (2), Records & paperwork (3), Other (4) |
| 2023 | 20 | 5 | Illness & medication (3), Supervision & ratios (4), Discipline & child guidance (3), Safety & premises (2), Staff background & training (1), Records & paperwork (3), Other (4) |
Enforcement actions
- Seen Oct 1, 2026 — Corrective action in effect (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2026 Inspection
No violations cited on this visit.
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Aug 1, 2026 Report · Recorded (self-report)
No violations cited on this visit.
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2026 Inspection · Deficiencies cited
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Other Serious
Condition #1 is met Condition #2 is met Condition #3 is met Condition #4 is not met Condition #5 is met Condition #6 is met Condition #7 is met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2026-07-03. Correction verified 2026-07-06.
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Supervision & ratios
During the review of files, the following is missing: pre-employment screening does not document the previous employer's results and the pre-employment affidavit it's not signed by the staff member.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-07-03. Correction verified 2026-06-30.
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Other Serious
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Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Inspection · Deficiencies cited
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Discipline & child guidance
One child's file reviewed did not contain a suicide risk screening upon admission. Additionally, the child's admission assessment did not contain the following information: the child's social history, mental health and substance abuse history, school history, previous placements outside the home, and the child's criminal history. (748.1217 (1, 5, 6, 7, 8)
HHSC 748.1205(a)(14) — Admission Documentation- Includes the results of the suicide screening at admission, if required.
HHSC risk weight: Low. Corrected 2026-06-03. Correction verified 2026-06-04.
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Other
Two child files reviewed did not have initial service plans. There were also no service plan reviews for a child who has been placed for 13 months.
HHSC 748.1335 — Initial Service Plan-Complete the initial service plan within 45 days after admission
HHSC risk weight: Medium Low. Corrected 2026-06-03. Correction verified 2026-06-04.
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Records & paperwork
The discharge notice did not document who all was involved in the child's discharge or the reason why they were not involved, that the child was provided a four day notice of the discharge, or the address and relationship of the person who the child was discharged to. This narrative and deficiency also references (748.1433(a,b,c, and d).
HHSC 748.1437(3) — Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
HHSC risk weight: Medium Low. Corrected 2026-06-03. Correction verified 2026-06-04.
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Supervision & ratios
Children's admission assessments contained more than one child's name. The dates of the signature page of the admission assessments for two children were 7/14/24 (Children were admitted in 12/18/2025 and 4/17/25). Also, a child's preliminary service plan was dated one month prior to the actual placement of the child.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-06-03. Correction verified 2026-06-04.
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Illness & medication Serious
Upon entry of the operation, medication was observed to be in three individual medication cups located on the staff table in the front room. This was left unattended by staff when they walked out of the front room.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2026-05-29. Correction verified 2026-06-04.
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Supervision & ratios
The operation does not maintain all child records at the operation. They advised that they take paper files out of state.
HHSC 748.393(a) — Active child record-kept at operation where child is receiving services
HHSC risk weight: Medium Low. Corrected 2026-06-03. Correction verified 2026-06-04.
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Discipline & child guidance
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May 19, 2026 Report · Deficiencies cited
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Safety & premises Serious
During interviews, it was determined that a staff member with conditions transported children to and from school and at times to appointments as needed.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2026-07-20. Correction verified 2026-07-20.
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Safety & premises Serious
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Apr 15, 2026 Inspection · Deficiencies cited
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Records & paperwork
Three triggered reviews were conducted without providing a two week notice to the child's parent. They were conducted within a day or two of the event.
HHSC 748.459(b) — Unauthorized Absence Triggered Review - notify the child?s parent at least two weeks before triggered review of child?s unauthorized absences
HHSC risk weight: Medium High. Corrected 2026-04-29. Correction verified 2026-04-29.
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Records & paperwork
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Report · Deficiencies cited
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Records & paperwork
Police responded at a GRO for an altercation between children and both children were issued tickets for assault family violence.
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 2026-03-09. Correction verified 2026-03-11.
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Records & paperwork
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Jan 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · Deficiencies cited
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Safety & premises Serious
Condition #1 is met Condition #2 is met Condition #3 is met Condition #4 is met Condition #5 is met Condition #6 is not met. Two new placements do not have an initial audit completed. The children ae not emergency placements and have been in placement for almost a month. Condition #7 is met
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2026-01-16. Correction verified 2026-01-26.
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Other
A child's file reviewed did not have the child s bio parent s names or contact information documented in the file. It was also missing the child s sibling's information.
HHSC 748.1205(a)(3) — Admission Documentation-Include names, addresses, phone numbers of bio or adoptive parents, unless parental rights terminated
HHSC risk weight: Medium Low. Corrected 2026-01-16. Correction verified 2026-01-22.
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Safety & premises Serious
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 3, 2025 Inspection · Deficiencies cited
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Safety & premises
The current fire inspection was marked as a foster home and not a GRO. It was noted on the fire inspection that they housed 5 or less children.
HHSC 748.3101(2) — Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
HHSC risk weight: Medium High. Corrected 2025-12-12. Correction verified 2025-12-10.
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Safety & premises
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Dec 2, 2025 Report · Deficiencies cited
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Staff background & training Serious
A caregiver did not follow the conditions listed on their background check when the caregiver transported children.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2026-01-05. Correction verified 2026-01-05.
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Staff background & training Serious
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Nov 26, 2025 Inspection
No violations cited on this visit.
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Nov 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 12, 2025 Inspection · Deficiencies cited
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Records & paperwork
Two children's files are missing information required in the section below 748.1337(b).
HHSC 748.1337(b) — Initial Service Plan-Document in child's record and include preliminary service plan requirements
HHSC risk weight: Medium Low. Corrected 2025-11-19. Correction verified 2025-11-18.
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Supervision & ratios
Two children did not sign their initial service plans.
HHSC 748.1349(b)(2) — Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
HHSC risk weight: Low. Corrected 2025-11-19. Correction verified 2025-11-18.
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Cleanliness & sanitation
The tile in the child's bathroom is cracked and is pulling up from the floor.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-11-19. Correction verified 2025-11-18.
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Records & paperwork
Children's documents were not in their record within the 30 day timeframe requirement.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2025-11-19. Correction verified 2025-11-18.
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Staff background & training
An employee file did not have reference checks or employment verifications in their record.
HHSC 748.505(b)(6) — Minimum qualifications for employees- Must have cleared pre-employment screening assessment.
HHSC risk weight: Medium High. Corrected 2025-11-19. Correction verified 2025-11-18.
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Records & paperwork
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Oct 22, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
A contract employee did not have an eligible background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2025-10-24. Correction verified 2025-10-23.
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Other Serious
Condition 1 is met. Condition 2 is not ready for review. Condition 3 is deficient. This was corrected on 10/30 when they submitted a resume for a outside trainer. However, this was submitted late. Condition 4 is not ready for review. Condition 5 is not ready for review. Condition 6 is met. Condition 7 is met.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected at inspection. Corrected 2025-11-05.
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Records & paperwork
A contract employee does not have an employee file.
HHSC 748.723(b) — Volunteers and Contractors-Personnel record documents how volunteer requirements are met if person performs an employee function
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-05.
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Staff background & training Serious
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Sep 24, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
The facility has a lot of dirt around the windows. There are cracked tiles that are also coming up. There is a hole in a step, broken window blinds, paint is peeling in a bedroom, a broken window, cracked walls, and black marks on a wall.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-10-01. Correction verified 2025-10-22.
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Records & paperwork
Staff file is missing the form 2912.
HHSC 748.363(8) — Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
HHSC risk weight: Medium. Corrected 2025-10-01. Correction verified 2025-09-30.
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Staff background & training
The pre-employment affidavit for applicants were not completed before employees were hired and is missing information on the form.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2025-10-01. Correction verified 2025-09-30.
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Staff background & training Serious
Staff was missing the first aid trianing.
HHSC 748.911(a) — Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking
HHSC risk weight: High. Corrected 2025-10-01. Correction verified 2025-09-30.
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Staff background & training
The length of training hours is not included on all training certificates.
HHSC 748.949(b)(5) — Annual Training Documentation-Includes the length of the training in hours
HHSC risk weight: Medium Low. Corrected 2025-10-01. Correction verified 2025-09-30.
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Cleanliness & sanitation
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Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · Deficiencies cited
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Records & paperwork
It was discovered that a child attempted suicide and it was not reported to state wide intake. The child was also arrested during the same incident which is also reportable and was not reported.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2025-09-02. Correction verified 2025-09-02.
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Staff background & training
Employee files were missing the required list five years of employment history, verification of employment and reference checks.
HHSC 748.505(b)(6) — Minimum qualifications for employees- Must have cleared pre-employment screening assessment.
HHSC risk weight: Medium High. Corrected 2025-09-02. Correction verified 2025-09-02.
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Records & paperwork
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Jul 2, 2025 Inspection · Deficiencies cited
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Safety & premises
Fire extinguishers are past due for their annual inspection.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2025-07-16. Correction verified 2025-07-14.
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Safety & premises
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Jun 10, 2025 Inspection · Deficiencies cited
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Records & paperwork
A child did not have a completed admission assessment in their record.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2025-06-27. Correction verified 2025-06-27.
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Records & paperwork
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
This standard was found deficient as part of a DFPS Investigation.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2025-06-23. Correction verified 2025-07-02.
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Other Serious
Caregivers did not intervene when children in care were injured during an altercation.
HHSC 748.2551(b) — EBI Implementation-The caregiver must act to protect the child's safety
HHSC risk weight: High. Corrected 2025-06-23. Correction verified 2025-07-02.
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Illness & medication
A child was seriously injured, and the incident was not reported.
HHSC 748.303(a)(2)(A) — AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
HHSC risk weight: Medium High. Corrected 2025-06-21. Correction verified 2025-07-02.
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Records & paperwork
A serious incident report is missing the names of the staff involved.
HHSC 748.311(4) — Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
HHSC risk weight: Medium. Corrected 2025-06-23. Correction verified 2025-07-02.
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Supervision & ratios Serious
Caregivers did not provide adequate supervision to children which led to an altercation among children and resulted in a serious injury.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2025-06-23. Correction verified 2025-07-02.
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Discipline & child guidance Serious
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Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · Deficiencies cited
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Discipline & child guidance
The following information was missing from an employee file: The date of hire, the proof of education, and a signed statement showing that they must document and report incident of child abuse/neglect
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2025-04-03. Correction verified 2025-04-15.
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Other
The employee's file did not include contact names and information for reference checks, reference checks and information required for the reference checks, and an assessment of applicant's suitability to work with or around children.
HHSC 748.753(c)(3) — Pre-employment Screening- You must document your assessment of the applicant's suitability to work with or around children.
HHSC risk weight: Medium High. Corrected 2025-04-03. Correction verified 2025-04-15.
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Discipline & child guidance
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Mar 21, 2025 Inspection · Deficiencies cited
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Illness & medication
During the follow up inspection, it was discovered that the medication record was not updated within two hours of administering the medication.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-03-26.
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Illness & medication
It was discovered that a child's medication count did not match the medication log. During the follow up inspection, there was another medication that had a count that did not match the medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-03-26.
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Illness & medication
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Mar 17, 2025 Inspection · Deficiencies cited
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Illness & medication
The pill count for multiple children's medications did not match what was documented on the medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-03-19. Correction verified 2025-03-18.
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Illness & medication
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Mar 8, 2025 Inspection · Deficiencies cited
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Other Serious
During the inspection it was determined that a staff is not following the restrictions placed by CBCU.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2025-03-10. Correction verified 2025-03-21.
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Illness & medication
It was discovered that a child's medication count did not match the medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2025-03-10. Correction verified 2025-03-21.
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Other Serious
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Mar 8, 2025 Report
No violations cited on this visit.
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Feb 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Dec 5, 2024 Inspection · Deficiencies cited
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Illness & medication
A child was not given their morning medication.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2024-12-13.
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Illness & medication
The name and signature of the person dispensing the laxative was not provided only the initials were present.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-13.
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Records & paperwork
The date and time the incident was reported to the legal parent and/or law enforcement was notified was not noted on a serious incident report.
HHSC 748.313(3)(B) — Serious Incident child absent without permission-document notice to parents and law enforcement about child's absence and subsequent location/return
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-13.
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Supervision & ratios
A caregiver has transported children while driver s license is expired.
HHSC 748.4003(1)(C) — General requirements-When transporting a child the operation must ensure each driver has a current driver's license for the type of vehicle used
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2024-12-13.
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Illness & medication
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Nov 26, 2024 Inspection · Deficiencies cited
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Other Serious
During the investigation inspection, it was discovered that staff did not adhere to the restrictions placed by CBCU.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2024-11-28. Correction verified 2024-12-05.
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Illness & medication
During the investigation inspection, it was discovered that some of a child's medications are being stored in a weekly pill container outside of the original container.
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 2024-12-05. Correction verified 2024-12-05.
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Illness & medication
During the walk through for the investigation inspection, one child's medication logs were filled out for the rest of the month. The date of the inspection was on 11/26.
HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication
HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-12-05.
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Illness & medication
During the walk through when examining the medication logs, the pill count for one of the children's medications did not match what was documented on the child's medication log.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2024-12-05. Correction verified 2024-12-05.
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Other Serious
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Nov 22, 2024 Report · Deficiencies cited
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Other
There were no signatures on the preliminary service plans that were reviewed.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2025-01-31. Correction verified 2025-01-27.
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Supervision & ratios
It was determined that the service plan reviews were not being conducted for a child in care placed at the operation for more than 180 days.
HHSC 748.1381(1) — Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2025-01-31. Correction verified 2025-01-27.
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Records & paperwork
On both of the incident reports reviewed, neither one documented information about the other child involved.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2025-01-31. Correction verified 2025-01-27.
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Other
During the investigation inspection, the unauthorized absence log was not provided to licensing staff upon request.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected 2025-01-31. Correction verified 2025-01-27.
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Other
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Sep 6, 2024 Inspection · Deficiencies cited
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Supervision & ratios
The following informaton is missing from the serious incidet reports: The address of the operation, the phone number of the operation, the time of the incident, the age of the child, the gender of the child, the placement date of the child, and the resolution of the incident.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-09-13. Correction verified 2024-09-13.
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Records & paperwork
During the review of children's records, it was discoverd that the children's service plans were not in the child's file.
HHSC 748.395(1) — Active child record - All documentation in the record no later than 30 days after occurrence or event
HHSC risk weight: Low. Corrected 2024-09-13. Correction verified 2024-09-13.
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Supervision & ratios
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Jul 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2024 Report · Deficiencies cited
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Other
The admission assessments submitted did not include all the required information.
HHSC 748.1217(a) — Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained
HHSC risk weight: Medium. Corrected 2024-07-19. Correction verified 2024-07-19.
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Supervision & ratios
The preliminary service plans submitted by the operation were not signed by the PLSP.
HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services
HHSC risk weight: Medium. Corrected 2024-07-19. Correction verified 2024-07-19.
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Supervision & ratios
There were multiple documents that contained inaccurate information.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-07-19. Correction verified 2024-07-19.
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Supervision & ratios
The operation failed to self-report when a child in care was arrested.
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 2024-07-19. Correction verified 2024-07-19.
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Staff background & training
All training certificate submitted did not include the date of the training or the length of the training on the certificates.
HHSC 748.949(b)(2) — Annual Training Documentation-Includes date of the training
HHSC risk weight: Medium Low. Corrected 2024-07-19. Correction verified 2024-07-19.
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Other
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May 16, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
An out of state back ground check was not completed for an employee who moved to Texas in 2020.
HHSC 745.619 — Background Check Requirements - Submit All Identifying Information
HHSC risk weight: High. Corrected 2024-05-24. Correction verified 2024-05-22.
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Staff background & training Serious
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May 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2023 Inspection · Deficiencies cited
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Safety & premises
One of the three employee files did not have the contact attempts made prior to being hired.
HHSC 748.751(a)(2) — Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.
HHSC risk weight: Medium. Corrected 2023-09-29. Correction verified 2023-09-29.
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Safety & premises
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Sep 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 4, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
Two children in care, both age 14 were involved in inappropriate sexualized behavior while placed at the operation, and the caregiver was unaware of the children's activity.
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 2023-12-19. Correction verified 2023-12-22.
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Supervision & ratios
One of the two children at the operation were not supervised in accordance with the information that is described and documented in the child's information data.
HHSC 748.1331(f) — Preliminary Service Plan-Implement and follow the preliminary service plan
HHSC risk weight: Medium. Corrected 2023-12-19. Correction verified 2023-12-22.
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Supervision & ratios Serious
A caregiver failed to provide appropriate supervision for two children in care which allowed the children to engage in inappropriate contact while placed at the operation.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-12-19. Correction verified 2023-12-22.
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Discipline & child guidance Serious
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Aug 11, 2023 Inspection · Deficiencies cited
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Other
Both child files reviewed did not list the religion for the child in care in the admissions.
HHSC 748.1205(a)(1) — Admission Documentation-Includes child's name, gender, race, religion, date of birth
HHSC risk weight: Medium Low. Corrected 2023-08-17. Correction verified 2023-08-14.
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Other
Both child files reviewed did not have the suicide prevention assessment for children age 10 and over. Both children are over the age of 10.
HHSC 748.125(d)(4)(A) — Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-13.
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Other
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Aug 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
17-year-old child in care with a history of aggressive behaviors was escalated by a caregiver resulting in a physical altercation and the child's arrest.
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 2023-08-05. Correction verified 2023-08-11.
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Discipline & child guidance Serious
A caregiver fought and hit a child in care in the face.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2023-08-05. Correction verified 2023-08-04.
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Supervision & ratios
The incident report did not have a physical address, telephone number or the name of the operation on the incident form.
HHSC 748.311(1) — Serious Incident Documentation-Includes name of the operation, physical address, and telephone number
HHSC risk weight: Medium. Corrected 2023-08-05. Correction verified 2023-08-04.
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Other
It was determined that staff did not demonstrate self-control and maintain appropriate boundaries causing a child's behavior to escalate.
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 2023-08-05. Correction verified 2023-08-09.
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Discipline & child guidance Serious
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Jun 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2023 Inspection · Deficiencies cited
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Other
One of the two files reviewed did not have the contact numbers of the siblings.
HHSC 748.1205(a)(4) — Admission Documentation-Includes names, addresses, telephone numbers of siblings
HHSC risk weight: Low. Corrected 2023-06-07. Correction verified 2023-06-05.
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Illness & medication
One of the two childrens medication log did not match the number of pills in the pill packs.
HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HHSC risk weight: Medium High. Corrected 2023-06-02. Correction verified 2023-06-05.
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Other
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Mar 30, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
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Feb 27, 2023 Inspection · Deficiencies cited
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Illness & medication
The medication log did not have the cumulative totals listed. There was no medication log, The time, name of medication and dosage amount was llisted on the childs daily notes.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2023-03-01. Correction verified 2023-03-01.
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Illness & medication
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Jan 6, 2023 Inspection · Deficiencies cited
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Illness & medication
The Admissions policy did not include the statement "medication the children are taking"
HHSC 748.1205(a)(6) — Admission Documentation-Includes medication the child is taking
HHSC risk weight: Low. Corrected at inspection. Corrected 2023-01-06.
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Supervision & ratios
The operation supplied the updated financials for the 3 month and 12 month as well as a bank statement
HHSC 748.161(b) — Fiscal requirements - Maintain complete financial records that comply with Generally Accepted Accounting Principles
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2023-01-06.
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Records & paperwork
Both employee files reviewed did not have the date of hire in the employee file
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2023-01-11. Correction verified 2023-01-10.
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Safety & premises
Both employee files reviewed did not have the drivers license. One of them did not have the license or job description. The second employee file indicated that the employee would be assisting in driving, but did not have a vailid Texas driving license.
HHSC 748.363(10) — Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months
HHSC risk weight: Medium. Corrected 2023-01-11. Correction verified 2023-01-10.
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Records & paperwork
One of the two employee files reviewed did not contain a job description.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-01-11. Correction verified 2023-01-10.
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Records & paperwork
Both employee files did not contain documentation regarding the tuberculosis screenng or results.
HHSC 748.363(5) — Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
HHSC risk weight: Medium. Corrected 2023-01-11. Correction verified 2023-01-10.
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Staff background & training Serious
One of the two employee files reviewed did not have the background check requested.
HHSC 748.363(9) — Personnel records-Include proof of request for background checks
HHSC risk weight: High. Corrected 2023-01-11. Correction verified 2023-01-10.
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Illness & medication
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Nov 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.