Hill Country Youth Ranch
None, None, TX
Program
- Type
- General residential operation
- Licensed capacity
- 80
- Ages
- 4-17
- Hours
- 12:00 AM-
- Director / administrator
- Mark Lowman
- Phone
- (830) 367-2131
- Regulated since
- Nov 18, 2002
- HHSC IDs
- Operation 198385 · number 813238
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 28 | 4 | Cleanliness & sanitation (2), Illness & medication (16), Supervision & ratios (4), Staff background & training (4), Records & paperwork (2) |
| 2025 | 14 | 4 | Cleanliness & sanitation (2), Supervision & ratios (10), Staff background & training (2) |
| 2024 | 14 | 6 | Illness & medication (2), Supervision & ratios (8), Discipline & child guidance (2), Records & paperwork (2) |
| 2023 | 14 | 2 | Illness & medication (4), Supervision & ratios (4), Discipline & child guidance (2), Other (4) |
| 2022 | 20 | 2 | Cleanliness & sanitation (10), Supervision & ratios (6), Safety & premises (2), Records & paperwork (2) |
| 2021 | 28 | 6 | Illness & medication (6), Supervision & ratios (6), Discipline & child guidance (6), Safety & premises (2), Staff background & training (2), Other (6) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (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 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2026 Inspection · No deficiencies cited
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 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2026 Inspection · Deficiencies cited
-
Staff background & training
A staff member did not have an EBI training completed within six months.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2026-08-18. Correction verified 2026-09-09.
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Staff background & training
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Aug 12, 2026 Inspection · Deficiencies cited
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Staff background & training
A staff member did not have an EBI training completed within six months.
HHSC 748.930(b)(1)(A) — Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
HHSC risk weight: Medium High. Corrected 2026-08-18. Correction verified 2026-09-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 6, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
It was found a child was continued to be offered an expired medication 6 months after the expiration date, as it was not destroyed and removed by expiration date.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-22.
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Illness & medication
It was found that an as needed medication was stored with other medication and wasn?t discontinued 6months after expiration date.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 6, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
It was found a child was continued to be offered an expired medication 6 months after the expiration date, as it was not destroyed and removed by expiration date.
HHSC 748.2101(7) — Medication storage & destruction-remove medication on/before the expiration date & destroy it in a way that ensures children do not have access
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-22.
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Illness & medication
It was found that an as needed medication was stored with other medication and wasn?t discontinued 6months after expiration date.
HHSC 748.2103(a) — Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-22.
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Illness & medication
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 14, 2026 Inspection · Deficiencies cited
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Illness & medication
A child's eye medication was not given as prescribed. The child received five additional application of the eye ointment exceeding the discontinuation date.
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 2026-07-21. Correction verified 2026-08-12.
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Illness & medication
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Jul 14, 2026 Inspection · Deficiencies cited
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Illness & medication
A child's eye medication was not given as prescribed. The child received five additional application of the eye ointment exceeding the discontinuation date.
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 2026-07-21. Correction verified 2026-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
Child in care was not administered the correct dose of medication.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2026-07-28. Correction verified 2026-08-19.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 8, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
Child in care was not administered the correct dose of medication.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2026-07-28. Correction verified 2026-08-19.
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Illness & medication
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Jul 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 2, 2026 Report · Deficiencies cited
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Illness & medication
Interviews and documentation confirmed child receiving the wrong medication at the incorrect time.
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 2026-08-17. Correction verified 2026-08-03.
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Illness & medication
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Jul 2, 2026 Report · Deficiencies cited
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Illness & medication
Interviews and documentation confirmed child receiving the wrong medication at the incorrect time.
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 2026-08-17. Correction verified 2026-08-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
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Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 2, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
An initial background check was not submitted for multiple caregivers under the GRO.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2026-06-08. Correction verified 2026-06-18.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Jun 2, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
An initial background check was not submitted for multiple caregivers under the GRO.
HHSC 745.621(a)(2) — AP Initial background checks submitted - At the time you hire someone
HHSC risk weight: High. Corrected 2026-06-08. Correction verified 2026-06-18.
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Staff background & training Serious
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Report · Deficiencies cited
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Illness & medication
A child was given another child?s prescribed PM medications.
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 2026-06-17. Correction verified 2026-07-23.
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Illness & medication
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May 12, 2026 Report · Deficiencies cited
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Illness & medication
A child was given another child?s prescribed PM medications.
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 2026-06-17. Correction verified 2026-07-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 16, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 8, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
The information reviewed during this investigation indicated a medication was provided in the AM when it was supposed to be taken by the child in the PM. The error was noticed until a later date.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-05-11. Correction verified 2026-05-12.
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Illness & medication
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Apr 8, 2026 Report · Deficiencies cited (self-report)
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Illness & medication
The information reviewed during this investigation indicated a medication was provided in the AM when it was supposed to be taken by the child in the PM. The error was noticed until a later date.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-05-11. Correction verified 2026-05-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the serious incident reported did not include the name of the medical provider.
HHSC 748.311(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2026-04-30. Correction verified 2026-04-28.
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Records & paperwork
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Mar 25, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork
Review of the serious incident reported did not include the name of the medical provider.
HHSC 748.311(9) — Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any
HHSC risk weight: Medium. Corrected 2026-04-30. Correction verified 2026-04-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
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Mar 16, 2026 Report · Deficiencies cited
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Illness & medication
Child was given the wrong medication and on other occasions missed prescribed 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 2026-04-22. Correction verified 2026-05-12.
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Illness & medication
-
Mar 16, 2026 Report · Deficiencies cited
-
Illness & medication
Child was given the wrong medication and on other occasions missed prescribed 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 2026-04-22. Correction verified 2026-05-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 11, 2026 Inspection · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 30, 2026 Inspection · Deficiencies cited
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Supervision & ratios
During a monitoring inspection, it was found that the operation is reporting Emergency Behavior Intervention (EBI) data to include EBI performed at the Residential Treatment Center (RTC). This is inaccurate record keeping as the data must only include data from the GRO.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-02-12. Correction verified 2026-02-05.
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Cleanliness & sanitation
Children's bathrooms were observed to be missing soap, towels and trashcans. Trash cans were also observed to be overflowing needed to be emptied. Staff were notified of missing items and replaced them during inspection.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-01-30.
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Supervision & ratios Serious
Liability insurance information provided expired 1/28/26- operation does not have current liability insurance.
HHSC HRC 42.049(a) - Operational Responsibilities- Maintain liabi — HRC 42.049(a) - Operational Responsibilities- Maintain liability insurance coverage in the amount of $100,000 for each occurrence of negligence
HHSC risk weight: High. Corrected 2026-02-12. Correction verified 2026-02-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 30, 2026 Inspection · Deficiencies cited
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Supervision & ratios
During a monitoring inspection, it was found that the operation is reporting Emergency Behavior Intervention (EBI) data to include EBI performed at the Residential Treatment Center (RTC). This is inaccurate record keeping as the data must only include data from the GRO.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2026-02-12. Correction verified 2026-02-05.
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Cleanliness & sanitation
Children's bathrooms were observed to be missing soap, towels and trashcans. Trash cans were also observed to be overflowing needed to be emptied. Staff were notified of missing items and replaced them during inspection.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-01-30.
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Supervision & ratios Serious
Liability insurance information provided expired 1/28/26- operation does not have current liability insurance.
HHSC HRC 42.049(a) - Operational Responsibilities- Maintain liabi — HRC 42.049(a) - Operational Responsibilities- Maintain liability insurance coverage in the amount of $100,000 for each occurrence of negligence
HHSC risk weight: High. Corrected 2026-02-12. Correction verified 2026-02-05.
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Supervision & ratios
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Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 9, 2025 Assessment · Deficiencies cited
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Staff background & training
The last background check validation was completed 07/03/25, as of today 12/09/25 operation has not completed backcheck validation which is over a month past due.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-15.
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Staff background & training
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Dec 9, 2025 Assessment · Deficiencies cited
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Staff background & training
The last background check validation was completed 07/03/25, as of today 12/09/25 operation has not completed backcheck validation which is over a month past due.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 5, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
During an unannounced investigation inspection a bathroom was seen to be unirderly, clothes, paper towels and hygiene items were seen to be on the floor, along with no trash can in the bathrooms in the entire house 3/3 bathrooms.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2025-12-19. Correction verified 2026-01-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Dec 5, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
During an unannounced investigation inspection a bathroom was seen to be unirderly, clothes, paper towels and hygiene items were seen to be on the floor, along with no trash can in the bathrooms in the entire house 3/3 bathrooms.
HHSC 748.3351(1) — Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HHSC risk weight: Medium High. Corrected 2025-12-19. Correction verified 2026-01-20.
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Cleanliness & sanitation
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Dec 4, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During an investigation it was determined a direct care staff did not intervene when two children in care engaged in a physical altercation leading to one child sustaining injuries.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2026-01-07. Correction verified 2026-01-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Dec 4, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During an investigation it was determined a direct care staff did not intervene when two children in care engaged in a physical altercation leading to one child sustaining injuries.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2026-01-07. Correction verified 2026-01-20.
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Supervision & ratios Serious
-
Nov 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 4, 2025 Report · Deficiencies cited
-
Supervision & ratios
It was noted that both on and off campus communication is not reliable at the operation, there was information that you can?t call on or off the campus. There were problems with staff communication and ability to contact Emergency Care Services when a child and staff member were involved in an ATV accident.
HHSC 748.3309(2) — Communication-Operation must have communication system to allow employees to contact other employees in the operation as needed
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-20.
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Supervision & ratios
Children under the age of 16 have been routinely riding on All Terrain Vehicles at the operation.
HHSC 748.3719(b) — All-Terrain Vehicles-Only a child 16 years or older may ride on or operate a four-wheel all-terrain vehicle
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-20.
-
Supervision & ratios
-
Nov 4, 2025 Report · Deficiencies cited
-
Supervision & ratios
It was noted that both on and off campus communication is not reliable at the operation, there was information that you can?t call on or off the campus. There were problems with staff communication and ability to contact Emergency Care Services when a child and staff member were involved in an ATV accident.
HHSC 748.3309(2) — Communication-Operation must have communication system to allow employees to contact other employees in the operation as needed
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-20.
-
Supervision & ratios
Children under the age of 16 have been routinely riding on All Terrain Vehicles at the operation.
HHSC 748.3719(b) — All-Terrain Vehicles-Only a child 16 years or older may ride on or operate a four-wheel all-terrain vehicle
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2026-01-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 25, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 4, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 8, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Confirmed staff fell asleep while on shift.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-03-07. Correction verified 2025-02-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jan 22, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Confirmed staff fell asleep while on shift.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2025-03-07. Correction verified 2025-02-21.
-
Supervision & ratios Serious
-
Jan 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 1, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Operation did not report within two hours to licensing timely when four residents ran from the operation. The residents were under age 13. Incident report indicates the residents ran at 4:45 pm and reported to hot line at 9:02 pm.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
HHSC risk weight: Medium High. Corrected 2025-03-07. Correction verified 2025-03-06.
-
Supervision & ratios
-
Jan 1, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios
Operation did not report within two hours to licensing timely when four residents ran from the operation. The residents were under age 13. Incident report indicates the residents ran at 4:45 pm and reported to hot line at 9:02 pm.
HHSC 748.303(a)(9)(A) — Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
HHSC risk weight: Medium High. Corrected 2025-03-07. Correction verified 2025-03-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2024 Report · Deficiencies cited
-
Records & paperwork
While reviewing the incident report it was found that the names of all adults involved, their role in relation to the child and the circumstances surrounding the incident were not documented.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-09-30. Correction verified 2024-09-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Jul 22, 2024 Report · Deficiencies cited
-
Records & paperwork
While reviewing the incident report it was found that the names of all adults involved, their role in relation to the child and the circumstances surrounding the incident were not documented.
HHSC 748.311 — Serious Incident Documentation-Documented in written report
HHSC risk weight: Medium. Corrected 2024-09-30. Correction verified 2024-09-27.
-
Records & paperwork
-
Jul 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 9, 2024 Report · Deficiencies cited
-
Supervision & ratios
Incident Reports contained conflicting date and time reporting. An incident report for the assault of a child selected "Yes" to the question "Was child taken to medical professional," but the next response noted the child "will be medically examined tomorrow." Additionally, an Incident Report labeled "type" as Verbal Aggression when the child was the victim of an assault by peers. In other Incident Reports, the type of incident includes that the child is the victim.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-08-22. Correction verified 2024-08-21.
-
Illness & medication Serious
A child in care was not immediately taken to be evaluated by medical professionals following an assault by two peers. The Incident Report noted the caregiver finding "pooled blood" on the floor of the room where the assault took place, and the child sustained a knot on their head, a bloody nose, as well as bruising. Due to injuries and severity of assault, the child should have been evaluated for a concussion and broken bones.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2024-08-22. Correction verified 2024-09-05.
-
Discipline & child guidance
A report of abuse, neglect and/or exploitation of a child in care was not made following an incident of a child being pulled off of a couch, having their pants pulled down, and an inappropriate image was drawn on their face. Images of the child's face were shared with peers and staff before an intervention was made.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-21.
-
Supervision & ratios
Caregivers did not report to their administrative staff a serious incident in which a child was assaulted by two other children in care. In addition, the caregivers allowed a child in care to go to the annex and be in the presence of other children who had assaulted them two days prior. In a separate incident, a volunteer/frequent visitor to the operation aggressively approached and verbally assaulted a child in care at an outside location.
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 2024-08-22. Correction verified 2024-08-21.
-
Supervision & ratios Serious
Caregivers did not provide a level of supervision necessary to ensure a child's safety and to intervene when a child was assaulted in the annex of the cabin away from the main house..
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 2024-08-22. Correction verified 2024-09-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 9, 2024 Report · Deficiencies cited
-
Supervision & ratios
Incident Reports contained conflicting date and time reporting. An incident report for the assault of a child selected "Yes" to the question "Was child taken to medical professional," but the next response noted the child "will be medically examined tomorrow." Additionally, an Incident Report labeled "type" as Verbal Aggression when the child was the victim of an assault by peers. In other Incident Reports, the type of incident includes that the child is the victim.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-08-22. Correction verified 2024-08-21.
-
Illness & medication Serious
A child in care was not immediately taken to be evaluated by medical professionals following an assault by two peers. The Incident Report noted the caregiver finding "pooled blood" on the floor of the room where the assault took place, and the child sustained a knot on their head, a bloody nose, as well as bruising. Due to injuries and severity of assault, the child should have been evaluated for a concussion and broken bones.
HHSC 748.1531(a)(2) — Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HHSC risk weight: High. Corrected 2024-08-22. Correction verified 2024-09-05.
-
Discipline & child guidance
A report of abuse, neglect and/or exploitation of a child in care was not made following an incident of a child being pulled off of a couch, having their pants pulled down, and an inappropriate image was drawn on their face. Images of the child's face were shared with peers and staff before an intervention was made.
HHSC 748.303(a)(3)(A) — Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HHSC risk weight: Medium High. Corrected 2024-08-22. Correction verified 2024-08-21.
-
Supervision & ratios
Caregivers did not report to their administrative staff a serious incident in which a child was assaulted by two other children in care. In addition, the caregivers allowed a child in care to go to the annex and be in the presence of other children who had assaulted them two days prior. In a separate incident, a volunteer/frequent visitor to the operation aggressively approached and verbally assaulted a child in care at an outside location.
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 2024-08-22. Correction verified 2024-08-21.
-
Supervision & ratios Serious
Caregivers did not provide a level of supervision necessary to ensure a child's safety and to intervene when a child was assaulted in the annex of the cabin away from the main house..
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 2024-08-22. Correction verified 2024-09-05.
-
Supervision & ratios
-
Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was confirmed by the operation that a staff member fell asleep while providing supervision to children in care.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-05-06. Correction verified 2024-05-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 20, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was confirmed by the operation that a staff member fell asleep while providing supervision to children in care.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-05-06. Correction verified 2024-05-15.
-
Supervision & ratios Serious
-
Mar 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 11, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
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
-
Dec 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 14, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation failed to provide the Annual Summary Log of Unauthorized Absences after it was requested.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-01-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 18, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation failed to provide the Annual Summary Log of Unauthorized Absences after it was requested.
HHSC 748.453(a)(1) — Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission
HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-01-08.
-
Supervision & ratios
-
Oct 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 3, 2023 Inspection · Deficiencies cited
-
Discipline & child guidance
The operation did not have abuse and neglect policy available for review.
HHSC 748.121 — Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children
HHSC risk weight: Medium High. Corrected 2023-10-11. Correction verified 2023-11-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Oct 3, 2023 Inspection · Deficiencies cited
-
Discipline & child guidance
The operation did not have abuse and neglect policy available for review.
HHSC 748.121 — Abuse and neglect policy - You must develop policies on preventing, recognizing, and responding to abuse and neglect of children
HHSC risk weight: Medium High. Corrected 2023-10-11. Correction verified 2023-11-01.
-
Discipline & child guidance
-
Oct 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During walkthrough for Cannon House, Van 33 a seatbelt was found cut, unable to use by a child in care. In addition, a van was found with open rips at the time of inspection and this van was being utilized for transportation purposes of children in care.
HHSC 748.4001(b) — General requirements-must ensure the safety of all children during any transportation that the operation provides
HHSC risk weight: High. Corrected 2023-05-09. Correction verified 2023-05-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 2, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During walkthrough for Cannon House, Van 33 a seatbelt was found cut, unable to use by a child in care. In addition, a van was found with open rips at the time of inspection and this van was being utilized for transportation purposes of children in care.
HHSC 748.4001(b) — General requirements-must ensure the safety of all children during any transportation that the operation provides
HHSC risk weight: High. Corrected 2023-05-09. Correction verified 2023-05-22.
-
Supervision & ratios Serious
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 19, 2023 Report · Deficiencies cited
-
Other
It was confirmed that service plans for children receiving treatment services for emotional disorders were not updated within 90 days.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-05-08. Correction verified 2023-05-22.
-
Illness & medication
It was confirmed that the operation did not complete documentation of medication errors within 24 hours.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2023-05-08. Correction verified 2023-05-22.
-
Other
-
Mar 19, 2023 Report · Deficiencies cited
-
Other
It was confirmed that service plans for children receiving treatment services for emotional disorders were not updated within 90 days.
HHSC 748.1381(2) — Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan
HHSC risk weight: Medium Low. Corrected 2023-05-08. Correction verified 2023-05-22.
-
Illness & medication
It was confirmed that the operation did not complete documentation of medication errors within 24 hours.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2023-05-08. Correction verified 2023-05-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Mar 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2023 Report · Deficiencies cited
-
Other
It was confirmed that a staff member failed to demonstrate prudent judgement when they exchanged personal text messages with a child 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 2023-04-12. Correction verified 2023-04-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 4, 2023 Report · Deficiencies cited
-
Other
It was confirmed that a staff member failed to demonstrate prudent judgement when they exchanged personal text messages with a child 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 2023-04-12. Correction verified 2023-04-13.
-
Other
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 29, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
A child sustained injury that required medical attention and incident was not called in until months after.
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 2023-02-06. Correction verified 2023-02-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jan 29, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
A child sustained injury that required medical attention and incident was not called in until months after.
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 2023-02-06. Correction verified 2023-02-06.
-
Illness & medication
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two ovens and one sink were observed to be dirty.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-12-12.
-
Cleanliness & sanitation
Two toilets were observed with no toilet paper.
HHSC 748.3393(d) — Toilets-Toilets must be equipped with toilet paper at all times
HHSC risk weight: Medium Low. Corrected 2022-11-22. Correction verified 2022-12-12.
-
Cleanliness & sanitation
Food in a freezer was found to be open.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-12-12.
-
Cleanliness & sanitation
-
Nov 15, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two ovens and one sink were observed to be dirty.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-12-12.
-
Cleanliness & sanitation
Two toilets were observed with no toilet paper.
HHSC 748.3393(d) — Toilets-Toilets must be equipped with toilet paper at all times
HHSC risk weight: Medium Low. Corrected 2022-11-22. Correction verified 2022-12-12.
-
Cleanliness & sanitation
Food in a freezer was found to be open.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-12-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Nov 8, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two refrigerators, a dishwasher, two ovens, one sink, and two bathrooms were observed to be dirty or not in good repair.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-11-15. Correction verified 2022-11-15.
-
Cleanliness & sanitation
Food in a refridgerator was found to be expired.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Nov 8, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two refrigerators, a dishwasher, two ovens, one sink, and two bathrooms were observed to be dirty or not in good repair.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2022-11-15. Correction verified 2022-11-15.
-
Cleanliness & sanitation
Food in a refridgerator was found to be expired.
HHSC 748.3441(a) — Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-15.
-
Cleanliness & sanitation
-
Oct 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 2, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
Yearly updated documentation showing inspections are unavailable at the operation has not been provided.
HHSC 748.3001(C)(2) — Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-28.
-
Supervision & ratios
-
Sep 2, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
Yearly updated documentation showing inspections are unavailable at the operation has not been provided.
HHSC 748.3001(C)(2) — Sanitation inspection- inspection unavailable must maintain documentation at operation and make available to us
HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Children in care engaged in inappropriate activity due to improper supervision by staff. One staff member supervising the children at the time of incident had knowledge of the children's high risks behaviors but did not convey this information to the other staff member present.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2022-09-23. Correction verified 2022-10-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jul 29, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Children in care engaged in inappropriate activity due to improper supervision by staff. One staff member supervising the children at the time of incident had knowledge of the children's high risks behaviors but did not convey this information to the other staff member present.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2022-09-23. Correction verified 2022-10-04.
-
Supervision & ratios Serious
-
Jul 7, 2022 Inspection · Deficiencies cited
-
Safety & premises
Three fire extinguishers observed have not been inspected since April 2022.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2022-07-14. Correction verified 2022-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 7, 2022 Inspection · Deficiencies cited
-
Safety & premises
Three fire extinguishers observed have not been inspected since April 2022.
HHSC 748.3115 — Fire Extinguisher-Must inspect fire extinguisher(s) monthly
HHSC risk weight: Medium. Corrected 2022-07-14. Correction verified 2022-07-08.
-
Safety & premises
-
May 24, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
A plate of fish was observed left out on the kitchen counter at cannon cottage. A dish of meat and noodles was obsevered uncovered in the refrigerator and food was observed on the floor in the pantry at meadow cottage. An open containter of raw meat was observed in the refrigerator at mabee cottage.
HHSC 748.3443(a)(5) — Food Preparation-Food items must be refrigerated immediately after use & after meals, if the food requires refrigeration
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-24.
-
Supervision & ratios
-
May 24, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
A plate of fish was observed left out on the kitchen counter at cannon cottage. A dish of meat and noodles was obsevered uncovered in the refrigerator and food was observed on the floor in the pantry at meadow cottage. An open containter of raw meat was observed in the refrigerator at mabee cottage.
HHSC 748.3443(a)(5) — Food Preparation-Food items must be refrigerated immediately after use & after meals, if the food requires refrigeration
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-05-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2022 Report · Deficiencies cited (self-report)
-
Records & paperwork
A medical incident involving a child that did not rise to the level of a serious incident was not documented in the same manner as a serious incident report.
HHSC 748.303(b) — Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
HHSC risk weight: Medium. Corrected 2022-04-21. Correction verified 2022-04-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Mar 28, 2022 Report · Deficiencies cited (self-report)
-
Records & paperwork
A medical incident involving a child that did not rise to the level of a serious incident was not documented in the same manner as a serious incident report.
HHSC 748.303(b) — Serious Incident-Not required to report medically pertinent incident if not level of serious incident. Document same as a serious incident
HHSC risk weight: Medium. Corrected 2022-04-21. Correction verified 2022-04-11.
-
Records & paperwork
-
Mar 24, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 24, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 23, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 23, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2021 Report · Deficiencies cited (self-report)
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Other
Children in care were yelled at by a caregiver.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2022-03-11. Correction verified 2022-03-11.
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Illness & medication
A restraint was used on a child in care during a situation which was not considered an emergency.
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 2022-03-11. Correction verified 2022-03-11.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Dec 28, 2021 Report · Deficiencies cited (self-report)
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Other
Children in care were yelled at by a caregiver.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2022-03-11. Correction verified 2022-03-11.
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Illness & medication
A restraint was used on a child in care during a situation which was not considered an emergency.
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 2022-03-11. Correction verified 2022-03-11.
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Other
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Dec 21, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 21, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 16, 2021 Report · Deficiencies cited (self-report)
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Staff background & training
A volunteer did not have all the required trainings to be a caregiver for children and supervised 8 residents with a staff.
HHSC 748.723(a) — Volunteers and Contractors-if the person performs an employee function, he must meet the same requirements as an employee who performs that function
HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-02-08.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Dec 16, 2021 Report · Deficiencies cited (self-report)
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Staff background & training
A volunteer did not have all the required trainings to be a caregiver for children and supervised 8 residents with a staff.
HHSC 748.723(a) — Volunteers and Contractors-if the person performs an employee function, he must meet the same requirements as an employee who performs that function
HHSC risk weight: Medium. Corrected 2022-02-15. Correction verified 2022-02-08.
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Staff background & training
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 24, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
Evidence and information gathered support that a staff member inappropriately touched, provided substances to and inadequately supervised children in care.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Other Serious
A staff member provided children in care with vaporizer pens on multiple occasions.
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 2022-01-05. Correction verified 2022-01-03.
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Safety & premises
A staff member admitted to smoking in the children's living quarters.
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 2022-01-05. Correction verified 2022-01-03.
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Illness & medication
Medications were observed in a child's bedroom.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Supervision & ratios
Operation staff allowed two children in care to transport other children in care, who are not licensed drivers.
HHSC 748.4005(1) — General requirements-child in care may transport other children in care if the child has a valid drivers license
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Discipline & child guidance
A staff member employed by the operation provided illegal substances to children while charged with caring for them. A staff member was made aware of these allegations of abuse against a staff member and failed to act in protecting 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 2022-01-05. Correction verified 2022-01-03.
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Discipline & child guidance
Three staff members were made aware of allegations of abuse toward children in care, yet failed to report as per timeframes.
HHSC 748.507(2) — Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-03.
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Supervision & ratios
Operation did not provide adequate oversight and a caregiver provided children with illegal substances, alcoholic beverages and acted inappropriately with children while employed at the operation.
HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being
HHSC risk weight: Medium. Corrected 2022-02-28. Correction verified 2022-03-02.
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Other Serious
Staff member was inappropriate with children and provided illegal substances to minors.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2022-01-05. Correction verified 2022-01-03.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Nov 24, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
Evidence and information gathered support that a staff member inappropriately touched, provided substances to and inadequately supervised children in care.
HHSC 748.1101(b)(1)(B) — Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Other Serious
A staff member provided children in care with vaporizer pens on multiple occasions.
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 2022-01-05. Correction verified 2022-01-03.
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Safety & premises
A staff member admitted to smoking in the children's living quarters.
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 2022-01-05. Correction verified 2022-01-03.
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Illness & medication
Medications were observed in a child's bedroom.
HHSC 748.2101(3) — Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Supervision & ratios
Operation staff allowed two children in care to transport other children in care, who are not licensed drivers.
HHSC 748.4005(1) — General requirements-child in care may transport other children in care if the child has a valid drivers license
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-02.
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Discipline & child guidance
A staff member employed by the operation provided illegal substances to children while charged with caring for them. A staff member was made aware of these allegations of abuse against a staff member and failed to act in protecting 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 2022-01-05. Correction verified 2022-01-03.
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Discipline & child guidance
Three staff members were made aware of allegations of abuse toward children in care, yet failed to report as per timeframes.
HHSC 748.507(2) — Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-03.
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Supervision & ratios
Operation did not provide adequate oversight and a caregiver provided children with illegal substances, alcoholic beverages and acted inappropriately with children while employed at the operation.
HHSC 748.683(1) — Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being
HHSC risk weight: Medium. Corrected 2022-02-28. Correction verified 2022-03-02.
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Other Serious
Staff member was inappropriate with children and provided illegal substances to minors.
HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment
HHSC risk weight: High. Corrected 2022-01-05. Correction verified 2022-01-03.
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Discipline & child guidance Serious
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Oct 28, 2021 Inspection · Deficiencies cited
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Supervision & ratios
Throughout the operation there were a total of 7 missing thermometers in the refridgerators.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-10-27.
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Supervision & ratios
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Oct 28, 2021 Inspection · Deficiencies cited
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Supervision & ratios
Throughout the operation there were a total of 7 missing thermometers in the refridgerators.
HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-10-27.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Oct 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
Operation did not report awareness of communicable disease timely.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-06.
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Illness & medication
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Sep 15, 2021 Report · Deficiencies cited (self-report)
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Illness & medication
Operation did not report awareness of communicable disease timely.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
HHSC risk weight: Medium. Corrected 2021-10-14. Correction verified 2021-10-06.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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.