Autistic Treatment Center
15911 NACOGDOCHES RD BLDG 2, San Antonio, TX 78247 · Bexar County
Program
- Type
- General residential operation
- Licensed capacity
- 7
- Ages
- 3-17
- Hours
- -
- Director / administrator
- Maria A. Tristan-Duncan
- Phone
- (210) 590-2107
- Regulated since
- Jul 14, 1993
- HHSC IDs
- Operation 111415 · number 255675
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 12 | 6 | Cleanliness & sanitation (2), Supervision & ratios (2), Other (8) |
| 2025 | 18 | 2 | Cleanliness & sanitation (8), Supervision & ratios (2), Staff background & training (6), Other (2) |
| 2024 | 40 | 6 | Cleanliness & sanitation (12), Illness & medication (10), Supervision & ratios (10), Safety & premises (2), Other (6) |
| 2022 | 28 | 4 | Cleanliness & sanitation (8), Supervision & ratios (12), Staff background & training (2), Records & paperwork (4), Other (2) |
| 2021 | 2 | 0 | Illness & medication (2) |
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 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · Deficiencies cited
-
Other Serious
Child in care's medical consent was not signed by a consenter.
HHSC 748.1207(a)(2) — Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
HHSC risk weight: High. Corrected 2026-09-15. Correction verified 2026-09-29.
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Other Serious
-
Sep 1, 2026 Inspection · Deficiencies cited
-
Other Serious
Child in care's medical consent was not signed by a consenter.
HHSC 748.1207(a)(2) — Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
HHSC risk weight: High. Corrected 2026-09-15. Correction verified 2026-09-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 7, 2026 Report · Deficiencies cited
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Other
It was found that a child in care went approximately three (3) months without receiving services deemed necessary for development to include speech and occupational therapy.
HHSC 748.1351 — Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
HHSC risk weight: Medium Low. Corrected 2026-09-10. Correction verified 2026-09-16.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 7, 2026 Report · Deficiencies cited
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Other
It was found that a child in care went approximately three (3) months without receiving services deemed necessary for development to include speech and occupational therapy.
HHSC 748.1351 — Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
HHSC risk weight: Medium Low. Corrected 2026-09-10. Correction verified 2026-09-16.
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Other
-
Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
The operation does not have documentation of their health inspection being done since 04/04/2025.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2026-04-28. Correction verified 2026-05-14.
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Other Serious
Licensing observed and photographed a dirty air vent and deteriorating exterior wall boards.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2026-04-30. Correction verified 2026-05-14.
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Supervision & ratios
-
Apr 14, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
The operation does not have documentation of their health inspection being done since 04/04/2025.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2026-04-28. Correction verified 2026-05-14.
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Other Serious
Licensing observed and photographed a dirty air vent and deteriorating exterior wall boards.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2026-04-30. Correction verified 2026-05-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 9, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Residential Child Care Regulation observed and photogrpahed broken blinds, a broken wooden plank on a gate with a losse metal handle and a broken floor tile in a bathroom whish staff removed.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2026-04-30. Correction verified 2026-05-14.
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Other
Residential Child Care Regulation observed and photographed a swing set at Tevern Oaks with no surfacing material.
HHSC 748.3561 — Protective Surfacing-Must install protective surfacing in all required use zones
HHSC risk weight: Medium High. Corrected 2026-04-30. Correction verified 2026-05-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Jan 9, 2026 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
Residential Child Care Regulation observed and photogrpahed broken blinds, a broken wooden plank on a gate with a losse metal handle and a broken floor tile in a bathroom whish staff removed.
HHSC 748.3301(a)(1) — Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
HHSC risk weight: High. Corrected 2026-04-30. Correction verified 2026-05-14.
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Other
Residential Child Care Regulation observed and photographed a swing set at Tevern Oaks with no surfacing material.
HHSC 748.3561 — Protective Surfacing-Must install protective surfacing in all required use zones
HHSC risk weight: Medium High. Corrected 2026-04-30. Correction verified 2026-05-14.
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Cleanliness & sanitation Serious
-
Sep 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 31, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2025 Inspection · Deficiencies cited
-
Staff background & training
The operation has a folder with the information relevant to this standard, however, there's no one standard form which shows the parent/managing conservator received this information.
HHSC 748.1211(a) — Parent Orientation - At admission you must provide certain policies to the parent placing the child
HHSC risk weight: Medium High. Corrected 2025-07-14. Correction verified 2025-07-22.
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Supervision & ratios
The operation has much of the information needed for an admission assessment in different locations of children's files however there is no admission assessment.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2025-07-28. Correction verified 2025-07-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jun 30, 2025 Inspection · Deficiencies cited
-
Staff background & training
The operation has a folder with the information relevant to this standard, however, there's no one standard form which shows the parent/managing conservator received this information.
HHSC 748.1211(a) — Parent Orientation - At admission you must provide certain policies to the parent placing the child
HHSC risk weight: Medium High. Corrected 2025-07-14. Correction verified 2025-07-22.
-
Supervision & ratios
The operation has much of the information needed for an admission assessment in different locations of children's files however there is no admission assessment.
HHSC 748.1215(b) — Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
HHSC risk weight: Low. Corrected 2025-07-28. Correction verified 2025-07-22.
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Staff background & training
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Jun 26, 2025 Report · Deficiencies cited
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Cleanliness & sanitation
During a walkthrough inspection the walls in the bedrooms and bathrooms which children have routine access to were found to have been peeled and scratched off.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-09-08. Correction verified 2025-09-08.
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Cleanliness & sanitation
During a walkthrough of the facility, furniture was found to be in disrepair as a couch was observed with peeling faux-leather and a mattress observed with a permanent indentation, causing a dip in the mattress.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jun 26, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
During a walkthrough inspection the walls in the bedrooms and bathrooms which children have routine access to were found to have been peeled and scratched off.
HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.
HHSC risk weight: Medium. Corrected 2025-09-08. Correction verified 2025-09-08.
-
Cleanliness & sanitation
During a walkthrough of the facility, furniture was found to be in disrepair as a couch was observed with peeling faux-leather and a mattress observed with a permanent indentation, causing a dip in the mattress.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-08.
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Cleanliness & sanitation
-
Jun 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Licensing observed and photographed lint built up behind the Tavern Oaks House electric dryer and a broken plastic shelf in the refreigerator at Waddesdon Bluff House.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-05-01. Correction verified 2025-05-21.
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Staff background & training
The operation did not provide the requested training records within the 10 day pending standard period.
HHSC 748.930(a)(1) — Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
HHSC risk weight: Medium High. Corrected 2025-05-14. Correction verified 2025-05-21.
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Cleanliness & sanitation
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Apr 17, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Licensing observed and photographed lint built up behind the Tavern Oaks House electric dryer and a broken plastic shelf in the refreigerator at Waddesdon Bluff House.
HHSC 748.3301(i) — Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
HHSC risk weight: Medium High. Corrected 2025-05-01. Correction verified 2025-05-21.
-
Staff background & training
The operation did not provide the requested training records within the 10 day pending standard period.
HHSC 748.930(a)(1) — Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
HHSC risk weight: Medium High. Corrected 2025-05-14. Correction verified 2025-05-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 7, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
Residential Child Care Regulation conducted and onsite unannounced follow up inspection and while multiple staff confrm receving the refresher medication training, RCCR observed and photographed a prescribed medication left unattended in the refrigerator of Waddesdon Bluff House.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2025-03-21. Correction verified 2025-04-04.
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Other
Residential Child Care Regulation observed and photographed a waist high container of standing water on the porch of Taven Oaks House.
HHSC 748.3301(e) — Physical Site-Outdoor areas must be well drained
HHSC risk weight: Medium. Corrected 2025-03-21. Correction verified 2025-04-04.
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Staff background & training Serious
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Mar 7, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
Residential Child Care Regulation conducted and onsite unannounced follow up inspection and while multiple staff confrm receving the refresher medication training, RCCR observed and photographed a prescribed medication left unattended in the refrigerator of Waddesdon Bluff House.
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2025-03-21. Correction verified 2025-04-04.
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Other
Residential Child Care Regulation observed and photographed a waist high container of standing water on the porch of Taven Oaks House.
HHSC 748.3301(e) — Physical Site-Outdoor areas must be well drained
HHSC risk weight: Medium. Corrected 2025-03-21. Correction verified 2025-04-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jan 17, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Licensing observed a package of ground beef left out in the kitchen sink, which felt warm enough to conclude it had been left out longer than necessary for cooking/thawing.
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 at inspection. Corrected 2025-01-17.
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Cleanliness & sanitation
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Jan 17, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Licensing observed a package of ground beef left out in the kitchen sink, which felt warm enough to conclude it had been left out longer than necessary for cooking/thawing.
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 at inspection. Corrected 2025-01-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2024 Report · Deficiencies cited
-
Illness & medication Serious
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2025-02-27. Correction verified 2025-03-07.
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Supervision & ratios Serious
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 2025-02-27. Correction verified 2025-03-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Nov 21, 2024 Report · Deficiencies cited
-
Illness & medication Serious
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2025-02-27. Correction verified 2025-03-07.
-
Supervision & ratios Serious
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 2025-02-27. Correction verified 2025-03-07.
-
Illness & medication Serious
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Staff did not conduct required bed check, and two children ran away from the home.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-11-01. Correction verified 2024-12-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 1, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
Staff did not conduct required bed check, and two children ran away from the home.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-11-01. Correction verified 2024-12-06.
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Supervision & ratios Serious
-
Aug 30, 2024 Inspection · No deficiencies cited
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
-
Jul 17, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
07-17-2024. The assigned inspector conducted an on site unannounced follow up inspection and observed the operation to be clean and the bathrooms to be without standing water and there are new bathmats. The only hazard was wasps nests under the over hang at Tavern Oaks House.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-07-31. Correction verified 2024-08-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jul 17, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
07-17-2024. The assigned inspector conducted an on site unannounced follow up inspection and observed the operation to be clean and the bathrooms to be without standing water and there are new bathmats. The only hazard was wasps nests under the over hang at Tavern Oaks House.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-07-31. Correction verified 2024-08-30.
-
Cleanliness & sanitation
-
Jun 6, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
06-06-2024. The assigned inspector conducted an unannounced on site follow up inspection. The bathroom tile is Tavern Oaks still has water on it because the edge of the shower has insufficient height to prevent water spreading to the floor during showers. A direct care staff cleaned the floor during the inspection. The hole in the Waddesdon Bluff bathroom wall is still there however the operation purchased a protective plate during the inspection. The operation has a meeting with a contractor on 06-18-2024 to repair paint chipping on the wall. The Tavern Oaks bathroom wall felt stronger and there was less of an odor in the bathroom. The inspector observed the outside areas of both houses clean with no brush. Air vents, tile and the kithcen cabinet were in compliance. In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-07-09. Correction verified 2024-07-17.
-
Cleanliness & sanitation
-
Jun 6, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
06-06-2024. The assigned inspector conducted an unannounced on site follow up inspection. The bathroom tile is Tavern Oaks still has water on it because the edge of the shower has insufficient height to prevent water spreading to the floor during showers. A direct care staff cleaned the floor during the inspection. The hole in the Waddesdon Bluff bathroom wall is still there however the operation purchased a protective plate during the inspection. The operation has a meeting with a contractor on 06-18-2024 to repair paint chipping on the wall. The Tavern Oaks bathroom wall felt stronger and there was less of an odor in the bathroom. The inspector observed the outside areas of both houses clean with no brush. Air vents, tile and the kithcen cabinet were in compliance. In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-07-09. Correction verified 2024-07-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 26, 2024 Inspection · Deficiencies cited
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Safety & premises
Residential Child Care Regulation observed and photographed a fire extinguisher in Tavern Oaks House with tag ripped off.
HHSC 748.3113(b) — Fire Extinguisher-Fire inspector must approve sprinkler system/fire extinguishers; if inspector not available, one 3A:40BC extinguisher required
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
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Illness & medication
The operation's emergency evacuation did not include the name of staff to secure essential personal items, such as medications in an emergency evacuation.
HHSC 748.3231(b)(2) — Evacuation-Plan requires person in charge during emergency to make an employee responsible for securing medical consents & medications
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
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Other
Residnetial Child Care Regulation observed and photographed a mop bucket with standing water on the deck outside Tavern Oaks House.
HHSC 748.3301(e) — Physical Site-Outdoor areas must be well drained
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Cleanliness & sanitation
In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
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Other
Residential Child Care Regulation observed and photographed a bee's nest by the main entrance to Waddesdon Bluff.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
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Cleanliness & sanitation
Residential Child Care Regulation observed and photographed expired milk jugs in the Tavern Oaks house.
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 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios
Residential Child Care Regulation observed and photographed food, including uncovered bananas stored on the pantry floor in Waddesdon Bluff.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Safety & premises
-
Apr 26, 2024 Inspection · Deficiencies cited
-
Safety & premises
Residential Child Care Regulation observed and photographed a fire extinguisher in Tavern Oaks House with tag ripped off.
HHSC 748.3113(b) — Fire Extinguisher-Fire inspector must approve sprinkler system/fire extinguishers; if inspector not available, one 3A:40BC extinguisher required
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
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Illness & medication
The operation's emergency evacuation did not include the name of staff to secure essential personal items, such as medications in an emergency evacuation.
HHSC 748.3231(b)(2) — Evacuation-Plan requires person in charge during emergency to make an employee responsible for securing medical consents & medications
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
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Other
Residnetial Child Care Regulation observed and photographed a mop bucket with standing water on the deck outside Tavern Oaks House.
HHSC 748.3301(e) — Physical Site-Outdoor areas must be well drained
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Cleanliness & sanitation
In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Other
Residential Child Care Regulation observed and photographed a bee's nest by the main entrance to Waddesdon Bluff.
HHSC 748.3301(h) — Physical Site-The building must be free of rodents and insects
HHSC risk weight: Medium High. Corrected 2024-05-10. Correction verified 2024-06-06.
-
Cleanliness & sanitation
Residential Child Care Regulation observed and photographed expired milk jugs in the Tavern Oaks house.
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 2024-05-10. Correction verified 2024-06-06.
-
Supervision & ratios
Residential Child Care Regulation observed and photographed food, including uncovered bananas stored on the pantry floor in Waddesdon Bluff.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2024-05-10. Correction verified 2024-06-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Apr 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 3, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Bed in the bedroom in Waddeson Bluff did not have mattress on it.
HHSC 748.3365(b)(1) — Bedding-must provide each child with a clean and comfortable mattress
HHSC risk weight: Medium. Corrected 2024-04-17. Correction verified 2024-04-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 3, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Bed in the bedroom in Waddeson Bluff did not have mattress on it.
HHSC 748.3365(b)(1) — Bedding-must provide each child with a clean and comfortable mattress
HHSC risk weight: Medium. Corrected 2024-04-17. Correction verified 2024-04-26.
-
Cleanliness & sanitation
-
Apr 2, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation
In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-04-17. Correction verified 2024-04-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Apr 2, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation
In Waddeson Bluff Home the tile in the restr4oom was broke in the restroom and needed to be repaired. The wall in the first restroom had a hole that needed to be patched up. One of the bedrooms in the home needed calking in the ceiling. One of the faceplates needed a cover on it. The front door needs to be replaced. The home at Tavern Oaks needs to have front door replaced. There are places in the home the paint is peeling from that needs to be repaired. Branches in the back needs to be properly disposed of. The tile in the kitchen needs to be replace on the counter and the floor where it is broken. The air vents in the home need to be cleaned. The drawer under the sink needs to be repaired.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected 2024-04-17. Correction verified 2024-04-26.
-
Cleanliness & sanitation
-
Mar 31, 2024 Inspection · Deficiencies cited
-
Illness & medication
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctors orders.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-04-26.
-
Illness & medication
-
Mar 31, 2024 Inspection · Deficiencies cited
-
Illness & medication
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctors orders.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-04-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Mar 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2024 Report · Deficiencies cited
-
Illness & medication
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctor's orders.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-04-26.
-
Illness & medication
Medication errors were not documented for a controlled medication.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2024-05-07. Correction verified 2024-05-07.
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Other
Documentation for recreational & leisure activities nor activity calendar was available for review during the course of this investigation.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2024-05-07. Correction verified 2024-05-07.
-
Illness & medication
-
Mar 29, 2024 Report · Deficiencies cited
-
Illness & medication
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078. Documentation reflects that medication was given outside of doctor's orders.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-04-03. Correction verified 2024-04-26.
-
Illness & medication
Medication errors were not documented for a controlled medication.
HHSC 748.2203(c)(2) — Medication Error-Document the medication error
HHSC risk weight: Medium High. Corrected 2024-05-07. Correction verified 2024-05-07.
-
Other
Documentation for recreational & leisure activities nor activity calendar was available for review during the course of this investigation.
HHSC 748.3701(b) — Recreation responsibility-must have a written plan for ensuring that a range of indoor & outdoor recreational & leisure opportunities are provided
HHSC risk weight: Low. Corrected 2024-05-07. Correction verified 2024-05-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Feb 23, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
03-01-2024. The operation provided confirmation documentation that they have a health inspection scheduled for 03-08-2024 but did not provide documentation of any health inspection completed between 11-28-2022 and 11-28-2023. The standard is left pending and the operation has until 03-03-2024 to provide documentation that there was an annual health inspection prior to 11-28-2023.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-04-12.
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Supervision & ratios
03-01-2024. The operation replied with a letter dated 06-09-2021 indicating annual testing is not required, however, did not provide documentation of any gas tests between 01-04-2021 and 01-04-2023. Standard left pending. The operation has until 03/03/2024 to provide documentation of a gas leak inspection and gas service from no later than 01-04-2023.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-04-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 23, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
03-01-2024. The operation provided confirmation documentation that they have a health inspection scheduled for 03-08-2024 but did not provide documentation of any health inspection completed between 11-28-2022 and 11-28-2023. The standard is left pending and the operation has until 03-03-2024 to provide documentation that there was an annual health inspection prior to 11-28-2023.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-04-12.
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Supervision & ratios
03-01-2024. The operation replied with a letter dated 06-09-2021 indicating annual testing is not required, however, did not provide documentation of any gas tests between 01-04-2021 and 01-04-2023. Standard left pending. The operation has until 03/03/2024 to provide documentation of a gas leak inspection and gas service from no later than 01-04-2023.
HHSC 748.3061(2) — Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-04-12.
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Supervision & ratios
-
Jan 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Inspection · No deficiencies cited
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
-
Mar 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2022 Inspection · Deficiencies cited
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Records & paperwork
Sanitation inspection was last conducted on 10/22/2021, a request to the city to conduct a new sanitation inspection was done on 11/16/2022. The sanitation inspection for both homes under the license have expired inspections, they were both due on 10/22/2022.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2022-12-01. Correction verified 2022-11-28.
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Cleanliness & sanitation
Of the two homes, five restrooms total did not have hand towel, paper towels, or a hand dryer to assist with handwashing.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2022-12-01. Correction verified 2022-12-12.
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Records & paperwork
-
Nov 17, 2022 Inspection · Deficiencies cited
-
Records & paperwork
Sanitation inspection was last conducted on 10/22/2021, a request to the city to conduct a new sanitation inspection was done on 11/16/2022. The sanitation inspection for both homes under the license have expired inspections, they were both due on 10/22/2022.
HHSC 748.3001(a)(2) — Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HHSC risk weight: Medium High. Corrected 2022-12-01. Correction verified 2022-11-28.
-
Cleanliness & sanitation
Of the two homes, five restrooms total did not have hand towel, paper towels, or a hand dryer to assist with handwashing.
HHSC 748.3395(b)(4) — Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers
HHSC risk weight: Medium. Corrected 2022-12-01. Correction verified 2022-12-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Oct 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 18, 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
-
Oct 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2022 Report · Deficiencies cited
-
Supervision & ratios
Operation was aware of the incident involving a staff member who did not use appropriate judgement when supervising children in care and failed to report the incident to licensing or document in a serious incident report.
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 2022-09-30. Correction verified 2022-10-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 28, 2022 Report · Deficiencies cited
-
Supervision & ratios
Operation was aware of the incident involving a staff member who did not use appropriate judgement when supervising children in care and failed to report the incident to licensing or document in a serious incident report.
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 2022-09-30. Correction verified 2022-10-03.
-
Supervision & ratios
-
Aug 12, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Licensing observed and photographed a broken plastic storage container on the back porch of Tavern Oaks house with broken plastic shards. Staff removed all broken plastic pieces.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 12, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Licensing observed and photographed a broken plastic storage container on the back porch of Tavern Oaks house with broken plastic shards. Staff removed all broken plastic pieces.
HHSC 748.3301(f) — Physical Site-The grounds of the operation must be well maintained and free of hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-08-12.
-
Supervision & ratios
-
Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 27, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 27, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 19, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
As of 07-19-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2022-08-02. Correction verified 2022-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 19, 2022 Assessment · Deficiencies cited
-
Supervision & ratios
As of 07-19-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
HHSC risk weight: Medium. Corrected 2022-08-02. Correction verified 2022-08-12.
-
Supervision & ratios
-
Jul 13, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Licensing observed ratio at Tavern Oaks house to be one staff with six children in care.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 13, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Licensing observed ratio at Tavern Oaks house to be one staff with six children in care.
HHSC 748.1003(a) — Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-12.
-
Supervision & ratios
-
Jun 24, 2022 Inspection · Deficiencies cited
-
Other
Licensing observed chemicals marked keep out of reach of children stored in an unlocked kitchen sink cabinet.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-24.
-
Cleanliness & sanitation
Licensing observed two sour cream containers to be expired as of 06-06-2022 which staff removed.
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 at inspection. Corrected 2022-06-24.
-
Staff background & training
07-01-2022 The operation EBI training certificates showing the employee files reviewed in the inspection had some EBI training over the last 12 months, however not the required 4 hours every six months. The standard is left pending and the operation has until 07-03-2022 to provide the training records.
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 2022-07-18. Correction verified 2022-07-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 24, 2022 Inspection · Deficiencies cited
-
Other
Licensing observed chemicals marked keep out of reach of children stored in an unlocked kitchen sink cabinet.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-24.
-
Cleanliness & sanitation
Licensing observed two sour cream containers to be expired as of 06-06-2022 which staff removed.
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 at inspection. Corrected 2022-06-24.
-
Staff background & training
07-01-2022 The operation EBI training certificates showing the employee files reviewed in the inspection had some EBI training over the last 12 months, however not the required 4 hours every six months. The standard is left pending and the operation has until 07-03-2022 to provide the training records.
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 2022-07-18. Correction verified 2022-07-20.
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Other
-
Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 23, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
A caregiver was found to be sleeping during the overnight shift without any other awake staff 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 2022-07-01. Correction verified 2022-07-13.
-
Supervision & ratios Serious
-
May 23, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
A caregiver was found to be sleeping during the overnight shift without any other awake staff 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 2022-07-01. Correction verified 2022-07-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 17, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 4, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 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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Apr 22, 2022 Assessment · Deficiencies cited
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Supervision & ratios
As of 04-22-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly
HHSC risk weight: Medium. Corrected 2022-05-06. Correction verified 2022-05-12.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Apr 22, 2022 Assessment · Deficiencies cited
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Supervision & ratios
As of 04-22-2022 the data for restraints between January and March 2022 has not yet been reported to Licensing.
HHSC 748.2953(b) — Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly
HHSC risk weight: Medium. Corrected 2022-05-06. Correction verified 2022-05-12.
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Supervision & ratios
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Apr 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 13, 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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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 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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Mar 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 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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Mar 22, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Wires hanging in the boys closet, could pose potential hazard.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-04-12. Correction verified 2022-05-02.
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Cleanliness & sanitation
Screws missing on screen in child's bedroom so screen was not secured on window. Bottom of door rotting.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-05-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
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Mar 22, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Wires hanging in the boys closet, could pose potential hazard.
HHSC 748.3301(a) — Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HHSC risk weight: High. Corrected 2022-04-12. Correction verified 2022-05-02.
-
Cleanliness & sanitation
Screws missing on screen in child's bedroom so screen was not secured on window. Bottom of door rotting.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-05-02.
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Cleanliness & sanitation Serious
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Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 21, 2022 Report · Deficiencies cited
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Records & paperwork
The facility did not meet required visitation rights between child in care and parent since December 2021.
HHSC 748.1107(b)(1) — Child Rights parent contact-Document in the child's record any plans for contact between the child and a parent
HHSC risk weight: Medium Low. Corrected 2022-05-06. Correction verified 2022-04-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
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Feb 21, 2022 Report · Deficiencies cited
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Records & paperwork
The facility did not meet required visitation rights between child in care and parent since December 2021.
HHSC 748.1107(b)(1) — Child Rights parent contact-Document in the child's record any plans for contact between the child and a parent
HHSC risk weight: Medium Low. Corrected 2022-05-06. Correction verified 2022-04-28.
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Records & paperwork
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Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 11, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2021 Report · Deficiencies cited
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Illness & medication
Operation staff indicated there a child in care had fractures which were not reported to the DFPS hotline.
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 2022-03-16. Correction verified 2022-03-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
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Nov 19, 2021 Report · Deficiencies cited
-
Illness & medication
Operation staff indicated there a child in care had fractures which were not reported to the DFPS hotline.
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 2022-03-16. Correction verified 2022-03-07.
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Illness & medication
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Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 12, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 13, 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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Sep 13, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.