The Settlement Club Home Gro
1600 PAYTON GIN RD, Austin, TX 78758 · Travis County
Program
- Type
- General residential operation
- Licensed capacity
- 50
- Ages
- 7-17
- Hours
- 12:00 AM-
- Director / administrator
- Darcie Deshazo Graham
- Phone
- (512) 836-2150
- Regulated since
- Nov 6, 1985
- HHSC IDs
- Operation 94367 · number 23871
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 5 | Illness & medication (2), Supervision & ratios (1), Records & paperwork (1), Other (2) |
| 2025 | 16 | 12 | Cleanliness & sanitation (1), Illness & medication (5), Supervision & ratios (8), Discipline & child guidance (1), Other (1) |
| 2024 | 19 | 14 | Cleanliness & sanitation (2), Illness & medication (6), Supervision & ratios (6), Records & paperwork (1), Other (4) |
| 2023 | 16 | 12 | Illness & medication (5), Supervision & ratios (3), Discipline & child guidance (1), Safety & premises (1), Staff background & training (1), Records & paperwork (3), Other (2) |
| 2022 | 23 | 16 | Cleanliness & sanitation (3), Illness & medication (9), Supervision & ratios (7), Safety & premises (1), Staff background & training (2), Records & paperwork (1) |
| 2021 | 2 | 2 | Illness & medication (1), Discipline & child guidance (1) |
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.
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Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Report · Deficiencies cited
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Other Serious
There are four incidents in which a child exhibited "warnings signs" and a suicide screening was not conducted.
HHSC 748.125(d)(4)(E) — Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HHSC risk weight: Medium High. Corrected 2026-09-21. Correction verified 2026-09-29.
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Other Serious
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Aug 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2026 Report · Deficiencies cited (self-report)
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Illness & medication Serious
CCR was notified of a child injury that required attention a by medical professional later than 24 hours.
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 2026-09-22. Correction verified 2026-09-28.
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Illness & medication Serious
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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2026 Report · Deficiencies cited (self-report)
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Other
During the investigation, it was determined that staff failed to follow agency policy requiring hygiene items, especially those containing sharp objects, to be inventoried in the office before being distributed to children. The hygiene items were inventoried in the dorm living area, and staff did not identify that a nail kit was included in the items. The nail kit was later used by a child for self-harm, creating a safety risk.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2026-06-09. Correction verified 2026-06-05.
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Other
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May 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report · Deficiencies cited
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Illness & medication Serious
It was determined a staff member prepared and administered medication during a one-hour time frame while being responsible in caring for children.
HHSC 748.1005 — Child/caregiver ratio-Each group must have enough caregivers for that group who are not caring for other children or doing administrative work
HHSC risk weight: Medium High. Corrected 2026-06-01. Correction verified 2026-05-26.
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Illness & medication Serious
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Mar 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was determined on 3/17/26 and on 3/18/26 a child that was on a Safety Plan and not allowed outside alone was able to get past staff who were performing duties that interfered with their supervision and the child was able to self-harm. Supervising staff stated they were performing other duties that hindered supervision.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2026-04-22. Correction verified 2026-05-04.
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Supervision & ratios Serious
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Mar 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 12, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Feb 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 27, 2026 Report · Deficiencies cited (self-report)
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Records & paperwork Serious
The serious incident reports that the incidents occurred on 1/25/2026, 4:30 PM. The incident was taken by intake on 1/27/2026 at 4:53 PM. The incident was not reported timely to licensing. There is a violation of this standard for reporting to licensing.
HHSC 748.303(a)(12)(A) — Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HHSC risk weight: Medium High. Corrected 2026-03-11. Correction verified 2026-03-05.
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Records & paperwork Serious
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Jan 22, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A caregiver was left with six children to supervise while the second caregiver took two children to the store.
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 2026-01-30. Correction verified 2026-01-30.
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Supervision & ratios Serious
A child in distress left the cottage without permission. The caregiver remained on the cottage did not maintain any visual or auditory supervision of the child.
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 2026-01-30. Correction verified 2026-01-30.
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Supervision & ratios Serious
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Dec 15, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 7, 2025 Report · Deficiencies cited
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Other
A child's service plan did not include their personal trauma history and what led to CPS involvement and removal from their home of origin.
HHSC 748.1337(b)(1)(D)(i) — Initial Service Plan-Include child's personal trauma history
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2025-12-12.
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Supervision & ratios
A child's service plan has multiple instances of not documenting accurate information by either being blank, not completing the sentence, or using verbiage such as "is/ is not" or "has/ has not" but not selecting which phrase is most appropriate for that section being described.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2025-12-12.
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Illness & medication
On 10/31/25 a child in care was administered evening medication by a staff who only initialed the medication log, The staff's signature is not on the signature page showing which staff administered medication to that child for that month.
HHSC 748.2151(c)(6) — Medication record - must include name & signature of person who administered each medication
HHSC risk weight: Medium. Corrected 2025-12-19. Correction verified 2025-12-11.
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Supervision & ratios Serious
Operational protocols were not being followed regarding staff documenting razors being checked out to residents and being checked back in. As a result, a child had access to a razor for unknown period of time and the child self-harmed with that razor.
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 2025-12-19. Correction verified 2025-12-09.
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Other
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Nov 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2025 Inspection
No violations cited on this visit.
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Oct 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2025 Report · Deficiencies cited
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Illness & medication Serious
The medication log and medical incident report showed that a child in care received 2 doses of a medication instead of 1 as prescribed.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2025-11-14. Correction verified 2025-11-14.
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Illness & medication Serious
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Oct 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Through interviews and documentation reviewed, staff were not following two active safety plans that state two specific residents are not allowed in the courtyard at the same time and to take one or the other inside immediately .
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2025-09-12. Correction verified 2025-09-15.
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Supervision & ratios Serious
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Aug 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 12, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 1, 2025 Report · Deficiencies cited
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Cleanliness & sanitation Serious
During the inspection, I observed there to be food and trash left on food preparation areas. There were piles of debris left on floor where it was swept but not picked up. Stovetop was not clean as rice debris was left on it.
HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
HHSC risk weight: Medium High. Corrected 2025-08-06. Correction verified 2025-08-07.
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Supervision & ratios Serious
During the inspection, I observed food containers not properly stored and food not properly covered or put away.
HHSC 748.3441(n) — Food Preparation-Food must be protected from contamination
HHSC risk weight: Medium High. Corrected 2025-08-06. Correction verified 2025-08-07.
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Supervision & ratios
Durning the investigation, food boxes were stored on the floor of the walkin freezer.
HHSC 748.3443(a)(1) — Food Preparation-Food items must be covered & stored off the floor
HHSC risk weight: Medium. Corrected 2025-08-06. Correction verified 2025-08-07.
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Cleanliness & sanitation Serious
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Jul 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 27, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Three children touched one another inappropriately in the back seat of the facility van. Records note all three children have a history of poor boundaries that require close supervision.
HHSC 748.685(c)(1) — Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
HHSC risk weight: Medium High. Corrected 2025-09-05. Correction verified 2025-08-25.
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Supervision & ratios Serious
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Jul 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2025 Assessment
No violations cited on this visit.
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May 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Report · Recorded (self-report)
No violations cited on this visit.
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Apr 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 25, 2025 Report · Deficiencies cited
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Discipline & child guidance Serious
During an investigation, residents indicated that they were squirted with a water gun that had a garlic powder in it. This was used as an intent to have residents come inside and take showers by a staff member.
HHSC 748.2307(1) — Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HHSC risk weight: High. Corrected 2025-04-25. Correction verified 2025-04-30.
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Discipline & child guidance Serious
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Mar 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 12, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2025 Report · Deficiencies cited
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Illness & medication Serious
During an investigation it was discovered a child in care was given another child in care's medication.
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 2025-04-25. Correction verified 2025-04-30.
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Illness & medication Serious
-
Mar 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2025 Inspection
No violations cited on this visit.
-
Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 16, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 9, 2025 Report · Deficiencies cited
-
Illness & medication Serious
During an investigation, it was found multiple medications were not being given as prescribed.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2025-04-09. Correction verified 2025-04-16.
-
Illness & medication Serious
During an investigation that medication errors are not being documented within 24 hours but on a weekly basis and may not be being filled out by the person finding the error.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2025-04-09. Correction verified 2025-04-16.
-
Illness & medication Serious
-
Jan 6, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
The operation has allowed a staff member to smoke in an area that is not a safe distance from the children's living area.
HHSC 748.1661(c) — Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
HHSC risk weight: Medium High. Corrected 2025-01-10. Correction verified 2025-01-23.
-
Supervision & ratios Serious
-
Dec 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2024 Inspection
No violations cited on this visit.
-
Nov 8, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2024 Report · Deficiencies cited (self-report)
-
Illness & medication Serious
During the inspection, the medication cart was not locked at the Moody Cottage staff office.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected at inspection. Corrected 2024-11-15.
-
Illness & medication Serious
-
Nov 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 31, 2024 Inspection · 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 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 26, 2024 Report · Deficiencies cited
-
Illness & medication
Through interviews with staff and reviewing documentation, it was determined that signatures on medications logs were forged, and a therapy note contained inaccurate information.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-12-06. Correction verified 2024-12-09.
-
Other Serious
Through interviews it was determined that staff are cursing when talking to other staff and children in care can hear it.
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 2024-12-06. Correction verified 2024-12-09.
-
Illness & medication
-
Oct 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
A child in care self-harmed and was on a safety plan when the child in care self-harmed the next day using sharp items which were not allowed to be used unsupervised per the safety plan the day before.
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 2024-12-17. Correction verified 2024-12-20.
-
Supervision & ratios Serious
-
Oct 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 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.
-
Sep 15, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 9, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 2, 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 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2024 Report · Deficiencies cited
-
Illness & medication Serious
On 7/18/2024 six residents were not provided their morning medications.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-09-10. Correction verified 2024-09-11.
-
Illness & medication Serious
A staff did not act prudently when storing a medication in a cup that a resident in care did not take. As a result, the medication could not be located by staff the following morning.
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 2024-09-10. Correction verified 2024-09-11.
-
Illness & medication Serious
-
Jul 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2024 Inspection
No violations cited on this visit.
-
Jul 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 26, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 25, 2024 Report · Deficiencies cited (self-report)
-
Illness & medication
During the investigation, it was made known that a staff member did not follow the operations policies when administering medications.
HHSC 748.126(b) — All employees and caregivers must be aware of and follow your policies and procedures
HHSC risk weight: Medium. Corrected 2024-08-09. Correction verified 2024-08-01.
-
Illness & medication Serious
During the investigation, it was made known that a staff member administered an over-the-counter medicine to a child in care who had an allergy to the medication.
HHSC 748.2009(a)(2) — Inform child's prescribing health-care professional of administration/dosage of any non-prescription medications or supplements
HHSC risk weight: Medium High. Corrected 2024-08-09. Correction verified 2024-08-01.
-
Illness & medication
-
Jun 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 19, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 6, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 6, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 6, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
Three residents at the operation described seeing a staff member sleeping in the office on three separate occasions during the night hours.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2024-07-24. Correction verified 2024-07-23.
-
Supervision & ratios Serious
-
Jun 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 30, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 29, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 21, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 20, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection today, two fridges (white one and the small black one) at Casa Sara group home was observed without thermometers and one freezer was observed to be btw 15-20 degrees Farenheit. Additionally, on 5/10/24, the stainless steel fridge thermometer was observed to be over 40 degrees Farenheit and the other fridges didn't have thermometers either, these were at the same group home.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2024-05-24. Correction verified 2024-05-23.
-
Supervision & ratios
-
May 14, 2024 Report · Recorded (self-report)
No violations cited on this visit.
-
May 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 10, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 27, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2024 Report · Deficiencies cited
-
Other
Through interviews and documentation, it was determined that children in care were not receiving therapy as required by their service plan therapeutic needs and goals.
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 2024-07-10. Correction verified 2024-07-11.
-
Other
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 11, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 30, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 21, 2024 Report · Deficiencies cited
-
Records & paperwork Serious
It was reported a staff member cursed in the presence of a child in care. It was confirmed that a staff member cursed both at a child in care and in their presence.
HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-04-24.
-
Other Serious
During the course of this investigation, it was determined that a staff member used inappropriate language in the presence of children in care.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-04-24.
-
Records & paperwork Serious
-
Mar 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 15, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
During an inspection of the RTC cottages it was observed that the couches in the living areas are torn in several places and have holes in them. Trash and other items are being stuffed into these holes.
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 2024-04-12. Correction verified 2024-06-05.
-
Cleanliness & sanitation Serious
-
Mar 12, 2024 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
During a walkthrough of the operation's main kitchen and the cottage kitchens, it was found that several food items were past their expiration date.
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 2024-04-10. Correction verified 2024-04-24.
-
Supervision & ratios Serious
During an inspection of the cottage refrigerators, it was discovered that 2 residents had saved their leftovers on their plate and placed them in the refrigerator to continue to eat at a later time. Both plates were also uncovered.
HHSC 748.3441(r) — Food Preparation-Uneaten food from a person's plate must not be served again or used in the preparation of other dishes
HHSC risk weight: Medium High. Corrected 2024-04-10. Correction verified 2024-04-24.
-
Supervision & ratios
During a walkthrough of the operation several food items were being stored in the cottage refrigerators with no lid or cover.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2024-04-10. Correction verified 2024-04-24.
-
Cleanliness & sanitation Serious
-
Mar 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 3, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Feb 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2024 Report · Deficiencies cited
-
Other Serious
Staff did not use prudent judgement when allowing the children to play a game that entailed throwing eggs at one another and would have prevented an altercation from occurring.
HHSC 748.507(1) — Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HHSC risk weight: Medium High. Corrected 2024-03-29. Correction verified 2024-03-27.
-
Other Serious
-
Feb 2, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 2, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
It was found that one staff with direct access to children in care has a provisional status pending an out-of-state background check as of 9/15/23 and the operation has not been following the conditions set by CBCU for this individual until the operation was informed by licensing on 12/15/23. This staff has been left alone with children in care as an awake night staff and has administered medications to children in care between these dates above.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2023-12-20. Correction verified 2023-12-29.
-
Staff background & training Serious
-
Nov 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2023 Report · Deficiencies cited
-
Illness & medication Serious
During the course of the investigation, it was found that a staff administered a prescription medication for mood stabilization excessively to a child in care from Nov. 6 - Nov. 7, 2023 and did not follow the doctor's signed orders for this medication, the medication log, and/or the prescription instruction label. This medication was ordered to be administered by mouth twice daily. During the above-mentioned timeframe, staff administered this prescription medication twice in the morning (two 600 mg tablets) and once at night (one 600 mg tablet). Additionally, from 11/6/23 to 11/9/23, 11/14/23, and 11/16/23 this child's medications were administered by a staff person who was not supposed to administer meds to children in care due to a BCG condition. The operation was also cited for this same standard twice in 2022.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2024-01-26. Correction verified 2024-01-23.
-
Illness & medication Serious
-
Nov 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
In an investigation conducted by DFPS, one staff was confirmed to have medically neglected and neglectfully supervised a child 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 2024-01-05. Correction verified 2024-01-03.
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Illness & medication Serious
The medication cart was left unlocked and a child in care was able to gain access, ingest, and self-harm with another child's medication.
HHSC 748.2101(1) — Medication Storage-Store medication in a locked container
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-03.
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Illness & medication Serious
The medication cart was left unlocked as well as the staff office door, leaving the Schedule II medications accessible to all the residents and not double locked as required.
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 2024-01-05. Correction verified 2024-01-03.
-
Illness & medication Serious
A child was able to get into the unlocked staff office, access and ingest medication from the unlocked medication cart and obtain a knife before staff was able to intervene.
HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-03.
-
Discipline & child guidance Serious
-
Nov 4, 2023 Report · Deficiencies cited
-
Safety & premises Serious
It was reported and confirmed that a staff member used and held their cell phone while transporting children in care. It was also reported that the staff member had used their Air Pods to listen to a Podcast or YouTube Premium while driving children in care.
HHSC 748.4041 — Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
HHSC risk weight: High. Corrected 2024-01-04. Correction verified 2024-01-08.
-
Safety & premises Serious
-
Nov 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 25, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 18, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 17, 2023 Assessment · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 8, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 11, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Report · Deficiencies cited (self-report)
-
Records & paperwork
The EBI report for 8.22.23 did not document any attempts the staff made to explain to the child what behaviors were necessary for release from the restraint.
HHSC 748.2855(a)(10) — EBI Documentation-Must include all attempts to explain to the child what behaviors were necessary for release from the intervention.
HHSC risk weight: Medium. Corrected 2023-10-11. Correction verified 2023-10-06.
-
Records & paperwork
The parent was notified via email about the restraint occurring within 72 hours, however, the following required information was not included in the required timeframe: -the EBI administered -the length of the restraint -the child's condition following the release of the restraint
HHSC 748.2857(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
HHSC risk weight: Medium. Corrected 2023-10-11. Correction verified 2023-10-06.
-
Records & paperwork
-
Aug 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2023 Report · Deficiencies cited
-
Other Serious
It was found that a staff left the children in the RTC alone on an outing at a McDonald's for approx. a couple to a few minutes.
HHSC 748.685(b)(5) — Caregiver responsibility - when deciding how close to supervise, takes into account the child's physical, mental, emotional, and social needs
HHSC risk weight: Medium High. Corrected 2023-10-20. Correction verified 2023-10-17.
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Other Serious
-
Aug 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2023 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
The supervision requirements listed in the child's Service plan were confusing and contradictory not giving staff clear and understandable direction in meeting the child's needs.
HHSC 748.1337(b)(1)(D)(ii) — Initial Service Plan-Include instructions to caregivers about level of supervision required
HHSC risk weight: Medium High. Corrected 2023-08-04. Correction verified 2023-08-01.
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Supervision & ratios Serious
The safety plan dated 7.10.23 states the following: Staff will complete 15-minute visual checks to ensure the child is committing to safety and remaining safe. This safety plan did not expire until 7.14.23. On 7.13.23 the child was issued a 2 hour unsupervised, off campus walking pass .
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 2023-08-04. Correction verified 2023-08-01.
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Other
The daily progress note dated 3 days prior to the incident stated the child had high risk suicidal and runaway ideations. The child?s behavioral history in days prior to the incident should have been taken into account. The child was also on a safety plan requiring 15-minute visual checks for having suicidal and runaway ideations 3 days prior.
HHSC 748.705(b)(3) — Reasonable & prudent parent standard-must consider the child's behavioral history and ability to safely participate in proposed activity
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-08-01.
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Supervision & ratios Serious
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
May 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 2, 2023 Inspection · Deficiencies cited
-
Records & paperwork
One of the ten Serious Incident Reports read were not reported to the Intake Line as required when police responded to the facility.
HHSC 748.303(a)(6)(A) — Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond.
HHSC risk weight: Medium. Corrected 2023-05-09. Correction verified 2023-05-08.
-
Records & paperwork
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 3, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2023 Report · Deficiencies cited
-
Illness & medication Serious
Staff administered a restraint in a non-emergency situation in order to obtain a THC and nicotine vape from a youth in care.
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 2023-06-30. Correction verified 2023-06-29.
-
Illness & medication Serious
-
Mar 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 25, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 3, 2023 Report · Deficiencies cited
-
Supervision & ratios Serious
An overnight caregiver was noted to be sleeping during their 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 2023-04-13. Correction verified 2023-04-10.
-
Supervision & ratios Serious
-
Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 28, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2022 Inspection · Deficiencies cited
-
Staff background & training
One out of three staff files reviewed did not have current annual training in Normalcy, TIC, Psychotropic medication, and Reporting abuse and neglect.
HHSC 748.935(a)(2) — Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-12-15.
-
Staff background & training
-
Dec 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 12, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 8, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 22, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2022 Report · Deficiencies cited
-
Supervision & ratios
In one of the two EBI Serious Incident Reports provided by the operation, the operation did not have a completed document with all required information. The report did not include the date and time the intervention was administered, did not provide any de-escalation techniques used, amount of time spent de-escalating with the youth, and did not include the date and time offered the discussion nor the child?s reaction to the opportunity for discussion. A completed document was subsequently completed and provided by the operation to RCCR over sixty days after the initiation of the EBI intervention.
HHSC 748.2855(a) — EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention
HHSC risk weight: Medium. Corrected 2022-12-26. Correction verified 2022-12-13.
-
Supervision & ratios
In one of the two Serious Incident Reports provided by the operation, the notification of the Emergency Behavior Intervention to the Caseworker was dated as occurring six days after the incident occurred.
HHSC 748.2857(a) — No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
HHSC risk weight: Medium. Corrected 2022-12-26. Correction verified 2022-12-13.
-
Supervision & ratios
-
Oct 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 15, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Report · Deficiencies cited
-
Illness & medication Serious
A child was able to gain access to ibuprofen that was being stored in a safety bag
HHSC 748.2101(2) — Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication
HHSC risk weight: High. Corrected 2022-09-27. Correction verified 2022-09-21.
-
Illness & medication Serious
-
Aug 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 5, 2022 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation Serious
Due to a window being faulty, a child was able to open it and enter into staff office. The child was then able to access a kitchen knife and self-harm.
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 2022-09-16. Correction verified 2022-09-09.
-
Safety & premises Serious
A child in care, who had previously exhibited self harm behaviors, was left alone in a cottage with a Mental Health Officer (MHO). When leaving the cottage, a staff member failed to lock the top portion of the office door, where scissors were on the staff desk, and did not notify the MHO of the safety hazard. The child was able to gain access to the scissors and attempted to self harm once again.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2022-09-16. Correction verified 2022-09-09.
-
Cleanliness & sanitation Serious
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 9, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2022 Inspection · Deficiencies cited
-
Illness & medication Serious
Medication was found in clear ziploc bags and not in the original container.
HHSC 748.2003(b)(2) — Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
HHSC risk weight: Medium High. Corrected 2022-07-07. Correction verified 2022-07-08.
-
Illness & medication Serious
It was Identified tha a child in care was prescribed medication on 05/27/2022 and this medication, as of 6/24/2022 has not been administered to the child.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-06-24. Correction verified 2022-07-08.
-
Illness & medication Serious
It was identified that 2 medication rercords for 2 children in care lacked the signature of the person who administered the medication and the number of medication dispensed to each child.
HHSC 748.2151(a) — Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old
HHSC risk weight: Medium High. Corrected 2022-07-05. Correction verified 2022-07-08.
-
Illness & medication
It was identified that 2 medication rercords for 2 children in care lacked the signature of the person who administered the medication and the number of medication dispensed to each child.
HHSC 748.2151(e) — Medication Record-must document non-prescription medication or supplement given to child and how often given
HHSC risk weight: Medium. Corrected 2022-07-05. Correction verified 2022-07-08.
-
Illness & medication Serious
It was identified 17 medication incident reports, used to document medication errors, were not documented within 24 hours.
HHSC 748.2203(c) — Medication Error-Operation must meet documentation requirements within 24 hrs
HHSC risk weight: Medium High. Corrected 2022-07-18. Correction verified 2022-06-27.
-
Supervision & ratios
The refrigerator located in CASA SARA had opened food items that were not stored in proper storage containers.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected 2022-07-07. Correction verified 2022-07-08.
-
Illness & medication Serious
-
Jun 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 20, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation Serious
While conducting a walk through, the stove top and microwave were observed with stuck on food particles, the counter tops/food preparation area contained trash, the cabinet was hanging from its hinges, and the bottom of the freezer contained loose food that had fallen out of a package.
HHSC 748.3441(c) — Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
HHSC risk weight: Medium High. Corrected 2022-07-04. Correction verified 2022-06-27.
-
Cleanliness & sanitation Serious
-
Jun 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jun 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2022 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
It was found during the investigation that periodically during an all for support call or a perimeter search, staff are left out of ratio for periods of time in both the RTC and GH cottages.
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 2022-08-05. Correction verified 2022-08-03.
-
Supervision & ratios Serious
After a serious incident, staff assessed a child required heightened supervision through stabilization. Staff did not implement the needed supervision as the child was allowed to go outside unsupervised for over 15 minutes. During this time, the child was able to elope from the operation.
HHSC 748.685(b)(4) — Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-03.
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Supervision & ratios Serious
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Jun 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A child in care was able to find a piece of glass outside and swallow it. Other collateral children confirm that it is common to see hazards such as glass outside.
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 2022-07-26. Correction verified 2022-07-26.
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Supervision & ratios Serious
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Jun 12, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 9, 2022 Inspection · Deficiencies cited
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Illness & medication Serious
One out of two cottages observed, contained Schedule II medications that were not double locked as required. The office door was locked; however, the cart inside the office containing Schedule II medications was not locked and there were no staff observed in the area administering medication at that time. This was corrected at the inspection when operation staff locked the medication cart.
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 2022-06-09. Correction verified 2022-06-13.
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Supervision & ratios
Two out of two cottages walked through were observed with unsealed or uncovered food items in the refrigerator or freezer. This was corrected at the inspection when staff conducting the walk through either covered the item or discarded it.
HHSC 748.3443(a)(6) — Food Preparation-Food items must be covered when stored in the refrigerator
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-06-09.
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Illness & medication Serious
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Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2022 Report · Deficiencies cited
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Cleanliness & sanitation Serious
It was identified during this investigation that a male staff member entered a bathroom while a female child in care was showering.
HHSC 748.1101(b)(1)(A) — Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-07-28.
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Cleanliness & sanitation Serious
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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 31, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 30, 2022 Report · Deficiencies cited (self-report)
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Illness & medication Serious
A child in care was prescribed an inhaler for asthma that was to be used every 4 hours as needed. While participating in a higher risk water activity, the child began to have trouble breathing and wanted this inhaler. Caregivers had not brought the inhaler on the outing and therefore the child was not able to use their medication as prescribed. The child had a fainting episode and was taken to the emergency room.
HHSC 748.2003(b)(3) — AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
HHSC risk weight: Medium High. Corrected 2022-07-05. Correction verified 2022-06-29.
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Illness & medication Serious
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Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 13, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2022 Report · 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.
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Feb 16, 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.
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Feb 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2022 Report · Deficiencies cited (self-report)
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Records & paperwork Serious
A child in care was restrained over the maximum length of time. The restraint was said by staff to have lasted at least 30 minutes up to 45 minutes and was documented in the serious incident report to have lasted 40 minutes.
HHSC 748.2801(2)(A) — EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
HHSC risk weight: High. Corrected 2022-03-30. Correction verified 2022-03-17.
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Records & paperwork Serious
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Jan 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
A direct care worker has been working at the operation with an inactive background check since June 2021.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-01-12. Correction verified 2022-01-12.
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Staff background & training Serious
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Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2022 Report · Deficiencies cited (self-report)
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Illness & medication
A child and staff member tested positive for a communicable disease one tested positive on 12/31/2021 the other on 1/1/2022. The positive results were not reported to Licensing until 1/3/2022
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 2022-01-14. Correction verified 2022-01-18.
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Illness & medication
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Dec 31, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2021 Report · Deficiencies cited
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Discipline & child guidance Serious
The investigation concluded that a staff used condescending and sarcastic comments towards a child in care.
HHSC 748.2307(4) — Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
HHSC risk weight: Medium High. Corrected 2022-02-22. Correction verified 2022-01-27.
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Discipline & child guidance Serious
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Dec 25, 2021 Report · Deficiencies cited (self-report)
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Illness & medication Serious
It was identified during the course of this investigation that expired medication was administered to a child in care. This medication was known by the operation to have been expired prior to the administration, continued to be accessible, and was administered to a child during a suspected medical event.
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 2022-02-11. Correction verified 2022-02-02.
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Illness & medication Serious
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Dec 22, 2021 Report · 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.
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Dec 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 15, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 24, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 23, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 4, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Oct 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 17, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 12, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2021 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 14, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 21, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 14, 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, via 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.