RecordWell Data

Ach Child And Family Services

None, None, TX

98cited violations
14serious
397inspections & investigations
0enforcement actions

Program

Type
General residential operation
Licensed capacity
16
Ages
12-17
Hours
-
Director / administrator
Wayne Carson
Phone
(682) 432-1134
Regulated since
Dec 30, 2019
HHSC IDs
Operation 1332255 · number 1692091
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026100 Cleanliness & sanitation (4), Illness & medication (2), Other (4)
2025306 Illness & medication (6), Supervision & ratios (8), Staff background & training (2), Other (14)
2024346 Cleanliness & sanitation (4), Illness & medication (8), Supervision & ratios (4), Discipline & child guidance (2), Food & allergies (4), Other (12)
202382 Illness & medication (2), Other (6)
2022160 Illness & medication (2), Supervision & ratios (8), Records & paperwork (2), Other (4)

Inspections, investigations & assessments

  1. Sep 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 3, 2026 Inspection

    No violations cited on this visit.

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

  3. Sep 3, 2026 Inspection

    No violations cited on this visit.

    HHSC inspection history

  4. Sep 2, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  5. Sep 2, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. Aug 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  7. Aug 23, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Aug 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  9. Aug 19, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Aug 17, 2026 Report · Recorded (self-report)

    No violations cited on this visit.

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

  11. Aug 17, 2026 Report · Recorded (self-report)

    No violations cited on this visit.

    HHSC inspection history

  12. Aug 1, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  13. Aug 1, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Jul 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Jul 31, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  16. Jul 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Jul 20, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  18. Jul 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  19. Jul 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Jul 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  21. Jul 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. Jun 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  23. Jun 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. May 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  25. May 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. May 8, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. May 8, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  28. Apr 28, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  29. Apr 28, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  30. Apr 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  31. Apr 8, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  32. Mar 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Mar 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  34. Mar 26, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  35. Mar 26, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  36. Mar 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Mar 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  38. Mar 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  39. Mar 23, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Mar 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  41. Mar 18, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  42. Mar 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  43. Mar 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  44. Mar 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  45. Mar 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  46. Mar 8, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  47. Mar 8, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  48. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  49. Mar 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Feb 27, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  51. Feb 27, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  52. Feb 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  53. Feb 25, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  54. Feb 19, 2026 Report · Deficiencies cited (self-report)
    • Other

      A caregiver had a verbal altercation with a child in care during which they yelled at the child and made inappropriate comments.

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

      HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-05-11.

    HHSC inspection history

  55. Feb 19, 2026 Report · Deficiencies cited (self-report)
    • Other

      A caregiver had a verbal altercation with a child in care during which they yelled at the child and made inappropriate comments.

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

      HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-05-11.

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

  56. Jan 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Jan 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  58. Jan 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  59. Jan 29, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  60. Jan 29, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  61. Jan 29, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  62. Jan 15, 2026 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      One of the bathrooms in unit B was found to have water on the floor and was not draining the water properly in addition to having peeling paint below the mirror on the sink and on the toilet. Two other bathrooms in unit B were found to have peeling paint on the soap dispensers and on the toilets and in one of these, there was dirty water observed on the railing under the sink. Three of the bathrooms in unit A were found to have peeling paint on the soap dispensers, on the toilets and below the mirrors above the sink.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2026-01-21. Correction verified 2026-01-29.

    • Cleanliness & sanitation

      The sink in the classroom near unit A was found to have rust while the sink in the classroom near unit B was found to have a broken handle.

      HHSC 748.3395(a) — Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean

      HHSC risk weight: Medium. Corrected 2026-01-21. Correction verified 2026-01-29.

    HHSC inspection history

  63. Jan 15, 2026 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      One of the bathrooms in unit B was found to have water on the floor and was not draining the water properly in addition to having peeling paint below the mirror on the sink and on the toilet. Two other bathrooms in unit B were found to have peeling paint on the soap dispensers and on the toilets and in one of these, there was dirty water observed on the railing under the sink. Three of the bathrooms in unit A were found to have peeling paint on the soap dispensers, on the toilets and below the mirrors above the sink.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2026-01-21. Correction verified 2026-01-29.

    • Cleanliness & sanitation

      The sink in the classroom near unit A was found to have rust while the sink in the classroom near unit B was found to have a broken handle.

      HHSC 748.3395(a) — Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean

      HHSC risk weight: Medium. Corrected 2026-01-21. Correction verified 2026-01-29.

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

  64. Jan 13, 2026 Report · Deficiencies cited
    • Illness & medication

      One of the children underwent surgery on 1/5/26 and this was not reported into the statewide hotline.

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

      HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-03-10.

    • Other

      It was determined that caregivers were displaying inappropriate behaviors, caregivers were having inappropriate conversations in front of the children and were showing favoritism towards some children.

      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 2026-02-19. Correction verified 2026-03-10.

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

  65. Jan 13, 2026 Report · Deficiencies cited
    • Illness & medication

      One of the children underwent surgery on 1/5/26 and this was not reported into the statewide hotline.

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

      HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-03-10.

    • Other

      It was determined that caregivers were displaying inappropriate behaviors, caregivers were having inappropriate conversations in front of the children and were showing favoritism towards some children.

      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 2026-02-19. Correction verified 2026-03-10.

    HHSC inspection history

  66. Jan 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Jan 13, 2026 Report · No deficiencies cited

    No violations cited on this visit.

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

  68. Jan 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  69. Jan 6, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  70. Dec 24, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  71. Dec 24, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  72. Dec 2, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Dec 2, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  74. Nov 12, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  75. Nov 12, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. Nov 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  77. Nov 6, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. Oct 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Oct 31, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  80. Oct 26, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  81. Oct 26, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  82. Oct 24, 2025 Assessment · Deficiencies cited
    • Staff background & training

      The people list was reviewed, and background checks for two employees were inactivated a few months after they were no longer associated with the operation. In addition, the administrator did not have their background check inactivated within seven days of leaving the operation.

      HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

      HHSC risk weight: Medium. Corrected 2025-10-29. Correction verified 2025-10-27.

    HHSC inspection history

  83. Oct 24, 2025 Assessment · Deficiencies cited
    • Staff background & training

      The people list was reviewed, and background checks for two employees were inactivated a few months after they were no longer associated with the operation. In addition, the administrator did not have their background check inactivated within seven days of leaving the operation.

      HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

      HHSC risk weight: Medium. Corrected 2025-10-29. Correction verified 2025-10-27.

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

  84. Oct 14, 2025 Inspection · Deficiencies cited
    • Other

      Leadership failed to notify licensing of a change in controlling persons within the two day time frame.

      HHSC 748.153(3)(A) — Notification - Change in child-care administrator

      HHSC risk weight: Medium High. Corrected 2025-10-21. Correction verified 2025-10-21.

    • Supervision & ratios

      The operation did not have the notice of keeping children safe at the operation.

      HHSC 748.191(2) — Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times

      HHSC risk weight: Medium Low. Corrected 2025-10-21. Correction verified 2025-11-05.

    • Illness & medication

      One out of two child medication logs reviewed did not have a record of administration of the medication 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 2025-10-21. Correction verified 2025-11-05.

    • Illness & medication

      Two out of three child medication logs reviewed did not have the accurate count for two medications they were taking.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected 2025-10-21. Correction verified 2025-11-05.

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

  85. Oct 14, 2025 Inspection · Deficiencies cited
    • Other

      Leadership failed to notify licensing of a change in controlling persons within the two day time frame.

      HHSC 748.153(3)(A) — Notification - Change in child-care administrator

      HHSC risk weight: Medium High. Corrected 2025-10-21. Correction verified 2025-10-21.

    • Supervision & ratios

      The operation did not have the notice of keeping children safe at the operation.

      HHSC 748.191(2) — Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times

      HHSC risk weight: Medium Low. Corrected 2025-10-21. Correction verified 2025-11-05.

    • Illness & medication

      One out of two child medication logs reviewed did not have a record of administration of the medication 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 2025-10-21. Correction verified 2025-11-05.

    • Illness & medication

      Two out of three child medication logs reviewed did not have the accurate count for two medications they were taking.

      HHSC 748.2151(d) — Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      HHSC risk weight: Medium High. Corrected 2025-10-21. Correction verified 2025-11-05.

    HHSC inspection history

  86. Sep 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  87. Sep 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  88. Sep 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  89. Sep 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  90. Sep 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  91. Sep 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  92. Aug 21, 2025 Report · Deficiencies cited
    • Supervision & ratios

      During the Investigaton it was discovered that a staff member was unfamiliar with the agency's operational policies.

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

      HHSC risk weight: Medium. Corrected 2025-09-04. Correction verified 2025-09-11.

    • Other

      It was noted that staff members did not attempt to deescalate the behavior of a child before performing a restraint on them.

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

      HHSC risk weight: Medium High. Corrected 2025-09-04. Correction verified 2025-09-11.

    • Other Serious

      Staff members were observed not intervening when children in care were escalated.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2025-09-04. Correction verified 2025-09-18.

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

  93. Aug 21, 2025 Report · Deficiencies cited
    • Supervision & ratios

      During the Investigaton it was discovered that a staff member was unfamiliar with the agency's operational policies.

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

      HHSC risk weight: Medium. Corrected 2025-09-04. Correction verified 2025-09-11.

    • Other

      It was noted that staff members did not attempt to deescalate the behavior of a child before performing a restraint on them.

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

      HHSC risk weight: Medium High. Corrected 2025-09-04. Correction verified 2025-09-11.

    • Other Serious

      Staff members were observed not intervening when children in care were escalated.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2025-09-04. Correction verified 2025-09-18.

    HHSC inspection history

  94. Aug 21, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The thermometer was observed to be at a temperature of twenty degrees fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2025-08-28. Correction verified 2025-09-03.

    HHSC inspection history

  95. Aug 21, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The thermometer was observed to be at a temperature of twenty degrees fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2025-08-28. Correction verified 2025-09-03.

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

  96. Aug 20, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  97. Aug 20, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  98. Aug 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  99. Aug 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  100. Aug 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  101. Aug 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  102. Aug 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  103. Aug 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  104. Aug 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  105. Aug 8, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  106. Aug 8, 2025 Report · Deficiencies cited
    • Other Serious

      A staff member secluded a child in their room by blocking the door with their foot and body.

      HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2025-09-18. Correction verified 2025-09-18.

    • Other

      A child was in their bedroom and a staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.

      HHSC 748.2451(a)(4)(A) — Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp

      HHSC risk weight: Medium High. Corrected 2025-09-18. Correction verified 2025-09-18.

    • Other

      A staff member did not demonstrate prudent judgement when he used his foot and body to block one of the residents in their room and dragged the child while they were on their mattress.

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

      HHSC risk weight: Medium High. Corrected 2025-09-18. Correction verified 2025-09-18.

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

  107. Aug 8, 2025 Report · Deficiencies cited
    • Other Serious

      A staff member secluded a child in their room by blocking the door with their foot and body.

      HHSC 748.2301(b)(2) — Disciplinary Measures-must not be physically or emotionally damaging to the child

      HHSC risk weight: High. Corrected 2025-09-18. Correction verified 2025-09-18.

    • Other

      A child was in their bedroom and a staff member blocked the door by using their foot, preventing the child from opening or leaving the bedroom.

      HHSC 748.2451(a)(4)(A) — Seclusion-Only for child with ED or PDD when 25+ children with ED or PDD or >30% of children with ED or PDD; not allowed for child in therapeutic camp

      HHSC risk weight: Medium High. Corrected 2025-09-18. Correction verified 2025-09-18.

    • Other

      A staff member did not demonstrate prudent judgement when he used his foot and body to block one of the residents in their room and dragged the child while they were on their mattress.

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

      HHSC risk weight: Medium High. Corrected 2025-09-18. Correction verified 2025-09-18.

    HHSC inspection history

  108. Aug 7, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  109. Aug 7, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  110. Aug 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  111. Aug 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  112. Aug 1, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  113. Aug 1, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  114. Jul 20, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  115. Jul 20, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  116. Jul 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  117. Jul 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  118. Jul 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  119. Jul 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  120. Jul 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  121. Jul 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  122. Jul 11, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      During the walkthough, 1 out 3 freezers were observed to be at 20 degrees Fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2025-07-18. Correction verified 2025-08-07.

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

  123. Jul 11, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      During the walkthough, 1 out 3 freezers were observed to be at 20 degrees Fahrenheit.

      HHSC 748.3443(b)(2) — Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below

      HHSC risk weight: Medium. Corrected 2025-07-18. Correction verified 2025-08-07.

    HHSC inspection history

  124. Jul 5, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  125. Jul 5, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  126. Jul 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  127. Jul 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  128. Jun 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  129. Jun 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  130. Jun 20, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  131. Jun 20, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  132. Jun 9, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  133. Jun 9, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  134. May 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  135. May 15, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  136. May 9, 2025 Report · Deficiencies cited (self-report)
    • Illness & medication

      Operation did not provide medication logs.

      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 2025-07-08. Correction verified 2025-07-11.

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

  137. May 9, 2025 Report · Deficiencies cited (self-report)
    • Illness & medication

      Operation did not provide medication logs.

      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 2025-07-08. Correction verified 2025-07-11.

    HHSC inspection history

  138. May 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  139. May 2, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  140. Apr 25, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  141. Apr 25, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  142. Apr 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  143. Apr 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  144. Apr 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  145. Apr 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  146. Apr 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  147. Apr 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  148. Apr 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  149. Apr 9, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  150. Apr 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  151. Apr 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  152. Apr 4, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  153. Apr 4, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  154. Mar 17, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  155. Mar 17, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  156. Mar 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  157. Mar 13, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  158. Mar 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  159. Mar 13, 2025 Report · No deficiencies cited

    No violations cited on this visit.

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

  160. Mar 13, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  161. Mar 13, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  162. Mar 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  163. Mar 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  164. Mar 8, 2025 Report · Deficiencies cited (self-report)
    • Other Serious

      A staff member scrolled through a cell phone during an altercation. While the staff member viewed their phone, children in care engaged in a verbal altercation. A child in care was left in the room for 1 minute. While alone and in the hearing of staff members, the child expressed suicidal ideations.

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2025-04-07. Correction verified 2025-04-15.

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

  165. Mar 8, 2025 Report · Deficiencies cited (self-report)
    • Other Serious

      A staff member scrolled through a cell phone during an altercation. While the staff member viewed their phone, children in care engaged in a verbal altercation. A child in care was left in the room for 1 minute. While alone and in the hearing of staff members, the child expressed suicidal ideations.

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2025-04-07. Correction verified 2025-04-15.

    HHSC inspection history

  166. Feb 28, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  167. Feb 28, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  168. Feb 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  169. Feb 27, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  170. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  171. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  172. Feb 22, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  173. Feb 22, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  174. Feb 20, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  175. Feb 20, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  176. Feb 7, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  177. Feb 7, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  178. Feb 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  179. Feb 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  180. Feb 1, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  181. Feb 1, 2025 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  182. Jan 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  183. Jan 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  184. Dec 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  185. Dec 31, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  186. Dec 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  187. Dec 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  188. Dec 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  189. Dec 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  190. Nov 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  191. Nov 27, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  192. Nov 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  193. Nov 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  194. Nov 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  195. Nov 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  196. Nov 14, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      A bathroom in unit B was found to have water on the floor and was not draining the water properly. The shower head was also not in proper working condition.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2024-11-21. Correction verified 2024-11-27.

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

  197. Nov 14, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      A bathroom in unit B was found to have water on the floor and was not draining the water properly. The shower head was also not in proper working condition.

      HHSC 748.3391(a) — Bathrooms-Must be maintained in good repair & kept clean

      HHSC risk weight: Medium High. Corrected 2024-11-21. Correction verified 2024-11-27.

    HHSC inspection history

  198. Oct 18, 2024 Report · Deficiencies cited
    • Other Serious

      A video was reviewed showing two caregivers not intervening when a child was harming themself.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2024-12-20. Correction verified 2024-12-23.

    HHSC inspection history

  199. Oct 18, 2024 Report · Deficiencies cited
    • Other Serious

      A video was reviewed showing two caregivers not intervening when a child was harming themself.

      HHSC 748.685(a)(5) — Caregiver responsibility - being able to intervene when necessary to ensure child's safety

      HHSC risk weight: High. Corrected 2024-12-20. Correction verified 2024-12-23.

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

  200. Oct 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  201. Oct 3, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  202. Sep 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  203. Sep 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  204. Sep 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  205. Sep 20, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  206. Sep 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  207. Sep 17, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  208. Sep 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  209. Sep 16, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  210. Sep 16, 2024 Report · Deficiencies cited
    • Other

      One of the preliminary service plans reviewed did not have a signature from the treatment director or PLSP.

      HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services

      HHSC risk weight: Medium. Corrected 2024-11-14. Correction verified 2024-11-14.

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

  211. Sep 16, 2024 Report · Deficiencies cited
    • Other

      One of the preliminary service plans reviewed did not have a signature from the treatment director or PLSP.

      HHSC 748.1333 — Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services

      HHSC risk weight: Medium. Corrected 2024-11-14. Correction verified 2024-11-14.

    HHSC inspection history

  212. Sep 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  213. Sep 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  214. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  215. Sep 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  216. Aug 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  217. Aug 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  218. Aug 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  219. Aug 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  220. Aug 28, 2024 Report · Deficiencies cited
    • Other

      During the time of review a child was being restrained in front of another child and the child that was asked to help was attempting to take off the other child's shirt while 3 caregivers/staff were present.

      HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers

      HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-10.

    • Other

      During the time of review a child was woken up during nighttime hours to help assist with another child in care that was being unmanageable when 3 staff/caregivers were present.

      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 2024-10-11. Correction verified 2024-10-10.

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

  221. Aug 28, 2024 Report · Deficiencies cited
    • Other

      During the time of review a child was being restrained in front of another child and the child that was asked to help was attempting to take off the other child's shirt while 3 caregivers/staff were present.

      HHSC 748.2551(d)(1) — EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers

      HHSC risk weight: Medium. Corrected 2024-10-11. Correction verified 2024-10-10.

    • Other

      During the time of review a child was woken up during nighttime hours to help assist with another child in care that was being unmanageable when 3 staff/caregivers were present.

      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 2024-10-11. Correction verified 2024-10-10.

    HHSC inspection history

  222. Aug 22, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  223. Aug 22, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  224. Aug 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  225. Aug 13, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  226. Aug 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  227. Aug 2, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  228. Aug 1, 2024 Inspection · Deficiencies cited
    • Illness & medication

      Loose medication was observed in the medication drawer.

      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 at inspection. Corrected 2024-08-01.

    • Illness & medication

      A child in care did not recieve their morning medications. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation.

      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 2024-08-02. Correction verified 2024-09-13.

    • Illness & medication

      A child's medication was observed to be in another child's drawer. This was corrected at the inspection when staff moved the medication to the correct child's drawer.

      HHSC 748.2101(5) — Medication Storage - keep medication storage area(s) clean and orderly

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-08-01.

    HHSC inspection history

  229. Aug 1, 2024 Inspection · Deficiencies cited
    • Illness & medication

      Loose medication was observed in the medication drawer.

      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 at inspection. Corrected 2024-08-01.

    • Illness & medication

      A child in care did not recieve their morning medications. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation.

      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 2024-08-02. Correction verified 2024-09-13.

    • Illness & medication

      A child's medication was observed to be in another child's drawer. This was corrected at the inspection when staff moved the medication to the correct child's drawer.

      HHSC 748.2101(5) — Medication Storage - keep medication storage area(s) clean and orderly

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-08-01.

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

  230. Jul 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  231. Jul 2, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  232. Jun 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  233. Jun 25, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  234. Jun 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  235. Jun 25, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  236. Jun 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  237. Jun 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  238. Jun 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  239. Jun 14, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  240. May 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  241. May 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  242. May 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  243. May 9, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  244. May 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  245. May 1, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  246. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  247. Apr 29, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  248. Apr 19, 2024 Report · Deficiencies cited (self-report)
    • Food & allergies

      A child that was diagnoses with high cholesterol is not being offered a nutritional substitute for meals and snacks.

      HHSC 748.1699(c) — Nutrition-if meal or snack not appropriate to meet a child's individual needs, then must offer an appropriate nutritional substitute

      HHSC risk weight: Medium. Corrected 2024-06-24. Correction verified 2024-06-25.

    • Supervision & ratios

      The menu did not list the snacks that are provided to the children in care.

      HHSC 748.1703(a) — Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves

      HHSC risk weight: Low. Corrected 2024-06-17. Correction verified 2024-06-25.

    • Food & allergies

      The service plan indicates that the child should be learning how to cook healthy meals for themselves.

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

      HHSC risk weight: Medium. Corrected 2024-06-24. Correction verified 2024-06-25.

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

  249. Apr 19, 2024 Report · Deficiencies cited (self-report)
    • Food & allergies

      A child that was diagnoses with high cholesterol is not being offered a nutritional substitute for meals and snacks.

      HHSC 748.1699(c) — Nutrition-if meal or snack not appropriate to meet a child's individual needs, then must offer an appropriate nutritional substitute

      HHSC risk weight: Medium. Corrected 2024-06-24. Correction verified 2024-06-25.

    • Supervision & ratios

      The menu did not list the snacks that are provided to the children in care.

      HHSC 748.1703(a) — Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves

      HHSC risk weight: Low. Corrected 2024-06-17. Correction verified 2024-06-25.

    • Food & allergies

      The service plan indicates that the child should be learning how to cook healthy meals for themselves.

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

      HHSC risk weight: Medium. Corrected 2024-06-24. Correction verified 2024-06-25.

    HHSC inspection history

  250. Apr 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  251. Apr 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  252. Apr 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  253. Apr 5, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  254. Apr 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  255. Apr 4, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  256. Apr 3, 2024 Inspection · Deficiencies cited
    • Illness & medication

      One of the two medication's reviewed did not have the updated count on the medicaiton log.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

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

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

  257. Apr 3, 2024 Inspection · Deficiencies cited
    • Illness & medication

      One of the two medication's reviewed did not have the updated count on the medicaiton log.

      HHSC 748.2151(b)(1) — Medication record - update cumulative record within 2 hours of administering medication

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

    HHSC inspection history

  258. Apr 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  259. Apr 3, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  260. Mar 31, 2024 Report · Deficiencies cited
    • Discipline & child guidance Serious

      A caregiver was found to have threaten to hit and physically harm the child.

      HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting

      HHSC risk weight: High. Corrected 2024-06-09. Correction verified 2024-06-18.

    • Supervision & ratios

      The administrator did not ensure compliance with a safety plan when a staff person who was limited in contact with a child was able to interact with the child.

      HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children

      HHSC risk weight: Medium High. Corrected 2024-06-09. Correction verified 2024-08-21.

    • Other Serious

      It was determined that a caregiver did not create a safe environment for a child in care when failing to adhere to a safety plan causing the child to be triggered.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2024-06-09. Correction verified 2024-06-18.

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

  261. Mar 31, 2024 Report · Deficiencies cited
    • Discipline & child guidance Serious

      A caregiver was found to have threaten to hit and physically harm the child.

      HHSC 748.1101(b)(4)(A)(ii) — Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting

      HHSC risk weight: High. Corrected 2024-06-09. Correction verified 2024-06-18.

    • Supervision & ratios

      The administrator did not ensure compliance with a safety plan when a staff person who was limited in contact with a child was able to interact with the child.

      HHSC 748.535(3)(A) — Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children

      HHSC risk weight: Medium High. Corrected 2024-06-09. Correction verified 2024-08-21.

    • Other Serious

      It was determined that a caregiver did not create a safe environment for a child in care when failing to adhere to a safety plan causing the child to be triggered.

      HHSC 748.685(c)(2) — Caregiver responsibility - provide a safe environment

      HHSC risk weight: High. Corrected 2024-06-09. Correction verified 2024-06-18.

    HHSC inspection history

  262. Mar 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  263. Mar 30, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  264. Mar 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  265. Mar 28, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  266. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  267. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  268. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  269. Mar 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  270. Mar 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  271. Mar 19, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  272. Mar 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  273. Mar 18, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  274. Mar 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  275. Mar 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  276. Mar 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  277. Mar 11, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  278. Mar 6, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  279. Mar 6, 2024 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  280. Mar 1, 2024 Report · Deficiencies cited
    • Other

      A youth care specialist admitted to using profanity towards a child in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2024-05-09. Correction verified 2024-05-15.

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

  281. Mar 1, 2024 Report · Deficiencies cited
    • Other

      A youth care specialist admitted to using profanity towards a child in care.

      HHSC 748.2307(9) — Other Prohibited Punishments-subjecting a child to abusive or profane language

      HHSC risk weight: Medium High. Corrected 2024-05-09. Correction verified 2024-05-15.

    HHSC inspection history

  282. Mar 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  283. Mar 1, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  284. Feb 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  285. Feb 27, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  286. Feb 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  287. Feb 24, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  288. Feb 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  289. Feb 21, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  290. Feb 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  291. Feb 7, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  292. Feb 7, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, on Unit B, in one of the bedrooms, the trim in the corner by the bed was detached from the wall and appeared that it could fall.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2024-02-14. Correction verified 2024-02-13.

    HHSC inspection history

  293. Feb 7, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, on Unit B, in one of the bedrooms, the trim in the corner by the bed was detached from the wall and appeared that it could fall.

      HHSC 748.3301(a)(2) — Physical Site- Buildings must be clean and in good repair.

      HHSC risk weight: Medium. Corrected 2024-02-14. Correction verified 2024-02-13.

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

  294. Jan 31, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  295. Jan 31, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  296. Jan 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  297. Jan 30, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  298. Jan 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  299. Jan 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  300. Jan 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  301. Jan 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  302. Jan 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  303. Jan 21, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  304. Dec 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  305. Dec 19, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  306. Oct 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  307. Oct 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  308. Oct 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  309. Oct 24, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  310. Oct 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  311. Oct 6, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  312. Sep 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  313. Sep 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  314. Sep 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  315. Sep 5, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  316. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  317. Aug 29, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  318. Aug 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  319. Aug 2, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  320. Jul 31, 2023 Report · Deficiencies cited
    • Other

      Due to the child's history, the safety plan did not implement a plan to ensure the proper protocol to keep a child safe that has a history of self-harm.

      HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement

      HHSC risk weight: Medium. Corrected 2023-08-28. Correction verified 2024-01-09.

    • Other Serious

      A child was able to obtain a pair of scissors and use to cut their own hair.

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2023-08-28. Correction verified 2024-01-09.

    HHSC inspection history

  321. Jul 31, 2023 Report · Deficiencies cited
    • Other

      Due to the child's history, the safety plan did not implement a plan to ensure the proper protocol to keep a child safe that has a history of self-harm.

      HHSC 748.1205(a)(12) — Admission Documentation-Identification of child's high risk behaviors and related safety plan staff and caregivers will implement

      HHSC risk weight: Medium. Corrected 2023-08-28. Correction verified 2024-01-09.

    • Other Serious

      A child was able to obtain a pair of scissors and use to cut their own hair.

      HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity

      HHSC risk weight: High. Corrected 2023-08-28. Correction verified 2024-01-09.

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

  322. Jul 26, 2023 Inspection · Deficiencies cited
    • Other

      Child files reviewed, two out of two files were missing the child's religion or religious preference.

      HHSC 748.1205(a)(1) — Admission Documentation-Includes child's name, gender, race, religion, date of birth

      HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-09-19.

    HHSC inspection history

  323. Jul 26, 2023 Inspection · Deficiencies cited
    • Other

      Child files reviewed, two out of two files were missing the child's religion or religious preference.

      HHSC 748.1205(a)(1) — Admission Documentation-Includes child's name, gender, race, religion, date of birth

      HHSC risk weight: Medium Low. Corrected 2023-08-02. Correction verified 2023-09-19.

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

  324. Jun 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  325. Jun 20, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  326. May 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  327. May 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  328. May 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  329. May 22, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  330. May 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  331. May 3, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  332. May 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  333. May 1, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  334. Apr 12, 2023 Inspection · Deficiencies cited
    • Illness & medication

      7 child medication logs were reviewed. Of the 7 logs reviewed, 5 child files documented a medical professional who was not the actual physical listed on the medication label.

      HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-04-19.

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

  335. Apr 12, 2023 Inspection · Deficiencies cited
    • Illness & medication

      7 child medication logs were reviewed. Of the 7 logs reviewed, 5 child files documented a medical professional who was not the actual physical listed on the medication label.

      HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-04-19.

    HHSC inspection history

  336. Apr 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  337. Apr 12, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  338. Mar 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  339. Mar 10, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  340. Mar 1, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  341. Mar 1, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

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

  342. Jan 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  343. Jan 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  344. Dec 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  345. Dec 23, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  346. Dec 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  347. Dec 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  348. Dec 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  349. Dec 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  350. Dec 13, 2022 Report · Deficiencies cited
    • Supervision & ratios

      An employee at your operation showed favoritism to one particular child as well as buying inappropriate gifts for this child.

      HHSC 748.705(b)(2) — Reasonable & prudent parent standard-must consider the child's cognitive, social, emotional and physical development level

      HHSC risk weight: Medium. Corrected 2023-01-23. Correction verified 2023-01-19.

    HHSC inspection history

  351. Dec 13, 2022 Report · Deficiencies cited
    • Supervision & ratios

      An employee at your operation showed favoritism to one particular child as well as buying inappropriate gifts for this child.

      HHSC 748.705(b)(2) — Reasonable & prudent parent standard-must consider the child's cognitive, social, emotional and physical development level

      HHSC risk weight: Medium. Corrected 2023-01-23. Correction verified 2023-01-19.

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

  352. Dec 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  353. Dec 12, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  354. Nov 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  355. Nov 8, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  356. Oct 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  357. Oct 19, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  358. Oct 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  359. Oct 5, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  360. Sep 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  361. Sep 1, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  362. Aug 31, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  363. Aug 31, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  364. Aug 24, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      1 of the 2 employment files reviewed did not have "none" written on the notarized affidavit concerning incidents involving children as required.

      HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059

      HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-08-25.

    HHSC inspection history

  365. Aug 24, 2022 Inspection · Deficiencies cited
    • Records & paperwork

      1 of the 2 employment files reviewed did not have "none" written on the notarized affidavit concerning incidents involving children as required.

      HHSC 748.363(6) — Personnel records-Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059

      HHSC risk weight: Medium. Corrected 2022-09-01. Correction verified 2022-08-25.

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

  366. Aug 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  367. Aug 23, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  368. Aug 21, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  369. Aug 21, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  370. Aug 12, 2022 Report · Deficiencies cited
    • Illness & medication

      The medication logs for four children do not document the medication error including the time and dates the children were without medications.

      HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error

      HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-08.

    • Supervision & ratios

      The LCCA is the administrator for two operations however a written staffing plan was not completed.

      HHSC 748.531(b) — Child-care administrator-If acting as administrator for two operations, split full-time schedule per professional staffing plan for each operation

      HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-08.

    HHSC inspection history

  371. Aug 12, 2022 Report · Deficiencies cited
    • Illness & medication

      The medication logs for four children do not document the medication error including the time and dates the children were without medications.

      HHSC 748.2203(c)(1) — Medication Error-Document the time & date of the error

      HHSC risk weight: Medium High. Corrected 2022-10-25. Correction verified 2022-11-08.

    • Supervision & ratios

      The LCCA is the administrator for two operations however a written staffing plan was not completed.

      HHSC 748.531(b) — Child-care administrator-If acting as administrator for two operations, split full-time schedule per professional staffing plan for each operation

      HHSC risk weight: Medium. Corrected 2022-10-25. Correction verified 2022-11-08.

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

  372. Jul 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  373. Jul 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  374. Jul 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  375. Jul 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  376. Jul 16, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  377. Jul 16, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  378. Jul 6, 2022 Report · Deficiencies cited
    • Supervision & ratios

      Staff responsible for the supervision of a child in care did not provide the level of supervision indicated on the preliminary service plan.

      HHSC 748.1331(f) — Preliminary Service Plan-Implement and follow the preliminary service plan

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

    • Supervision & ratios

      Management staff did not instruct direct care staff on what was the supervision requirements for a child with known self-harming behaviors.

      HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

    • Other

      A child in care service plan indicated that she not to be left alone no more than 15 minutes at a time. The caregiver responsible for supervising a child, left the child alone for over 40 minutes unattended, thinking other caregivers were supervising her.

      HHSC 748.685(a)(1) — Caregiver responsibility - knowing which children they are responsible for

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

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

  379. Jul 6, 2022 Report · Deficiencies cited
    • Supervision & ratios

      Staff responsible for the supervision of a child in care did not provide the level of supervision indicated on the preliminary service plan.

      HHSC 748.1331(f) — Preliminary Service Plan-Implement and follow the preliminary service plan

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

    • Supervision & ratios

      Management staff did not instruct direct care staff on what was the supervision requirements for a child with known self-harming behaviors.

      HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

    • Other

      A child in care service plan indicated that she not to be left alone no more than 15 minutes at a time. The caregiver responsible for supervising a child, left the child alone for over 40 minutes unattended, thinking other caregivers were supervising her.

      HHSC 748.685(a)(1) — Caregiver responsibility - knowing which children they are responsible for

      HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-09-02.

    HHSC inspection history

  380. May 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  381. May 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  382. May 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  383. May 3, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  384. Apr 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  385. Apr 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  386. Apr 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  387. Apr 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  388. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  389. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  390. Apr 7, 2022 Report · Deficiencies cited
    • Other

      A staff member did not use appropriate de-escalation techniques with a youth in care. The caregiver taunted the child by swinging a mop in the child?s direction as well as mopping a beanbag used by the youth.

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

      HHSC risk weight: Medium High. Corrected 2022-06-08. Correction verified 2022-06-29.

    HHSC inspection history

  391. Apr 7, 2022 Report · Deficiencies cited
    • Other

      A staff member did not use appropriate de-escalation techniques with a youth in care. The caregiver taunted the child by swinging a mop in the child?s direction as well as mopping a beanbag used by the youth.

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

      HHSC risk weight: Medium High. Corrected 2022-06-08. Correction verified 2022-06-29.

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

  392. Apr 1, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  393. Apr 1, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  394. Feb 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  395. Feb 28, 2022 Report · No deficiencies cited

    No violations cited on this visit.

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

  396. Nov 3, 2021 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  397. Nov 3, 2021 Report · No deficiencies cited

    No violations cited on this visit.

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

Get the full file

HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.

Email the request Printable letter (fax or mail)

Send to
HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text

If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.

Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.