Hearts With Hope Foundation-gro
3407 SPRING CREEK DR, Spring, TX 77373 · Harris County
Program
- Type
- General residential operation
- Licensed capacity
- 29
- Ages
- 7-17
- Hours
- -
- Director / administrator
- Blanca Aguirre
- Phone
- (281) 651-1207
- Regulated since
- May 17, 2011
- HHSC IDs
- Operation 608709 · number 1105326
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Illness & medication (1) |
| 2025 | 4 | 0 | Supervision & ratios (1), Records & paperwork (3) |
| 2024 | 4 | 2 | Illness & medication (2), Supervision & ratios (1), Other (1) |
| 2023 | 24 | 11 | Illness & medication (2), Supervision & ratios (4), Discipline & child guidance (1), Safety & premises (2), Staff background & training (7), Records & paperwork (1), Other (7) |
| 2022 | 4 | 1 | Supervision & ratios (2), Discipline & child guidance (1), Safety & premises (1) |
| 2021 | 2 | 2 | Safety & premises (1), Other (1) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2026 Report
No violations cited on this visit.
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2026 Report · Deficiencies cited
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Illness & medication
Non prescription medications were administered to a child in care and it was not properly documented.
HHSC 748.2151(e) — Medication Record-must document non-prescription medication or supplement given to child and how often given
HHSC risk weight: Medium. Corrected 2026-08-07. Correction verified 2026-08-05.
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Illness & medication
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Jun 2, 2026 Inspection
No violations cited on this visit.
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 21, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 14, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 20, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 23, 2025 Report · Deficiencies cited
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Supervision & ratios
Caregivers did not follow children's service plan when children in care stayed in the operation van without staff knowing.
HHSC 748.685(c)(6) — Implement and follow the children's service plans.
HHSC risk weight: Medium. Corrected 2026-02-20. Correction verified 2026-02-16.
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Supervision & ratios
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Dec 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jul 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 27, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2025 Inspection · Deficiencies cited
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Records & paperwork
Upon review of personnel records, one file lacked reference checks required for employees hired after August 2023.
HHSC 748.751(b)(2) — Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
HHSC risk weight: Medium Low. Corrected 2025-05-16. Correction verified 2025-05-09.
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Records & paperwork
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Apr 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Mar 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 15, 2025 Report · Deficiencies cited (self-report)
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Records & paperwork
During the course of the investigation, it was found that there was no report to licensing within the 6-hour timeframe.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2025-05-01. Correction verified 2025-04-29.
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Records & paperwork
During the course of this investigation, it was found that there was no report to law enforcement within the six-hour timeframe.
HHSC 748.303(a)(10)(C) — Serious Incident-Report to law enforcement no later than 6 hours after determining unauthorized absence of a child 13 years old or older.
HHSC risk weight: Medium. Corrected 2025-05-01. Correction verified 2025-04-29.
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Records & paperwork
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Feb 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2024 Report · Deficiencies cited (self-report)
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Other
Age, gender and date of admission of the child/children involved not found in document.
HHSC 748.311(3) — Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved
HHSC risk weight: Medium. Corrected 2024-12-27. Correction verified 2025-01-02.
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Other
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Nov 10, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Inspection · Deficiencies cited
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Supervision & ratios Serious
There was a bag of chicken left to thaw in the kitchen sink.
HHSC 748.3441(m) — Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-05-24.
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Supervision & ratios Serious
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Apr 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2024 Inspection · Deficiencies cited
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Illness & medication
One of the medication logs did not accurately reflect the pills counted.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2024-03-11. Correction verified 2024-03-25.
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Illness & medication Serious
While reviewing medication records, multiple medication logs for nasal spray were not administered daily as prescribed for 5 children out of 16.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2024-03-11. Correction verified 2024-03-25.
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Illness & medication
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Feb 20, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 26, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 13, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Dec 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 30, 2023 Inspection · Deficiencies cited
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Other Serious
Three out of the four child files reviewed did not have a hearing screening.
HHSC 748.1545(a) — Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
HHSC risk weight: Medium High. Corrected 2023-12-07. Correction verified 2023-12-06.
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Other Serious
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Nov 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2023 Report · Deficiencies cited
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Illness & medication Serious
It was determined that an unauthorized person consented to medication during a child in cares hospital stay.
HHSC 748.2255(1) — Operation does not employ professional who prescribes psychotropic meds-Operation gives required info to medical consenter before requesting consent
HHSC risk weight: Medium High. Corrected 2023-11-15. Correction verified 2023-11-30.
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Illness & medication Serious
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Oct 12, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2023 Report · Deficiencies cited
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Other Serious
During the investigation it was found that a child in care was left unsupervised.
HHSC 748.685(a)(3) — Caregiver responsibility - being aware of and accountable for each child's on-going activity
HHSC risk weight: High. Corrected 2023-10-13. Correction verified 2024-03-25.
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Other Serious
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Jul 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2023 Report · Deficiencies cited
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Supervision & ratios
A resident in care used a staff members cell phone to communicate with an individual.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2023-12-15. Correction verified 2023-12-19.
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Supervision & ratios
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Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 11, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
A child in care was physically harmed while attempting to deescalate her peers from engaging in an altercation.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2023-08-24. Correction verified 2023-08-24.
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Supervision & ratios Serious
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Jul 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2023 Inspection · Deficiencies cited
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Supervision & ratios
The staffing plan provided does not include a plan for back up care providers for emergencies.
HHSC 748.105(3)(C) — Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
HHSC risk weight: Medium. Corrected 2023-07-06. Correction verified 2023-07-17.
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Illness & medication
6 out of 9 child medications reviewed it was noted that the reason the medication was prescribed, prescribing physician and the side effects were not documented on the medication record.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected 2023-07-06. Correction verified 2023-07-17.
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Other
The Case Manager is currently still performing the job responsibilities of a PLSP such as admissions assessments.
HHSC 748.561(1) — Responsibilities of Professional level service provider-Completing an admission assessment or any other evaluation of a child for placement
HHSC risk weight: Medium Low. Corrected 2023-07-06. Correction verified 2023-07-17.
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Supervision & ratios
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Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2023 Inspection · Deficiencies cited
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Supervision & ratios
There was no staffing plan provided that included the plan for ensuring ratio, hours of coverage and plans to ensure child saftey if back up caregivers are needed to implemented 1 on 1 supervision.
HHSC 748.105(3)(C) — Personnel policies-develop professional staffing plan that documents staffing patterns/ratios/hours of coverage/plans for backup caregivers
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-06-22.
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Other
One of the files reviewed did not have any information regarding the relationship or approved/unapproved contact with the child regarding one of the birth parents.
HHSC 748.1217(c)(1) — Admission Assessment-Prior to initial service plan, add child's social history
HHSC risk weight: Low. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training
The training logs that were observed were not accurate and did not match the training certificates observed in the files. A file was observed to not have a valid drivers license on file.
HHSC 748.151(3) — Operational responsibilities - Maintain current, true, accurate, and complete records
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-06-22.
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Records & paperwork
A staff member is listed on the organizational chart as the Treatment Director & the Associate Program Director however there is no Treatment Director job description in the file.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training
One of the files reviewed did not have an updated notarized affidavit for a rehire. The affidavit in the file was from 2021 however the caregiver was rehiredd on 6/2022 and should have had an updated one.
HHSC 748.505(b)(4) — Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form
HHSC risk weight: Medium. Corrected 2023-06-09. Correction verified 2023-06-22.
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Other
The Case Manager is performing the job responsibilities of a PLSP such as admissions assessments, discharge, and implementing restrictions prior to treatment director approval.
HHSC 748.561(1) — Responsibilities of Professional level service provider-Completing an admission assessment or any other evaluation of a child for placement
HHSC risk weight: Medium Low. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training Serious
A caregiver did not complete the required hours of supervised child care and the completion date was not documented in the file. The start date of his supervised child care at Hearts with Hope was incorrect on the training log, the hours were verified by reviewing his schedule of worked hours.
HHSC 748.861(b) — Pre-Service Training-If facility provides certain amount of tx svcs, caregiver must have 40 hours experience in operation that provides same tx svcs
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training Serious
Two direct care staff have not completed all of their pre-service training.
HHSC 748.863(b) — Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training Serious
All staff files reviewed did not contain written knowledge and competency of the training material.
HHSC 748.869(d)(3)(A) — Training on EBI must at the end, require each participant to demonstrate knowledge and competency of the training in writing.
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-22.
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Staff background & training Serious
The Disaster and Emergency curriculum does not have the required components such as the location and use of the fire extinguishers and first aid equipment.
HHSC 748.881(5) — General pre-service training curriculum-Includes location and use of fire extinguishers and first aid equipment
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-22.
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Supervision & ratios
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May 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2023 Report · Deficiencies cited
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Safety & premises Serious
Caregivers are using methods of EBI that are not permitted such as holding the child by the wrists above their head and another caregiver holding down the child's legs.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-08-04. Correction verified 2023-11-30.
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Safety & premises Serious
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May 19, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 18, 2023 Inspection · Deficiencies cited
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Staff background & training
Children in care were observed to not have a toothbrush and not sufficient and adequate clothing, the child had long sleeve shirts and sweatpants.
HHSC 748.1101(b)(3)(F) — Children's rights-to personal care, hygiene, and grooming equipment and supplies and training in how to use them
HHSC risk weight: Medium. Corrected 2023-05-22. Correction verified 2023-06-01.
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Staff background & training
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May 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 16, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 10, 2023 Report · Deficiencies cited (self-report)
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Other
The annual summary log does not include the time the absence was discovered.
HHSC 748.453(a)(2) — Unauthorized Absence ? Annual summary log must include time and date absence was discovered
HHSC risk weight: Medium. Corrected 2023-06-28. Correction verified 2023-06-27.
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Safety & premises
The annual summary log was not available upon request for review. It was requested at 4:30pm and was not recived until the exit of this inspection.
HHSC 748.453(c) — Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-05-18.
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Other
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May 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 17, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 4, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 27, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 16, 2023 Report · Deficiencies cited
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Discipline & child guidance Serious
Three out of five kids interviewed disclosed physical discipline was used in the facility by a staff.
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 2023-04-21. Correction verified 2023-04-26.
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Other Serious
Four out of five kids interviewed disclosed staff has yelled at and used vulgar language in their presence.
HHSC 748.2307(8) — Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HHSC risk weight: Medium High. Corrected 2023-04-21. Correction verified 2023-04-26.
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Discipline & child guidance Serious
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Feb 13, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 21, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 5, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 29, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 11, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Oct 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2022 Report · Deficiencies cited
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Supervision & ratios
The operation did not notify licensing of a child's AWOL within the 6 hour time frame.
HHSC 748.303(a)(10)(A) — Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
HHSC risk weight: Medium. Corrected 2022-09-22. Correction verified 2022-09-23.
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Supervision & ratios
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Aug 26, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 18, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2022 Report · No deficiencies cited
No violations cited on this visit.
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May 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 15, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 1, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2022 Report · Deficiencies cited
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Safety & premises Serious
Caregivers did not demonstrate prudent judgement when they left a child in care at the dentist office when she refused to get inside the vehicle. A caregiver arrived to assist but instead of staying and helping with the situation, the caregiver left.
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 2022-06-03. Correction verified 2022-06-01.
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Supervision & ratios
The victim's service plan states, "Due to the victim's intense level of care and unpredictable behaviors, she may receive 1:1 supervision when her behaviors warrant." When the staff arrived to assist with the situation, instead of staying to assist the caregiver that was already there to provide 1:1 supervision, the staff left, leaving the other staff to handle the situation alone with 2 other children in care that were receiving dental treatments.
HHSC 748.705(b)(9) — Reasonable & prudent parent standard-must consider the supervision instructions in the child's service plan
HHSC risk weight: Medium. Corrected 2022-06-03. Correction verified 2022-06-01.
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Safety & premises Serious
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Mar 12, 2022 Report · Deficiencies cited
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Discipline & child guidance
The operation failed to report a child made allegations of a staff member allegedly using drugs.
HHSC 748.303(e)(4)(A) — Serious Incident-Report to Licensing within 24 hours of awareness of allegation a person under auspices of operation abused drugs in past 7 days
HHSC risk weight: Medium. Corrected 2022-04-15. Correction verified 2022-04-14.
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Discipline & child guidance
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Jan 27, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Dec 2, 2021 Report · Deficiencies cited
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Other Serious
Reviewing unauthorized absence log on date 10/25/2021 & 12/11/2021 it was noted that debriefing was not conducted as well as time/ date was not entered into the form on 12/11/2021
HHSC 748.455(a) — Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-02-28.
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Other Serious
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Nov 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 13, 2021 Report · Deficiencies cited
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Safety & premises Serious
During a restraint a child in care was carried up the stairs which is not a permitted type of EBI.
HHSC 748.2551(b)(2) — EBI Implementation-The caregiver must consider the permitted types of emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2022-01-17. Correction verified 2022-01-20.
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Safety & premises Serious
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Oct 7, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.