In His Hands Children Home
302 LAWRENCE ST, Trinidad, TX 75163 · Henderson County
Program
- Type
- General residential operation
- Licensed capacity
- 20
- Ages
- 0-17
- Hours
- -
- Director / administrator
- Candice Marie Roberts
- Phone
- (903) 778-2575
- Regulated since
- Feb 23, 2024
- HHSC IDs
- Operation 1432776 · number 1763171
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 0 | Illness & medication (2), Safety & premises (2) |
| 2025 | 8 | 0 | Illness & medication (2), Supervision & ratios (4), Staff background & training (2) |
| 2024 | 20 | 2 | Illness & medication (8), Supervision & ratios (2), Safety & premises (2), Records & paperwork (2), Other (6) |
| 2023 | 94 | 4 | Cleanliness & sanitation (4), Illness & medication (4), Supervision & ratios (32), Safety & premises (4), Food & allergies (4), Staff background & training (16), Records & paperwork (18), Other (12) |
Inspections, investigations & assessments
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Jan 29, 2026 Inspection · Deficiencies cited
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Illness & medication
During the inspection, I observed one of four children?s medication records reflected the operation failed to administer the second dose of a medication prescribed for administration twice daily.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-02-05. Correction verified 2026-02-02.
-
Safety & premises
Fire and weather drill forms include the date, type, and length of evacuation, but no actual time that the drills took place.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2026-01-29.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Jan 29, 2026 Inspection · Deficiencies cited
-
Illness & medication
During the inspection, I observed one of four children?s medication records reflected the operation failed to administer the second dose of a medication prescribed for administration twice daily.
HHSC 748.2003(b)(5) — Administration of prescription medication-Ensure the child has taken the medication as prescribed
HHSC risk weight: Medium High. Corrected 2026-02-05. Correction verified 2026-02-02.
-
Safety & premises
Fire and weather drill forms include the date, type, and length of evacuation, but no actual time that the drills took place.
HHSC 748.3239(d) — Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2026-01-29.
-
Illness & medication
-
Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2025 Inspection · Deficiencies cited
-
Staff background & training
During the inspection, we observed 4 of 4 job descriptions that lacked documentation of position-required qualifications.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
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Illness & medication
One child's medication record did not include the reason for prescribing the medication.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-13.
-
Supervision & ratios
During the inspection, I observed 4 of 4 employee records reviewed lacked a statement signed by the employee acknowledging having read the operation Policies and Procedures.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
-
Supervision & ratios
Upon review of 2 employees files it was found that both employees completed the required TB test after their start date with the operation.
HHSC 748.509 — TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Feb 13, 2025 Inspection · Deficiencies cited
-
Staff background & training
During the inspection, we observed 4 of 4 job descriptions that lacked documentation of position-required qualifications.
HHSC 748.105(2) — Personnel Policies - Develop written job descriptions including minimum qualifications and job responsibilities for each position
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
-
Illness & medication
One child's medication record did not include the reason for prescribing the medication.
HHSC 748.2151(c)(3) — Medication record - must include reason medication was prescribed, for prescription medication
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-13.
-
Supervision & ratios
During the inspection, I observed 4 of 4 employee records reviewed lacked a statement signed by the employee acknowledging having read the operation Policies and Procedures.
HHSC 748.363(9) — Personnel records - Include a statement signed and dated by the employee that he has read a copy of the operational policies.
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
-
Supervision & ratios
Upon review of 2 employees files it was found that both employees completed the required TB test after their start date with the operation.
HHSC 748.509 — TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
HHSC risk weight: Medium. Corrected 2025-02-24. Correction verified 2025-02-20.
-
Staff background & training
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2024 Inspection · Deficiencies cited
-
Other
No services, accomplishments, or assessments were included in discharge paperwork
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
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Other
No background information or progress notes were given to the worker at discharged (or no documentation of it.
HHSC 748.1439(b)(2) — Discharge Documentation-Send copy of child's background info, including progress notes for past 60 days, to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
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Other
No assessments or evaluations were given to the worker when the child was discharged.
HHSC 748.1439(b)(4) — Discharge Documentation-Send copy of assessments and/or evaluations you performed to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
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Illness & medication
A child's medication record was missing pill counts for three days. Counts need to be entered within 2 hours after administration.
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 2024-08-21. Correction verified 2024-08-15.
-
Illness & medication
A child was injured at school and taken to er the following day with a fracture. This should have been called into SWI
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 2024-08-21. Correction verified 2024-08-15.
-
Safety & premises
The fire extinguishers need to be serviced annually.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2024-08-26. Correction verified 2024-08-20.
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Other
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Aug 15, 2024 Inspection · Deficiencies cited
-
Other
No services, accomplishments, or assessments were included in discharge paperwork
HHSC 748.1439(b)(1) — Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
-
Other
No background information or progress notes were given to the worker at discharged (or no documentation of it.
HHSC 748.1439(b)(2) — Discharge Documentation-Send copy of child's background info, including progress notes for past 60 days, to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
-
Other
No assessments or evaluations were given to the worker when the child was discharged.
HHSC 748.1439(b)(4) — Discharge Documentation-Send copy of assessments and/or evaluations you performed to next placement/caregiver within 15 days
HHSC risk weight: Medium Low. Corrected 2024-08-21. Correction verified 2024-08-15.
-
Illness & medication
A child's medication record was missing pill counts for three days. Counts need to be entered within 2 hours after administration.
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 2024-08-21. Correction verified 2024-08-15.
-
Illness & medication
A child was injured at school and taken to er the following day with a fracture. This should have been called into SWI
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 2024-08-21. Correction verified 2024-08-15.
-
Safety & premises
The fire extinguishers need to be serviced annually.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2024-08-26. Correction verified 2024-08-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
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May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 8, 2024 Inspection
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 8, 2024 Inspection
No violations cited on this visit.
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Feb 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 22, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, I observed two of four employee files showed TB test completed outside the 30 day window from date of employment or starting to volunteer at the operation.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2024-01-29. Correction verified 2024-01-26.
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Illness & medication
During the walkthrough, I observed three over the counter medication logs lacked the time the medicine was administered.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-01-29. Correction verified 2024-01-26.
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Records & paperwork
During the inspection, I observed that three of the four employee files reviewed lacked documentation showing the date of employment for the individual.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2024-01-29. Correction verified 2024-01-26.
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Illness & medication Serious
During the walkthrough, I witnessed a child in care holding an applicator of over-the-counter medication she spilled on her blanket with no caregiver within auditory or visual range of the child.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 22, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During the inspection, I observed two of four employee files showed TB test completed outside the 30 day window from date of employment or starting to volunteer at the operation.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2024-01-29. Correction verified 2024-01-26.
-
Illness & medication
During the walkthrough, I observed three over the counter medication logs lacked the time the medicine was administered.
HHSC 748.2151(c)(5) — Medication record - must include date (day/month/year) & time each medication was administered
HHSC risk weight: Medium High. Corrected 2024-01-29. Correction verified 2024-01-26.
-
Records & paperwork
During the inspection, I observed that three of the four employee files reviewed lacked documentation showing the date of employment for the individual.
HHSC 748.363(1) — Personnel records-Include date of employment
HHSC risk weight: Medium. Corrected 2024-01-29. Correction verified 2024-01-26.
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Illness & medication Serious
During the walkthrough, I witnessed a child in care holding an applicator of over-the-counter medication she spilled on her blanket with no caregiver within auditory or visual range of the child.
HHSC 748.685(a)(4) — Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HHSC risk weight: High. Corrected 2024-01-29. Correction verified 2024-02-08.
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Supervision & ratios
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Dec 27, 2023 Assessment · Deficiencies cited
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Supervision & ratios Serious
The administrator's license expired on 12/14/23, and his renewal packet was submitted on 12/16/23, bringing the standard back into compliance on that date.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-12-27. Correction verified 2023-12-16.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Dec 27, 2023 Assessment · Deficiencies cited
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Supervision & ratios Serious
The administrator's license expired on 12/14/23, and his renewal packet was submitted on 12/16/23, bringing the standard back into compliance on that date.
HHSC 748.151(1) — Operational responsibilities - Designate a qualified full-time child-care administrator
HHSC risk weight: High. Corrected 2023-12-27. Correction verified 2023-12-16.
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Supervision & ratios Serious
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Nov 20, 2023 Inspection · Deficiencies cited
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Staff background & training
During the inspection, I observed that one of the four employee records reviewed lacked a copy of the employees' proof of educational level or equivalency.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-11-29. Correction verified 2023-11-20.
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Staff background & training
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Nov 20, 2023 Inspection · Deficiencies cited
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Staff background & training
During the inspection, I observed that one of the four employee records reviewed lacked a copy of the employees' proof of educational level or equivalency.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-11-29. Correction verified 2023-11-20.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Oct 23, 2023 Inspection · Deficiencies cited
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Records & paperwork
During the inspection, I observed that one of the records reviewed did not have record of the Child's rights form in the file.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-27.
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Supervision & ratios
During the inspection, the operation identified three individuals that ceased to be controlling persons on 10/17/23 that were not reported to licensing within the timeframe.
HHSC 748.153(3)(C) — Notification - Remove controlling person
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-24.
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Illness & medication
During the walkthrough, I observed that the med log for the only child taking prescription medications did not record the name of the prescribing doctor nor the reason for the prescription.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-24.
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Cleanliness & sanitation
During the walkthrough, I observed cleaning chemicals and lice treatments stored in an unlocked cabinet in the kitchen, accessible to children. The operation relocated these chemicals to a secured location.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-10-23.
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Food & allergies
During the inspection, I observed that three of the four records reviewed did not have allergy information clearly identified in the file or on the outside of the record.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-24.
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Supervision & ratios
During the inspection, I observed that the administrator was not present and does maintain daily supervision and oversight of the operation.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-27.
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Records & paperwork
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Oct 23, 2023 Inspection · Deficiencies cited
-
Records & paperwork
During the inspection, I observed that one of the records reviewed did not have record of the Child's rights form in the file.
HHSC 748.1103(a) — Informing child of rights-Review rights with child/parents within 7 days of child's admission; provide child/parents with written copy of rights
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-27.
-
Supervision & ratios
During the inspection, the operation identified three individuals that ceased to be controlling persons on 10/17/23 that were not reported to licensing within the timeframe.
HHSC 748.153(3)(C) — Notification - Remove controlling person
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-24.
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Illness & medication
During the walkthrough, I observed that the med log for the only child taking prescription medications did not record the name of the prescribing doctor nor the reason for the prescription.
HHSC 748.2151(c)(2) — Medication record - must include prescribing health-care professional's name
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-24.
-
Cleanliness & sanitation
During the walkthrough, I observed cleaning chemicals and lice treatments stored in an unlocked cabinet in the kitchen, accessible to children. The operation relocated these chemicals to a secured location.
HHSC 748.3421(3) — Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-10-23.
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Food & allergies
During the inspection, I observed that three of the four records reviewed did not have allergy information clearly identified in the file or on the outside of the record.
HHSC 748.393(b)(2) — Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-24.
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Supervision & ratios
During the inspection, I observed that the administrator was not present and does maintain daily supervision and oversight of the operation.
HHSC 748.535(1) — Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation
HHSC risk weight: Medium. Corrected 2023-10-27. Correction verified 2023-10-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
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Aug 21, 2023 Assessment · Deficiencies cited
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Supervision & ratios
In review of the operation records, I observed that the administrator for the operation is also the administrator for another non-contiguous General Residential Operation in another region.
HHSC 748.533(a)(5) — Child-care administrator-Can be administrator for two operations if the Operations are contiguous
HHSC risk weight: Medium Low. Corrected 2023-08-25. Correction verified 2023-08-25.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Aug 21, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
In review of the operation records, I observed that the administrator for the operation is also the administrator for another non-contiguous General Residential Operation in another region.
HHSC 748.533(a)(5) — Child-care administrator-Can be administrator for two operations if the Operations are contiguous
HHSC risk weight: Medium Low. Corrected 2023-08-25. Correction verified 2023-08-25.
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Supervision & ratios
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Jul 26, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, I observed that three of the fire extinguishers in the operation have not been inspected or serviced by a fire marshall or qualified entity within the past twelve months.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-07-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Jul 26, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
During the inspection, I observed that three of the fire extinguishers in the operation have not been inspected or serviced by a fire marshall or qualified entity within the past twelve months.
HHSC 748.3117(a) — Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
HHSC risk weight: Medium. Corrected 2023-08-04. Correction verified 2023-07-31.
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Supervision & ratios
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May 22, 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.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 24, 2023 Inspection · Deficiencies cited
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Other
During the inspection, I observed that one of four employee files lacked proof of Tuberculosis screening completed within 30 days of initiating employment.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-05-01. Correction verified 2023-04-28.
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Other
During the inspection, I observed three bedrooms that lacked curtains over the windows allowing shade for rest.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2023-05-01. Correction verified 2023-04-28.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Apr 24, 2023 Inspection · Deficiencies cited
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Other
During the inspection, I observed that one of four employee files lacked proof of Tuberculosis screening completed within 30 days of initiating employment.
HHSC 748.1583(a) — TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
HHSC risk weight: Medium. Corrected 2023-05-01. Correction verified 2023-04-28.
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Other
During the inspection, I observed three bedrooms that lacked curtains over the windows allowing shade for rest.
HHSC 748.3351(5) — Interior Space-provide bedroom windows with curtains, blinds, shades, or other provisions for rest and privacy
HHSC risk weight: Medium Low. Corrected 2023-05-01. Correction verified 2023-04-28.
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Other
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Feb 6, 2023 Inspection · Deficiencies cited
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Supervision & ratios
In reviewing the policies and procedures, I observed that the floor plan provided identifies rooms marked as bedrooms, but does not specify where caregivers and children will be sleeping respectively.
HHSC 748.101(3) — Plans to submit - sketch of operation's floor plan
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-09.
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Other
In reviewing the policies and procedures, I observed that the organizational chart does not label and specify the supervisory relationships between each tier of employee.
HHSC 748.105(1) — Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed that the personnel policies do not contain policies specifying the training requirements for employees and caregivers.
HHSC 748.105(4) — Personnel Policies - Develop written policies on the training requirements for employees
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training Serious
In reviewing the policies and procedures, I observed that the background check policies do not specify the types of background checks applicable to the various positions employed by the facility.
HHSC 748.105(6) — Personnel Policies - Ensure that personnel policies comply with background check requirements
HHSC risk weight: High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the admission policies do not specify whether the operation accepts emergency placements. The document states they will accept placement as needs arise for children.
HHSC 748.109(1) — Admission Policies - Include program's goals and services provided, including whether emergency admissions accepted
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the admission policies state they will admit without regard to sex; however, the operation is only applying to provide services for girls. The policies and procedures include parameters for Primary Medical Needs children, but the operation is not applying to provide such services. The admission policies do not state that they do not take Primary Medical Needs or emotional disturbance.
HHSC 748.109(2) — Admission Policies - include characteristics of the population the program serves
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Safety & premises
In reviewing the policies and procedures, I observed that the visitation rights policies do not include policies for visitation between the children and friends. Dating is covered, but visitation with friends is absent.
HHSC 748.111(1) — Child-care policy - Describes visitation
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
In reviewing the policies and procedures, I observed the frequency of reports to parents is not specified. The policy mentions regular reports but does not specify frequency.
HHSC 748.111(13) — Child-care policy - Types and frequency of reports to parents
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Other
In reviewing the policies and procedures, I observed that the EBI policies list a number of EBI procedures that do not match the EBI procedures listed on the application. The EBI description is not specific to the EBI system used.
HHSC 748.113(1) — EBI policy - a complete description of EBIs that you permit caregivers to use
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Other
In reviewing the policies and procedures, I observed that the EBI policies do not list specific techniques approved for use by caregivers and the general descriptions do not match what was identified on the application.
HHSC 748.113(2) — EBI policy - the specific techniques that caregivers can use
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed that the EBI policies state that only qualified caregivers can administer EBI, but the policy does not specify the training requirements or criteria by which a caregiver is deemed qualified.
HHSC 748.113(3) — EBI policy - the qualifications for caregivers who assume the responsibility for EBI implementation
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed that the policies do not include an orientation discussion with the child regarding the Emergency Behavior Intervention policies required in 748.113(5)(A)(i-ix).
HHSC 748.113(5)(A) — EBI policy - For orientation, explain and document to a child in a manner that the child can understand
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-21.
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Supervision & ratios
In reviewing the policies and procedures, I observed a lack of policies specifying the posting of EBI practices where they can be viewed by children and adults or policies related to providing the clients with copies of the operation's emergency behavior intervention policies.
HHSC 748.113(6) — EBI Policy - Post EBIs permitted at your operation viewable to children/clients and provide them with a personal copy of EBI policies
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed a lack of policies specifying the Emergency Behavior Intervention training requirements, the curriculum that will be utilized, the amount and type of training required, training content, and how the training will be delivered.
HHSC 748.113(8) — EBI policy - Training for emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the EBI policies lack a prohibition against retaliation toward an individual for filing a complaint, presenting a grievance, or otherwise providing information about the misuse of emergency behavior interventions at the operation.
HHSC 748.113(9)(A) — A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Safety & premises
In reviewing the policies and procedures, I observed that the EBI policies do not include a prohibition against retaliating against an individual for filing a complaint, grievance, or providing good-faith information regarding the misuse of emergency behavior intervention on behalf of another individual.
HHSC 748.113(9)(B) — EBI policy - A child/adult client/resident because someone on behalf of the client files a complaint, provides information relating to misuse of EBI
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Other
In reviewing the policies and procedures, I observed that the discipline policies do not detail how Trauma Informed Care is integrated into the care of the children.
HHSC 748.115(2) — Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed that the volunteer policies do not specify the training requirements for volunteers.
HHSC 748.119(3) — Volunteer policy - Address orientation and training programs for the volunteers
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
During the inspection, I observed that two of the four personnel files reviewed lacked drug testing results in accordance with the operation's policies.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
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Illness & medication
During the inspection, I observed that the first aide kits reviewed contained several expired medications or supplies.
HHSC 748.3271(3) — First Aid Kits-Each one must be in good condition and not have expired medications or supplies
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-10.
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Food & allergies
During the inspection, I observed that the first aid kits lacked scissors, adhesive tape, and thermometers.
HHSC 748.3273(7) — First Aid Kits-Each one must contain sterile gauze pads
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
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Cleanliness & sanitation
During the walkthrough, I observed the window in the kitchen that would be used to ventilate in case of smoke not having a screen.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-10.
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Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy specifying plans for protection of paper or electronic records from destruction or loss.
HHSC 748.343(1) — Records protection policies - how paper and electronic records will be protected from destruction and loss
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the policies do not specify the individuals within the operation with access to records.
HHSC 748.343(2)(A) — Records protection policies - Clarify persons within operation authorized to access records
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the policies do not specify the individuals outside of the operation with access to records.
HHSC 748.343(2)(B) — Records protection policies - Clarify persons outside operation authorized by law to access records
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
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Supervision & ratios
During the inspection, it was observed that a refrigerator in the kitchen lacked a thermometer.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy specifying which records must be in external paper files and those that can be stored electronically.
HHSC 748.345(1) — Electronic records policies - What records must be in external paper file and those that can be stored in electronic file
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy pertaining computer security systems addressing confidentiality, password protection parameters, and network access.
HHSC 748.345(2) — Electronic records policies - Computer security systems, including confidentiality, passwords, and employee procedures
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
In reviewing the policies and procedures, I observed that the lack of a policy addressing the requirements for routine back-up of data.
HHSC 748.345(3) — Electronic records policies - Requirements for routine back-up of data
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
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Records & paperwork
In reviewing the documentation, I observed the lack of a policy addressing anti-virus protection systems.
HHSC 748.345(4) — Electronic records policies - Anti-virus protection systems
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed the lack of a policy limiting access to the operation's files to persons within the operation authorized to access and see specific information in an electronic file.
HHSC 748.345(5) — Electronic records policies - Limit access to persons within operation authorized to view specific information in file
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
During the inspection, I observed the protective surface fill to be at least two inches below the nine inch measuring mark on the equipment.
HHSC 748.3563(c) — Protective Surfacing-If loose-fill surfacing materials are used, the operation must install 9 inches or more of uncompressed loose-fill material
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
During the inspection, I observed two of the four personnel records lacking current job descriptions.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
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Records & paperwork
During the inspection, I observed that three of the four employee files reviewed lacked proof of TB test.
HHSC 748.363(5) — Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
During the inspection, it was observed that four of the four personnel records reviewed lacked documentation of proof of education level for the employee.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Feb 6, 2023 Inspection · Deficiencies cited
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Supervision & ratios
In reviewing the policies and procedures, I observed that the floor plan provided identifies rooms marked as bedrooms, but does not specify where caregivers and children will be sleeping respectively.
HHSC 748.101(3) — Plans to submit - sketch of operation's floor plan
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-09.
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Other
In reviewing the policies and procedures, I observed that the organizational chart does not label and specify the supervisory relationships between each tier of employee.
HHSC 748.105(1) — Personnel Policies - Develop a written organizational chart showing administrative/professional/staffing structures and lines of authority
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training
In reviewing the policies and procedures, I observed that the personnel policies do not contain policies specifying the training requirements for employees and caregivers.
HHSC 748.105(4) — Personnel Policies - Develop written policies on the training requirements for employees
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Staff background & training Serious
In reviewing the policies and procedures, I observed that the background check policies do not specify the types of background checks applicable to the various positions employed by the facility.
HHSC 748.105(6) — Personnel Policies - Ensure that personnel policies comply with background check requirements
HHSC risk weight: High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the admission policies do not specify whether the operation accepts emergency placements. The document states they will accept placement as needs arise for children.
HHSC 748.109(1) — Admission Policies - Include program's goals and services provided, including whether emergency admissions accepted
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the admission policies state they will admit without regard to sex; however, the operation is only applying to provide services for girls. The policies and procedures include parameters for Primary Medical Needs children, but the operation is not applying to provide such services. The admission policies do not state that they do not take Primary Medical Needs or emotional disturbance.
HHSC 748.109(2) — Admission Policies - include characteristics of the population the program serves
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Safety & premises
In reviewing the policies and procedures, I observed that the visitation rights policies do not include policies for visitation between the children and friends. Dating is covered, but visitation with friends is absent.
HHSC 748.111(1) — Child-care policy - Describes visitation
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Records & paperwork
In reviewing the policies and procedures, I observed the frequency of reports to parents is not specified. The policy mentions regular reports but does not specify frequency.
HHSC 748.111(13) — Child-care policy - Types and frequency of reports to parents
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Other
In reviewing the policies and procedures, I observed that the EBI policies list a number of EBI procedures that do not match the EBI procedures listed on the application. The EBI description is not specific to the EBI system used.
HHSC 748.113(1) — EBI policy - a complete description of EBIs that you permit caregivers to use
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Other
In reviewing the policies and procedures, I observed that the EBI policies do not list specific techniques approved for use by caregivers and the general descriptions do not match what was identified on the application.
HHSC 748.113(2) — EBI policy - the specific techniques that caregivers can use
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Staff background & training
In reviewing the policies and procedures, I observed that the EBI policies state that only qualified caregivers can administer EBI, but the policy does not specify the training requirements or criteria by which a caregiver is deemed qualified.
HHSC 748.113(3) — EBI policy - the qualifications for caregivers who assume the responsibility for EBI implementation
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Staff background & training
In reviewing the policies and procedures, I observed that the policies do not include an orientation discussion with the child regarding the Emergency Behavior Intervention policies required in 748.113(5)(A)(i-ix).
HHSC 748.113(5)(A) — EBI policy - For orientation, explain and document to a child in a manner that the child can understand
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-21.
-
Supervision & ratios
In reviewing the policies and procedures, I observed a lack of policies specifying the posting of EBI practices where they can be viewed by children and adults or policies related to providing the clients with copies of the operation's emergency behavior intervention policies.
HHSC 748.113(6) — EBI Policy - Post EBIs permitted at your operation viewable to children/clients and provide them with a personal copy of EBI policies
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Staff background & training
In reviewing the policies and procedures, I observed a lack of policies specifying the Emergency Behavior Intervention training requirements, the curriculum that will be utilized, the amount and type of training required, training content, and how the training will be delivered.
HHSC 748.113(8) — EBI policy - Training for emergency behavior intervention
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Supervision & ratios
In reviewing the policies and procedures, I observed that the EBI policies lack a prohibition against retaliation toward an individual for filing a complaint, presenting a grievance, or otherwise providing information about the misuse of emergency behavior interventions at the operation.
HHSC 748.113(9)(A) — A person for filing a complaint, presenting grievance, or providing information relating to the misuse of EBI at the operation
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Safety & premises
In reviewing the policies and procedures, I observed that the EBI policies do not include a prohibition against retaliating against an individual for filing a complaint, grievance, or providing good-faith information regarding the misuse of emergency behavior intervention on behalf of another individual.
HHSC 748.113(9)(B) — EBI policy - A child/adult client/resident because someone on behalf of the client files a complaint, provides information relating to misuse of EBI
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
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Other
In reviewing the policies and procedures, I observed that the discipline policies do not detail how Trauma Informed Care is integrated into the care of the children.
HHSC 748.115(2) — Discipline policy - Integrate trauma informed care into the care, treatment, and management of each child
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Staff background & training
In reviewing the policies and procedures, I observed that the volunteer policies do not specify the training requirements for volunteers.
HHSC 748.119(3) — Volunteer policy - Address orientation and training programs for the volunteers
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Supervision & ratios
During the inspection, I observed that two of the four personnel files reviewed lacked drug testing results in accordance with the operation's policies.
HHSC 748.151(2) — Operational responsibilities - Operate according to your approved plans, policies, and procedures
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
-
Illness & medication
During the inspection, I observed that the first aide kits reviewed contained several expired medications or supplies.
HHSC 748.3271(3) — First Aid Kits-Each one must be in good condition and not have expired medications or supplies
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-10.
-
Food & allergies
During the inspection, I observed that the first aid kits lacked scissors, adhesive tape, and thermometers.
HHSC 748.3273(7) — First Aid Kits-Each one must contain sterile gauze pads
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
-
Cleanliness & sanitation
During the walkthrough, I observed the window in the kitchen that would be used to ventilate in case of smoke not having a screen.
HHSC 748.3301(c) — Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-10.
-
Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy specifying plans for protection of paper or electronic records from destruction or loss.
HHSC 748.343(1) — Records protection policies - how paper and electronic records will be protected from destruction and loss
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
-
Supervision & ratios
In reviewing the policies and procedures, I observed that the policies do not specify the individuals within the operation with access to records.
HHSC 748.343(2)(A) — Records protection policies - Clarify persons within operation authorized to access records
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed that the policies do not specify the individuals outside of the operation with access to records.
HHSC 748.343(2)(B) — Records protection policies - Clarify persons outside operation authorized by law to access records
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
-
Supervision & ratios
During the inspection, it was observed that a refrigerator in the kitchen lacked a thermometer.
HHSC 748.3443(b)(1) — Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy specifying which records must be in external paper files and those that can be stored electronically.
HHSC 748.345(1) — Electronic records policies - What records must be in external paper file and those that can be stored in electronic file
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Records & paperwork
In reviewing the policies and procedures, I observed the lack of a policy pertaining computer security systems addressing confidentiality, password protection parameters, and network access.
HHSC 748.345(2) — Electronic records policies - Computer security systems, including confidentiality, passwords, and employee procedures
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Records & paperwork
In reviewing the policies and procedures, I observed that the lack of a policy addressing the requirements for routine back-up of data.
HHSC 748.345(3) — Electronic records policies - Requirements for routine back-up of data
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-21.
-
Records & paperwork
In reviewing the documentation, I observed the lack of a policy addressing anti-virus protection systems.
HHSC 748.345(4) — Electronic records policies - Anti-virus protection systems
HHSC risk weight: Medium Low. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
In reviewing the policies and procedures, I observed the lack of a policy limiting access to the operation's files to persons within the operation authorized to access and see specific information in an electronic file.
HHSC 748.345(5) — Electronic records policies - Limit access to persons within operation authorized to view specific information in file
HHSC risk weight: Low. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Supervision & ratios
During the inspection, I observed the protective surface fill to be at least two inches below the nine inch measuring mark on the equipment.
HHSC 748.3563(c) — Protective Surfacing-If loose-fill surfacing materials are used, the operation must install 9 inches or more of uncompressed loose-fill material
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Records & paperwork
During the inspection, I observed two of the four personnel records lacking current job descriptions.
HHSC 748.363(3) — Personnel records-Include current job description
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-10.
-
Records & paperwork
During the inspection, I observed that three of the four employee files reviewed lacked proof of TB test.
HHSC 748.363(5) — Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
-
Staff background & training
During the inspection, it was observed that four of the four personnel records reviewed lacked documentation of proof of education level for the employee.
HHSC 748.681(2) — Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
HHSC risk weight: Medium. Corrected 2023-02-16. Correction verified 2023-02-15.
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Supervision & ratios
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.