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Transitions for Tomorrow

Child care center · 21135 NORMANDY GLEN ST, Kingwood, TX 77339-1487 · License 1673837- 12791

0Compliance score
Poor

-

Violation history (152)

SeverityDateStandard / narrativeCorrected
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
It was admitted that the foster mom left the residents home alone.
4 749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A caregiver did not follow the children's supervision portion of their service plan when leaving the children unattended in a vehicle. The caregiver did not take into account the children's high risk behaviors and disabilities when leaving them unattended.
4 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Three agency homes had caregivers that completed required annual trainings after the required timeframes.
5 749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
While reviewing documents, the child involved in the incident vocalized pain on 06.24.22 and was not examined by a medical professional until 06.30.22. His area of injury was not treated until 07.05.22, where it was wrapped by the medical professional.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
During a review of one agency home's screening. There was missing documentation of the prospective foster parent's criminial and central registry history.
3 749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Six children's files were all missing pertinent information on form K-905-2403 and the information also is not a part of the data in health passport.
4 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Two children's agency records nor health passport indicate the children's medical exam took place within the required timeframe from admission.
4 749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A visitor to the foster home smoked inside the residence.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Given the child's history of sexually acting out, the foster parent failed to provide the level of supervision necessary to ensure the children's safety and wellbeing. The baby monitors placed as a plan of safety were reported to be compromised, therefore the foster parent was not aware of the children's ongoing activities. Also, the children were left upstairs while the foster parent prepared meals downstairs.
2 749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The operation does not have a policy for out-of-home-care.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
3 749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
During a review of one of the agency's home screenings. There was no documentation of the attitudes of other household members about the prospective foster parents plan to provide foster care .
3 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
Three agency home quarterly visit documents were all missing signatures of the second foster parent that was documented as present during the quarterly visit.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver threatened to spank the foster children and a household member hit the children as a form of discipline.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There were several documents with inaccurate information on them such as children's legal status, inaccurate dosages on medication log verses actual prescriptions, documenting in children's files that therapy concluded when health passport indicates several additional appointments, incorrect child' s name documented in another child's file.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
During a review of one agency home's screening. There was missing documentation of the prospective foster parent's criminial and central registry history.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
It was admitted that the foster mom left the residents home alone.
3 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
Three agency home quarterly visit documents were all missing signatures of the second foster parent that was documented as present during the quarterly visit.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Given the child's history of sexually acting out, the foster parent failed to provide the level of supervision necessary to ensure the children's safety and wellbeing. The baby monitors placed as a plan of safety were reported to be compromised, therefore the foster parent was not aware of the children's ongoing activities. Also, the children were left upstairs while the foster parent prepared meals downstairs.
4 749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A visitor to the foster home smoked inside the residence.
4 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Three agency homes had caregivers that completed required annual trainings after the required timeframes.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There were several documents with inaccurate information on them such as children's legal status, inaccurate dosages on medication log verses actual prescriptions, documenting in children's files that therapy concluded when health passport indicates several additional appointments, incorrect child' s name documented in another child's file.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.
3 749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Six children's files were all missing pertinent information on form K-905-2403 and the information also is not a part of the data in health passport.
3 749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
During a review of one of the agency's home screenings. There was no documentation of the attitudes of other household members about the prospective foster parents plan to provide foster care .
5 749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
While reviewing documents, the child involved in the incident vocalized pain on 06.24.22 and was not examined by a medical professional until 06.30.22. His area of injury was not treated until 07.05.22, where it was wrapped by the medical professional.
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
4 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Two children's agency records nor health passport indicate the children's medical exam took place within the required timeframe from admission.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver threatened to spank the foster children and a household member hit the children as a form of discipline.
4 749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A caregiver did not follow the children's supervision portion of their service plan when leaving the children unattended in a vehicle. The caregiver did not take into account the children's high risk behaviors and disabilities when leaving them unattended.
2 749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The operation does not have a policy for out-of-home-care.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There were several documents with inaccurate information on them such as children's legal status, inaccurate dosages on medication log verses actual prescriptions, documenting in children's files that therapy concluded when health passport indicates several additional appointments, incorrect child' s name documented in another child's file.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
4 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Three agency homes had caregivers that completed required annual trainings after the required timeframes.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
It was admitted that the foster mom left the residents home alone.
2 749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The operation does not have a policy for out-of-home-care.
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
4 749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A caregiver did not follow the children's supervision portion of their service plan when leaving the children unattended in a vehicle. The caregiver did not take into account the children's high risk behaviors and disabilities when leaving them unattended.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
During a review of one agency home's screening. There was missing documentation of the prospective foster parent's criminial and central registry history.
5 749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
While reviewing documents, the child involved in the incident vocalized pain on 06.24.22 and was not examined by a medical professional until 06.30.22. His area of injury was not treated until 07.05.22, where it was wrapped by the medical professional.
4 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Two children's agency records nor health passport indicate the children's medical exam took place within the required timeframe from admission.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver threatened to spank the foster children and a household member hit the children as a form of discipline.
3 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
Three agency home quarterly visit documents were all missing signatures of the second foster parent that was documented as present during the quarterly visit.
4 749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A visitor to the foster home smoked inside the residence.
3 749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Six children's files were all missing pertinent information on form K-905-2403 and the information also is not a part of the data in health passport.
3 749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
During a review of one of the agency's home screenings. There was no documentation of the attitudes of other household members about the prospective foster parents plan to provide foster care .
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Given the child's history of sexually acting out, the foster parent failed to provide the level of supervision necessary to ensure the children's safety and wellbeing. The baby monitors placed as a plan of safety were reported to be compromised, therefore the foster parent was not aware of the children's ongoing activities. Also, the children were left upstairs while the foster parent prepared meals downstairs.
3 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
Three agency home quarterly visit documents were all missing signatures of the second foster parent that was documented as present during the quarterly visit.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Given the child's history of sexually acting out, the foster parent failed to provide the level of supervision necessary to ensure the children's safety and wellbeing. The baby monitors placed as a plan of safety were reported to be compromised, therefore the foster parent was not aware of the children's ongoing activities. Also, the children were left upstairs while the foster parent prepared meals downstairs.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There were several documents with inaccurate information on them such as children's legal status, inaccurate dosages on medication log verses actual prescriptions, documenting in children's files that therapy concluded when health passport indicates several additional appointments, incorrect child' s name documented in another child's file.
4 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Two children's agency records nor health passport indicate the children's medical exam took place within the required timeframe from admission.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
During a review of one agency home's screening. There was missing documentation of the prospective foster parent's criminial and central registry history.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver threatened to spank the foster children and a household member hit the children as a form of discipline.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
4 749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A visitor to the foster home smoked inside the residence.
3 749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
During a review of one of the agency's home screenings. There was no documentation of the attitudes of other household members about the prospective foster parents plan to provide foster care .
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
5 749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
While reviewing documents, the child involved in the incident vocalized pain on 06.24.22 and was not examined by a medical professional until 06.30.22. His area of injury was not treated until 07.05.22, where it was wrapped by the medical professional.
3 749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Six children's files were all missing pertinent information on form K-905-2403 and the information also is not a part of the data in health passport.
4 749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A caregiver did not follow the children's supervision portion of their service plan when leaving the children unattended in a vehicle. The caregiver did not take into account the children's high risk behaviors and disabilities when leaving them unattended.
4 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Three agency homes had caregivers that completed required annual trainings after the required timeframes.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
2 749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The operation does not have a policy for out-of-home-care.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
It was admitted that the foster mom left the residents home alone.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
4 749.1151(a) - Medical Requirements-Ensure child has a medical exam 30 days after the date of admission or documented exam within last year
Two children's agency records nor health passport indicate the children's medical exam took place within the required timeframe from admission.
4 749.930(c)(4) - Annual Training- Caregiver's who administer psychotropic medication must complete psychotropic medication training annually.
Three agency homes had caregivers that completed required annual trainings after the required timeframes.
4 749.2931(b) - Tobacco Product-Caregivers and other adults may only smoke tobacco products, e-cigarettes and vaporizers outside
A visitor to the foster home smoked inside the residence.
5 749.1953(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver threatened to spank the foster children and a household member hit the children as a form of discipline.
5 749.2447(7)(A) - Foster Home Screening-Agency documents background check results for any person frequent and present in the home
During a review of one agency home's screening. There was missing documentation of the prospective foster parent's criminial and central registry history.
3 749.2815(e) - Supervisory Visits- Documentation must be signed by each foster parent present for visit and child placement staff conducting visit
Three agency home quarterly visit documents were all missing signatures of the second foster parent that was documented as present during the quarterly visit.
3 749.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
There were several documents with inaccurate information on them such as children's legal status, inaccurate dosages on medication log verses actual prescriptions, documenting in children's files that therapy concluded when health passport indicates several additional appointments, incorrect child' s name documented in another child's file.
4 749.2593(c)(1) - Supervision-Caregivers counted in child/caregiver ratio must be aware of children's habits, interests, & any special needs including supervision
A caregiver did not follow the children's supervision portion of their service plan when leaving the children unattended in a vehicle. The caregiver did not take into account the children's high risk behaviors and disabilities when leaving them unattended.
2 749.127 - Babysitter/Overnight care/Respite care providers policy- Must develop policies for both in-home and out-of-home care
The operation does not have a policy for out-of-home-care.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
Given the child's history of sexually acting out, the foster parent failed to provide the level of supervision necessary to ensure the children's safety and wellbeing. The baby monitors placed as a plan of safety were reported to be compromised, therefore the foster parent was not aware of the children's ongoing activities. Also, the children were left upstairs while the foster parent prepared meals downstairs.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
3 749.2447(17) - Foster Home Screening-Agency documents the attitude of other household members about plans to provide foster care
During a review of one of the agency's home screenings. There was no documentation of the attitudes of other household members about the prospective foster parents plan to provide foster care .
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
5 749.1401(a)(2) - General medical requirements-A child in care must receive medical care as needed for injury, illness, and pain
While reviewing documents, the child involved in the incident vocalized pain on 06.24.22 and was not examined by a medical professional until 06.30.22. His area of injury was not treated until 07.05.22, where it was wrapped by the medical professional.
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
3 749.1401(b)(1) - General medical requirements-Child's record includes copy of results of each medical exam
Six children's files were all missing pertinent information on form K-905-2403 and the information also is not a part of the data in health passport.
5 749.2593(a)(3) - Supervision-The caregiver is responsible for ensuring each child's safety and well being, including auditory and/or visual awareness of the child
It was admitted that the foster mom left the residents home alone.
3 749.1951(a) - Disciplinary Measures-Only a caregiver known to & knowledgeable of the child may discipline the child
A household member who is not an approved caregiver disciplined the foster children.
4 749.2599(1) - Supervision-16-year-old or older may serve as babysitter with child placement management staff approval and established limits on duration/frequency
A 17-year-old household member was babysitting foster children without the child placement management staff approval.
4 749.2591(a)(3) - Supervision-Child placement management staff ensures supervision accounts for child's history, incl. Abuse/neglect, fire-setting, suicide, run-away
Child placement management staff did not consider the child's history when they approved for a child in care to sleep in a room with a child that had a history of sexual aggression and just recently sexually acted out with another child in care.
5 749.1003(b)(1)(B) - Children's rights-Safety & care including right to be free from abuse, neglect and exploitation
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.001 when the caregiver failed to appropriately supervise the children knowing that there was a history of sexual aggression.
4 749.503(a)(2)(A) - AP Serious Incident-Report to Licensing critical injury or illness that warrants treatment by a medical professional/hospitalization
While reviewing documents, the child involved in the incident sustained a physical injury on 06.20.22 and had to seek medical directive on 06.24.22. The incident was not reported to licensing until 07.07.22.

Severity 5 = most serious. Source: official state record.

Inspections (64)

64 inspection record(s) on file from TX-HHSC.

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