Capacity 16. 8-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.3441(d) - Food Preparation-Must only use disposable, single-use items if the operation lacks adequate facilities for sanitizing dishes and utensils
During the inspection cups with children names were in the kitchen after being used and not disposed. |
Yes |
| 4 | — |
748.941(c)(3)(B) - Training Criteria-Training must require each participant to demonstrate the physical EBI techniques, if the GRO allows the use of EBI.
Five employees of the operation completed a different EBI curriculum than what's utilized at the operation evidenced by training certificates reviewed. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Operation was not in compliance with a child's supervision requirements. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Children in care were neglectfully supervised when one staff member left another staff out of ratio and neither staff called the administrator. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to show competency and prudent judgment when video recording a child exhibiting escalated behaviors and engaging in property destruction. The footage was captured on the caregiver?s cell phone and shared with another employee. While recording the event, the caregiver failed to preserve the child?s privacy, was unable to intervene for the safety of the children in care, and failed to maintain the facility. |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child in care was restrained longer than 30 minutes. |
— |
| 2 | — |
748.3117(b) - Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
During the walk through it was observed that the South hallway exit door did not have a verified inspection tag for the fire extinguisher hanging (photos taken). |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During an after hours visit at the operation, the medicine cabinet was observed to be unlocked. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
During the walkthrough of the facility, evidence of water leak was observed in the kitchen and resident room ceiling. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to inform the administration that his co-worker left the operation during the shift and that he was working alone. Another caregiver failed to inform the administration that he was leaving his shift early. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
One of the dressers in a child's bedroom was observed to be broken, it was missing a knob and had a protruding nail in addition the first drawer was broken and was missing the part of the drawer that is needed to hold the child's clothing in it. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
A designated spot to shelter in place was not indicated on the evacuation diagram for the operation. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One of the staff's TIC training was taken on 2/1/2024 then again on 7/23/2025. The training was taken 5 months late. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of this investigation, it was determined that the safety and well-being of the child was compromised in contravention to the provisions of the child's Safety Plan. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
This standard was reviewed and the Operation is deemed to be not in compliance hereof. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu was observed to be outdated in addition there were no snacks or food sustitutions on the menu. |
— |
| 3 | — |
748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
The caregivers involved in the EBI did not conduct a post discussion with the child after the EBI. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
During the course of this investigation, it was determined that staff utilizes restraints for non emergency situations such as kids cursing staff or not listening to staff. |
— |
| 4 | — |
748.2551(f) - EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
The caregivers did not explain to the child what they needed to do to be released from the EBI. |
— |
| 2 | — |
748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera
During the walkthrough of the facility, one battery operated camera was observed mounted on the wall in the children's restroom (lobby). Staff was not able to provide inspector with written approval from CVS caseworker or any approved waiver to use camera in children restroom area. |
— |
| 2 | — |
748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
One of three employee files reviewed did not contain documentation of the reference checks completed on the employee. |
— |
| 5 | — |
748.1009(2) - Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
Supervision needs for the group of children required a closer supervision for more than 3 of the children. Specifically one child had a service plan which required a 1:5 ratio while sleeping. There were two other children whose ratio should have been elevated based on their history. |
— |
| 4 | — |
748.911(b)(3)(B) - One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi or Adult CPR if serving children 0 to 17.
One staff file reviewed did not have a current CPR/First aid training. |
— |
| 4 | — |
748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One staff file reviewed did not have a current normalcy training. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One of the children's medication log was missing the time, name, and signature of the staff who administered the medication. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
1 of out 8 medication records was not updated with the amount administered within 2 hours. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to show competency and prudent judgment when video recording a child exhibiting escalated behaviors and engaging in property destruction. The footage was captured on the caregiver?s cell phone and shared with another employee. While recording the event, the caregiver failed to preserve the child?s privacy, was unable to intervene for the safety of the children in care, and failed to maintain the facility. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to inform the administration that his co-worker left the operation during the shift and that he was working alone. Another caregiver failed to inform the administration that he was leaving his shift early. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
1 of out 8 medication records was not updated with the amount administered within 2 hours. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
A designated spot to shelter in place was not indicated on the evacuation diagram for the operation. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One of the staff's TIC training was taken on 2/1/2024 then again on 7/23/2025. The training was taken 5 months late. |
— |
| 2 | — |
748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera
During the walkthrough of the facility, one battery operated camera was observed mounted on the wall in the children's restroom (lobby). Staff was not able to provide inspector with written approval from CVS caseworker or any approved waiver to use camera in children restroom area. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
During the walkthrough of the facility, evidence of water leak was observed in the kitchen and resident room ceiling. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
This standard was reviewed and the Operation is deemed to be not in compliance hereof. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
One of the dressers in a child's bedroom was observed to be broken, it was missing a knob and had a protruding nail in addition the first drawer was broken and was missing the part of the drawer that is needed to hold the child's clothing in it. |
— |
| 4 | — |
748.2551(f) - EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
The caregivers did not explain to the child what they needed to do to be released from the EBI. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu was observed to be outdated in addition there were no snacks or food sustitutions on the menu. |
— |
| 4 | — |
748.911(b)(3)(B) - One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi or Adult CPR if serving children 0 to 17.
One staff file reviewed did not have a current CPR/First aid training. |
— |
| 4 | — |
748.941(c)(3)(B) - Training Criteria-Training must require each participant to demonstrate the physical EBI techniques, if the GRO allows the use of EBI.
Five employees of the operation completed a different EBI curriculum than what's utilized at the operation evidenced by training certificates reviewed. |
— |
| 3 | — |
748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
The caregivers involved in the EBI did not conduct a post discussion with the child after the EBI. |
— |
| 5 | — |
748.1009(2) - Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
Supervision needs for the group of children required a closer supervision for more than 3 of the children. Specifically one child had a service plan which required a 1:5 ratio while sleeping. There were two other children whose ratio should have been elevated based on their history. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During an after hours visit at the operation, the medicine cabinet was observed to be unlocked. |
— |
| 3 | — |
748.3441(d) - Food Preparation-Must only use disposable, single-use items if the operation lacks adequate facilities for sanitizing dishes and utensils
During the inspection cups with children names were in the kitchen after being used and not disposed. |
Yes |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of this investigation, it was determined that the safety and well-being of the child was compromised in contravention to the provisions of the child's Safety Plan. |
— |
| 2 | — |
748.3117(b) - Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
During the walk through it was observed that the South hallway exit door did not have a verified inspection tag for the fire extinguisher hanging (photos taken). |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One of the children's medication log was missing the time, name, and signature of the staff who administered the medication. |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child in care was restrained longer than 30 minutes. |
— |
| 2 | — |
748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
One of three employee files reviewed did not contain documentation of the reference checks completed on the employee. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Children in care were neglectfully supervised when one staff member left another staff out of ratio and neither staff called the administrator. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
During the course of this investigation, it was determined that staff utilizes restraints for non emergency situations such as kids cursing staff or not listening to staff. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Operation was not in compliance with a child's supervision requirements. |
— |
| 4 | — |
748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One staff file reviewed did not have a current normalcy training. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
This standard was reviewed and the Operation is deemed to be not in compliance hereof. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to show competency and prudent judgment when video recording a child exhibiting escalated behaviors and engaging in property destruction. The footage was captured on the caregiver?s cell phone and shared with another employee. While recording the event, the caregiver failed to preserve the child?s privacy, was unable to intervene for the safety of the children in care, and failed to maintain the facility. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to inform the administration that his co-worker left the operation during the shift and that he was working alone. Another caregiver failed to inform the administration that he was leaving his shift early. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of this investigation, it was determined that the safety and well-being of the child was compromised in contravention to the provisions of the child's Safety Plan. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
A designated spot to shelter in place was not indicated on the evacuation diagram for the operation. |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child in care was restrained longer than 30 minutes. |
— |
| 3 | — |
748.3441(d) - Food Preparation-Must only use disposable, single-use items if the operation lacks adequate facilities for sanitizing dishes and utensils
During the inspection cups with children names were in the kitchen after being used and not disposed. |
Yes |
| 2 | — |
748.3117(b) - Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
During the walk through it was observed that the South hallway exit door did not have a verified inspection tag for the fire extinguisher hanging (photos taken). |
— |
| 4 | — |
748.911(b)(3)(B) - One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi or Adult CPR if serving children 0 to 17.
One staff file reviewed did not have a current CPR/First aid training. |
— |
| 2 | — |
748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
One of three employee files reviewed did not contain documentation of the reference checks completed on the employee. |
— |
| 3 | — |
748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
The caregivers involved in the EBI did not conduct a post discussion with the child after the EBI. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During an after hours visit at the operation, the medicine cabinet was observed to be unlocked. |
— |
| 4 | — |
748.2551(f) - EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
The caregivers did not explain to the child what they needed to do to be released from the EBI. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
1 of out 8 medication records was not updated with the amount administered within 2 hours. |
— |
| 5 | — |
748.1009(2) - Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
Supervision needs for the group of children required a closer supervision for more than 3 of the children. Specifically one child had a service plan which required a 1:5 ratio while sleeping. There were two other children whose ratio should have been elevated based on their history. |
— |
| 2 | — |
748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera
During the walkthrough of the facility, one battery operated camera was observed mounted on the wall in the children's restroom (lobby). Staff was not able to provide inspector with written approval from CVS caseworker or any approved waiver to use camera in children restroom area. |
— |
| 4 | — |
748.941(c)(3)(B) - Training Criteria-Training must require each participant to demonstrate the physical EBI techniques, if the GRO allows the use of EBI.
Five employees of the operation completed a different EBI curriculum than what's utilized at the operation evidenced by training certificates reviewed. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu was observed to be outdated in addition there were no snacks or food sustitutions on the menu. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
During the course of this investigation, it was determined that staff utilizes restraints for non emergency situations such as kids cursing staff or not listening to staff. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
One of the dressers in a child's bedroom was observed to be broken, it was missing a knob and had a protruding nail in addition the first drawer was broken and was missing the part of the drawer that is needed to hold the child's clothing in it. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Operation was not in compliance with a child's supervision requirements. |
— |
| 4 | — |
748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One staff file reviewed did not have a current normalcy training. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Children in care were neglectfully supervised when one staff member left another staff out of ratio and neither staff called the administrator. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One of the staff's TIC training was taken on 2/1/2024 then again on 7/23/2025. The training was taken 5 months late. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
During the walkthrough of the facility, evidence of water leak was observed in the kitchen and resident room ceiling. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One of the children's medication log was missing the time, name, and signature of the staff who administered the medication. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu was observed to be outdated in addition there were no snacks or food sustitutions on the menu. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
During an after hours visit at the operation, the medicine cabinet was observed to be unlocked. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to show competency and prudent judgment when video recording a child exhibiting escalated behaviors and engaging in property destruction. The footage was captured on the caregiver?s cell phone and shared with another employee. While recording the event, the caregiver failed to preserve the child?s privacy, was unable to intervene for the safety of the children in care, and failed to maintain the facility. |
— |
| 5 | — |
748.1009(2) - Child/caregiver ratio-Must employ adequate number of caregivers to meet their responsibilities regarding supervision of children in 748.685
Supervision needs for the group of children required a closer supervision for more than 3 of the children. Specifically one child had a service plan which required a 1:5 ratio while sleeping. There were two other children whose ratio should have been elevated based on their history. |
— |
| 4 | — |
748.2551(f) - EBI Implementation-If child doesn't understand what to do to be released, caregiver re-explains every 15 minutes until child understands or released
The caregivers did not explain to the child what they needed to do to be released from the EBI. |
— |
| 2 | — |
748.3117(b) - Fire Extinguisher-Must keep documentation of annual inspection and/or purchase of new fire extinguishers at operation for review
During the walk through it was observed that the South hallway exit door did not have a verified inspection tag for the fire extinguisher hanging (photos taken). |
— |
| 5 | — |
748.2801(2)(A) - EBI Time Limits-Maximum length of time for personal restraint for a child of any age is 30 minutes.
A child in care was restrained longer than 30 minutes. |
— |
| 2 | — |
748.3353(b)(1) - Monitoring Devices-Parent, or other person legally authorized to consent, must consent to the use of the video camera
During the walkthrough of the facility, one battery operated camera was observed mounted on the wall in the children's restroom (lobby). Staff was not able to provide inspector with written approval from CVS caseworker or any approved waiver to use camera in children restroom area. |
— |
| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the course of this investigation, it was determined that the safety and well-being of the child was compromised in contravention to the provisions of the child's Safety Plan. |
— |
| 3 | — |
748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
One of the children's medication log was missing the time, name, and signature of the staff who administered the medication. |
— |
| 4 | — |
748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
A designated spot to shelter in place was not indicated on the evacuation diagram for the operation. |
— |
| 2 | — |
748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer.
One of three employee files reviewed did not contain documentation of the reference checks completed on the employee. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
1 of out 8 medication records was not updated with the amount administered within 2 hours. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A caregiver failed to inform the administration that his co-worker left the operation during the shift and that he was working alone. Another caregiver failed to inform the administration that he was leaving his shift early. |
— |
| 4 | — |
748.911(b)(3)(B) - One caregiver in ratio must have certificate of training with an expiration or renewal date in Pedi or Adult CPR if serving children 0 to 17.
One staff file reviewed did not have a current CPR/First aid training. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
Children in care were neglectfully supervised when one staff member left another staff out of ratio and neither staff called the administrator. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
During the course of this investigation, it was determined that staff utilizes restraints for non emergency situations such as kids cursing staff or not listening to staff. |
— |
| 4 | — |
748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One of the staff's TIC training was taken on 2/1/2024 then again on 7/23/2025. The training was taken 5 months late. |
— |
| 4 | — |
748.941(c)(3)(B) - Training Criteria-Training must require each participant to demonstrate the physical EBI techniques, if the GRO allows the use of EBI.
Five employees of the operation completed a different EBI curriculum than what's utilized at the operation evidenced by training certificates reviewed. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
This standard was reviewed and the Operation is deemed to be not in compliance hereof. |
— |
| 4 | — |
748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
One of the dressers in a child's bedroom was observed to be broken, it was missing a knob and had a protruding nail in addition the first drawer was broken and was missing the part of the drawer that is needed to hold the child's clothing in it. |
— |
| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
During the walkthrough of the facility, evidence of water leak was observed in the kitchen and resident room ceiling. |
— |
128 inspection record(s) on file from TX-HHSC.