Texas › Houston › Graceful New Beginnings, LLC

Graceful New Beginnings, LLC

Child care center · 12414 DAWN RD, Houston, TX 77067-3002 · License 1756205

0Compliance score
Poor

Capacity 7. 7-17

Violation history (328)

Severity	Date	Standard / narrative	Corrected
2	—	748.1439(b)(1) - Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge Out of 5 child discharge records reviewed, they are all missing the discharge summaries.	—
2	—	748.1205(b)(2) - Admission Documentation-For child admitted for emergency care svcs, meet 748.1205(a) within 72 hrs or document efforts made to obtain information Out of three child files reviewed, one child file is missing an admission assessment form in their file.	—
3	—	748.363(1) - Personnel records-Include date of employment During the inspection the staff file was missing the date of hire.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication During the inspection the reason for the prescription given was missing.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. After reviewing documentation, it was found that one resident was never administered a suicide screening.	—
3	—	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 Out of 3 child files reviewed, one child file did not contain information that the child's rights were reviewed with the child and properly documented in the child file.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A suicide attempt was not reported to licensing as soon as the operation was aware.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety After multiple, recurrent incidents of unauthorized absence, the operation and caregivers have failed to implement safety plans or increased supervision to prevent further incidents of unauthorized absence.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity During the course of the investigation, it was determined that children were not properly supervised.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. During the inspection it was found that two staff records are missing TB skin test results.	—
3	—	748.311(9) - Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any A serious incident report dated 10/16/2025 for a child in care did not document the who provided and where the child received treatment.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name During the inspection the prescribing doctor name was missing.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Fire inspection expired in February.	—
1	—	748.1349(a)(1) - Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility During the inspection the staff file was missing the TB exam results. The agency sent the staff out as of last week to be tested,	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) The incident report is missing an area to document any child and adult witnesses. It is also missing the physical address and phone number of the facility. The form is also missing the age, gender, and date of admission.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.	—
2	—	748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.	—
5	—	748.2307(13) - Other Prohibited Punishments-denying basic child rights as discipline or punishment Children in care reported being denied access to phone calls as a form of punishment.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission During the inspection it was found that a child's record did not have a completed initial service plan. The child was admitted on 8/28/2023.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation does not currently have a Licensed Child Care Administrator	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers During the inspection, it was found that the fire extinguisher was missing from the wall on the 2nd floor of the building.	Yes
5	—	745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access During the inspection the staff file was missing the current drug test. The agency sent the staff to be drug tested as of last week.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. Out of 3 staff files reviewed, 2 staff are missing their Tuberculosis Skin Test Results. Staff must have their TB test completed and a record of the test results must be located in the staff file.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. Two of two staff records did not contain a statement for employees to immediately report ANE.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a walkthrough of operation, it was found that the fire inspection certificate was expired.	—
2	—	748.1209(b)(13) - Child Orientation-Include internal grievance procedures The orientation document currently being utilized does not encompass all of the necessary subject matters such as the grievance policy and gifts.	—
2	—	748.1209(b)(13) - Child Orientation-Include internal grievance procedures Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation failed to properly document unauthorized logs in the annual summary log. The operation was not documenting Age, date of admission, CCR Report number or police information.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission In reviewing the Resident AWOL Log, it was found that the AWOL log was missing the child's date of admission, gender, amount of time child is gone, staff present.	Yes
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.	—
3	—	748.3273(5) - First Aid Kits-Each one must contain multi-size adhesive bandages During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was determined that the operation failed to report a serious incident..	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Documents that were initially requested on 11/13/25 were never received.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records related to an investigation was requested from the operation by Licensing three times via email, and twice verbally. Records were not provided.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication During the inspection the child records and logs were missing the refusal section.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs The preliminary plan did not include the possible side effects for medication and no information about supervision.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return The operation failed to conduct a debriefing or document the child's refusal for a debriefing after multiple unauthorized absences,	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects There were bed bugs found at the operation.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication During the inspection the child records and logs were missing the refusal section.	—
2	—	748.1209(b)(13) - Child Orientation-Include internal grievance procedures The orientation document currently being utilized does not encompass all of the necessary subject matters such as the grievance policy and gifts.	—
2	—	748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.	—
2	—	748.1209(b)(13) - Child Orientation-Include internal grievance procedures Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation does not currently have a Licensed Child Care Administrator	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Records related to an investigation was requested from the operation by Licensing three times via email, and twice verbally. Records were not provided.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. Out of 3 staff files reviewed, 2 staff are missing their Tuberculosis Skin Test Results. Staff must have their TB test completed and a record of the test results must be located in the staff file.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety After multiple, recurrent incidents of unauthorized absence, the operation and caregivers have failed to implement safety plans or increased supervision to prevent further incidents of unauthorized absence.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs The preliminary plan did not include the possible side effects for medication and no information about supervision.	—
5	—	748.2307(13) - Other Prohibited Punishments-denying basic child rights as discipline or punishment Children in care reported being denied access to phone calls as a form of punishment.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation failed to properly document unauthorized logs in the annual summary log. The operation was not documenting Age, date of admission, CCR Report number or police information.	—
5	—	745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access During the inspection the staff file was missing the current drug test. The agency sent the staff to be drug tested as of last week.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name During the inspection the prescribing doctor name was missing.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. During the inspection it was found that two staff records are missing TB skin test results.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission During the inspection it was found that a child's record did not have a completed initial service plan. The child was admitted on 8/28/2023.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During a walkthrough of operation, it was found that the fire inspection certificate was expired.	—
3	—	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 Out of 3 child files reviewed, one child file did not contain information that the child's rights were reviewed with the child and properly documented in the child file.	—
3	—	748.3273(5) - First Aid Kits-Each one must contain multi-size adhesive bandages During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.	—
2	—	748.1205(b)(2) - Admission Documentation-For child admitted for emergency care svcs, meet 748.1205(a) within 72 hrs or document efforts made to obtain information Out of three child files reviewed, one child file is missing an admission assessment form in their file.	—
3	—	748.311(9) - Serious Incident Documentation-Includes treating licensed health-care professional's name, findings, and treatment, if any A serious incident report dated 10/16/2025 for a child in care did not document the who provided and where the child received treatment.	—
3	—	748.363(1) - Personnel records-Include date of employment During the inspection the staff file was missing the date of hire.	—
4	—	748.455(a) - Unauthorized Absence-After a child returns from unauthorized absence, foster parent must conduct debriefing w/child no later than 24 hrs after return The operation failed to conduct a debriefing or document the child's refusal for a debriefing after multiple unauthorized absences,	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) The incident report is missing an area to document any child and adult witnesses. It is also missing the physical address and phone number of the facility. The form is also missing the age, gender, and date of admission.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers During the inspection, it was found that the fire extinguisher was missing from the wall on the 2nd floor of the building.	Yes
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication During the inspection the reason for the prescription given was missing.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. After reviewing documentation, it was found that one resident was never administered a suicide screening.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity During the course of the investigation, it was determined that children were not properly supervised.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission In reviewing the Resident AWOL Log, it was found that the AWOL log was missing the child's date of admission, gender, amount of time child is gone, staff present.	Yes
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was determined that the operation failed to report a serious incident..	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Fire inspection expired in February.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility During the inspection the staff file was missing the TB exam results. The agency sent the staff out as of last week to be tested,	—
1	—	748.1349(a)(1) - Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.	—
2	—	748.1439(b)(1) - Discharge Documentation-Discharge summary provided to next placement or caregiver within 15 days of discharge Out of 5 child discharge records reviewed, they are all missing the discharge summaries.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects There were bed bugs found at the operation.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Documents that were initially requested on 11/13/25 were never received.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A suicide attempt was not reported to licensing as soon as the operation was aware.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. Two of two staff records did not contain a statement for employees to immediately report ANE.	—
3	—	748.363(1) - Personnel records-Include date of employment During the inspection the staff file was missing the date of hire.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety After multiple, recurrent incidents of unauthorized absence, the operation and caregivers have failed to implement safety plans or increased supervision to prevent further incidents of unauthorized absence.	—
1	—	748.1349(a)(1) - Initial Service Plan-Give copy or summary of plan to child, when appropriate. At minimum must give copy to child 14 years and older Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was determined that the operation failed to report a serious incident..	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A suicide attempt was not reported to licensing as soon as the operation was aware.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.	—
4	—	748.3301(h) - Physical Site-The building must be free of rodents and insects There were bed bugs found at the operation.	—
3	—	748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older. After reviewing documentation, it was found that one resident was never administered a suicide screening.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Fire inspection expired in February.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation does not currently have a Licensed Child Care Administrator	—
3	—	748.3273(5) - First Aid Kits-Each one must contain multi-size adhesive bandages During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name During the inspection the prescribing doctor name was missing.	—
3	—	748.453(a)(1) - Unauthorized Absence ? Annual summary log must include name, age, gender, date of admission During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.	—
2	—	748.1217(b)(12) - Admission Assessment-At admission, must include services the operation plans to provide to the child The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.	—
3	—	748.2151(c)(7) - Medication record - must include the child's refusal to accept medication Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs The preliminary plan did not include the possible side effects for medication and no information about supervision.	—
2	—	748.1209(b)(13) - Child Orientation-Include internal grievance procedures Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.	—

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

Inspections (144)

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

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