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A Journey of Hope

Child care center · , TX · License 1803258

0Compliance score
Poor

Capacity 12. 5-17

Violation history (184)

SeverityDateStandard / narrativeCorrected
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 a walkthrough of the home, a container of refills of medications for the residents were not found to be double locked.		 Yes
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff left child unsupervised resulting in child involvement in physical altercation.		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
The operation failed to document date and time the child was informed of the discharge.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Re citation: The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child. Licensing rep has not received a response from the operation. Operation has not submitted any corrective plans of action. Operation is non- responsive to attempts to obtain a correction for the citation issued		 —
3— 748.3319(a) - Required Postings-Residential Treatment Center's must have
No Trespassing sign was viewed to be created by the facility and does not meet the required guidelines by Minimum Standards.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Bathroom door does not close properly. Toilet seat is detached from the toilet base.		 Yes
2— 748.3273(9) - First Aid Kits-Each one must contain tweezers
During the review of first aid kit, it was observed that tweezers were not present. The operation was advised to ensure the first aid kit is fully stocked per minimum standards.		 Yes
3— 748.311 - Serious Incident Documentation-Documented in written report
The operations serious incident form is missing age, gender, and date of admission of the child, operation, physical address, and telephone number.		 —
4— 748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
The health operation did not have a health inspection completed.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Staff file reviewed is missing education requirement documentation.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough of the operation, it was observed that the garage had animal droppings on the ground.		 —
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the walkthrough of the operation, two children's bed were missing top sheet.		 Yes
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.
The operation did not conduct a mandatory Suicide Screening for the child in care.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documents were observed to have the incorrect operation name.		 Yes
4— 748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers
During the walkthrough of the operation, it was observed that fire extinguishers were missing up and downstairs.		 Yes
4— 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
During the course of the investigation, it was found that the child did not have a postvention meeting upon returning to the facility.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Contracted staff personnel did not practice prudent judgement when making an inappropriate/unnecessary comment to a child in care, one of which led to an escalated behavior of an unauthorized absence.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
During the review of files, it was noted that the severe weather drill had expired in June 2025. Per minimum standards, severe weather drill must be conducted every 6 months.		 —
3— 748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Caregivers were performing other duties and failed to provided one-on-one supervision for child.		 —
2— 748.3273(4) - First Aid Kits-Each one must contain cotton balls
During the review of first aid kit, it was noted that cotton balls were missing.		 Yes
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection the carpet was viewed on the stairs, in the upstairs common area, and in the hallways to be heavily soiled, decolorated, and stained.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Staff files requested was not available for immediate review.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection the carpet was viewed on the stairs, in the upstairs common area, and in the hallways to be heavily soiled, decolorated, and stained.		 —
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the walkthrough of the operation, two children's bed were missing top sheet.		 Yes
4— 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
During the course of the investigation, it was found that the child did not have a postvention meeting upon returning to the facility.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Staff files requested was not available for immediate review.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The operations serious incident form is missing age, gender, and date of admission of the child, operation, physical address, and telephone number.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Contracted staff personnel did not practice prudent judgement when making an inappropriate/unnecessary comment to a child in care, one of which led to an escalated behavior of an unauthorized absence.		 —
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 a walkthrough of the home, a container of refills of medications for the residents were not found to be double locked.		 Yes
3— 748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Caregivers were performing other duties and failed to provided one-on-one supervision for child.		 —
2— 748.3273(4) - First Aid Kits-Each one must contain cotton balls
During the review of first aid kit, it was noted that cotton balls were missing.		 Yes
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
The operation failed to document date and time the child was informed of the discharge.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
During the review of files, it was noted that the severe weather drill had expired in June 2025. Per minimum standards, severe weather drill must be conducted every 6 months.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff left child unsupervised resulting in child involvement in physical altercation.		 —
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.
The operation did not conduct a mandatory Suicide Screening for the child in care.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Bathroom door does not close properly. Toilet seat is detached from the toilet base.		 Yes
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Staff file reviewed is missing education requirement documentation.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough of the operation, it was observed that the garage had animal droppings on the ground.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documents were observed to have the incorrect operation name.		 Yes
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Re citation: The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child. Licensing rep has not received a response from the operation. Operation has not submitted any corrective plans of action. Operation is non- responsive to attempts to obtain a correction for the citation issued		 —
4— 748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
The health operation did not have a health inspection completed.		 —
2— 748.3273(9) - First Aid Kits-Each one must contain tweezers
During the review of first aid kit, it was observed that tweezers were not present. The operation was advised to ensure the first aid kit is fully stocked per minimum standards.		 Yes
3— 748.3319(a) - Required Postings-Residential Treatment Center's must have
No Trespassing sign was viewed to be created by the facility and does not meet the required guidelines by Minimum Standards.		 —
4— 748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers
During the walkthrough of the operation, it was observed that fire extinguishers were missing up and downstairs.		 Yes
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff left child unsupervised resulting in child involvement in physical altercation.		 —
4— 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
During the course of the investigation, it was found that the child did not have a postvention meeting upon returning to the facility.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
During the review of files, it was noted that the severe weather drill had expired in June 2025. Per minimum standards, severe weather drill must be conducted every 6 months.		 —
4— 748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers
During the walkthrough of the operation, it was observed that fire extinguishers were missing up and downstairs.		 Yes
4— 748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
The health operation did not have a health inspection completed.		 —
3— 748.3319(a) - Required Postings-Residential Treatment Center's must have
No Trespassing sign was viewed to be created by the facility and does not meet the required guidelines by Minimum Standards.		 —
2— 748.3273(9) - First Aid Kits-Each one must contain tweezers
During the review of first aid kit, it was observed that tweezers were not present. The operation was advised to ensure the first aid kit is fully stocked per minimum standards.		 Yes
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child.		 —
3— 748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Caregivers were performing other duties and failed to provided one-on-one supervision for child.		 —
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.
The operation did not conduct a mandatory Suicide Screening for the child in care.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The operations serious incident form is missing age, gender, and date of admission of the child, operation, physical address, and telephone number.		 —
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the walkthrough of the operation, two children's bed were missing top sheet.		 Yes
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 a walkthrough of the home, a container of refills of medications for the residents were not found to be double locked.		 Yes
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection the carpet was viewed on the stairs, in the upstairs common area, and in the hallways to be heavily soiled, decolorated, and stained.		 —
2— 748.3273(4) - First Aid Kits-Each one must contain cotton balls
During the review of first aid kit, it was noted that cotton balls were missing.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Contracted staff personnel did not practice prudent judgement when making an inappropriate/unnecessary comment to a child in care, one of which led to an escalated behavior of an unauthorized absence.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough of the operation, it was observed that the garage had animal droppings on the ground.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documents were observed to have the incorrect operation name.		 Yes
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Re citation: The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child. Licensing rep has not received a response from the operation. Operation has not submitted any corrective plans of action. Operation is non- responsive to attempts to obtain a correction for the citation issued		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
The operation failed to document date and time the child was informed of the discharge.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Staff file reviewed is missing education requirement documentation.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Bathroom door does not close properly. Toilet seat is detached from the toilet base.		 Yes
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Staff files requested was not available for immediate review.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
Re citation: The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child. Licensing rep has not received a response from the operation. Operation has not submitted any corrective plans of action. Operation is non- responsive to attempts to obtain a correction for the citation issued		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
During the review of files, it was noted that the severe weather drill had expired in June 2025. Per minimum standards, severe weather drill must be conducted every 6 months.		 —
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff left child unsupervised resulting in child involvement in physical altercation.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection the carpet was viewed on the stairs, in the upstairs common area, and in the hallways to be heavily soiled, decolorated, and stained.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Contracted staff personnel did not practice prudent judgement when making an inappropriate/unnecessary comment to a child in care, one of which led to an escalated behavior of an unauthorized absence.		 —
3— 748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling
Staff file reviewed is missing education requirement documentation.		 —
4— 748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued
The health operation did not have a health inspection completed.		 —
3— 748.3319(a) - Required Postings-Residential Treatment Center's must have
No Trespassing sign was viewed to be created by the facility and does not meet the required guidelines by Minimum Standards.		 —
2— 748.3273(4) - First Aid Kits-Each one must contain cotton balls
During the review of first aid kit, it was noted that cotton balls were missing.		 Yes
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the walkthrough of the operation, two children's bed were missing top sheet.		 Yes
2— 748.3273(9) - First Aid Kits-Each one must contain tweezers
During the review of first aid kit, it was observed that tweezers were not present. The operation was advised to ensure the first aid kit is fully stocked per minimum standards.		 Yes
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Bathroom door does not close properly. Toilet seat is detached from the toilet base.		 Yes
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough of the operation, it was observed that the garage had animal droppings on the ground.		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
The operation failed to document date and time the child was informed of the discharge.		 —
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 a walkthrough of the home, a container of refills of medications for the residents were not found to be double locked.		 Yes
4— 748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers
During the walkthrough of the operation, it was observed that fire extinguishers were missing up and downstairs.		 Yes
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.
The operation did not conduct a mandatory Suicide Screening for the child in care.		 —
4— 748.125(f)(1) - A PLSP must meet with a child within 24 hours of their return to an operation post hospitalization.
During the course of the investigation, it was found that the child did not have a postvention meeting upon returning to the facility.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documents were observed to have the incorrect operation name.		 Yes
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Staff files requested was not available for immediate review.		 —
3— 748.683(2) - Caregiver Supervision-Provide oversight of caregivers to ensure that assigned duties are performed adequately
Caregivers were performing other duties and failed to provided one-on-one supervision for child.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
The operations serious incident form is missing age, gender, and date of admission of the child, operation, physical address, and telephone number.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Staff files requested was not available for immediate review.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Documents were observed to have the incorrect operation name.		 Yes
3— 748.3365(c)(1) - Bedding-must provide each child with pillow/bed linens appropriate for temperature including pillowcase, top sheet, fitted or bottom sheet
During the walkthrough of the operation, two children's bed were missing top sheet.		 Yes
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
During the review of files, it was noted that the severe weather drill had expired in June 2025. Per minimum standards, severe weather drill must be conducted every 6 months.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walkthrough of the operation, it was observed that the garage had animal droppings on the ground.		 —
1— 748.1437(2) - Discharge/Transfer Documentation-Must include date and time the child was informed of his discharge or transfer
The operation failed to document date and time the child was informed of the discharge.		 —
4— 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Bathroom door does not close properly. Toilet seat is detached from the toilet base.		 Yes
1— 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
The non-emergency admission assessment was not completed, signed, or dated prior to the admission of the child.		 —

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

Inspections (120)

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

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