Texas › Sugar Land › Hearthstone Support LLC

Hearthstone Support LLC

Child care center · 16443 BOSS GASTON RD, Sugar Land, TX 77498-8502 · License 1813303

0Compliance score
Poor

Capacity 20. 6-17

Violation history (112)

Severity	Date	Standard / narrative	Corrected
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
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	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
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	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
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
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
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	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
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	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
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	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication 1 out of 3 childrens medication logs revealed missing medication entry for the previous day (05/18/2026).	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Child in care left the operation without staff being aware.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Three children in care voiced witnessing the same staff sleeping.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions It was observed, while reviewing children's records, immunization records were missing from two of the children's files.	—
2	—	748.1501(b)(2) - Dental Care-Written record of each dental examination must include the follow-up treatment recommended and any appointments scheduled While reviewing children's records, it was found that one of the two records reviewed failed to provide follow up dental recommendations.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child A child in care self-harmed on 01/15/26 and was admitted into a behavioral hospital on 01/16/26. This incident was not reported to Licensing until 01/20/26.	—
3	—	748.3395(b)(4) - Hand-washing-Provide hand-washing sinks equipped with soap & a personal towel, single-use disposable towels, or hot air hand dryers Bedroom #1 that is currently occupied by 1 child did not have handsop nor paper towel/towel for hand washing and drying.	Yes
3	—	748.311 - Serious Incident Documentation-Documented in written report The following was missing from the serious incident report: -Name of the operation, physical address, and phone number. -The name, age, gender, and date of admission of the child or children involved. -The names of all adults involved and their role in relation to the child(ren). -The names or other means of identifying witnesses to the incident, if any. -Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions. -The treating licensed health-care professional's name, findings, and treatment, if any. -The resolution of the incident.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—
4	—	748.3113(a) - Fire Extinguisher-Must have a fire-extinguishing system, which may be sprinkler system and/or fire extinguishers During the walkthrough, one downstairs fire extinguisher was missing an inspection tag, and another was expired, with the last inspection dated January 2025.	—
2	—	748.939(c)(4) - Training criteria-Training includes a certificate, letter, or a signed and dated statement of successful completion from the training source Documentation verifying completion of required suicide prevention training was not available for staff.	—
1	—	748.1209(d) - Child Orientation-document in child's record when orientation occurred, any required information omitted, reason for any omissions 1 out of 3 child records was missing proof of child orientation and required signature.	—
4	—	748.125(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
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(d)(4)(E) - Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted. A suicide screening was not administered after a child in care was observed with self-inflicted injuries.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization The operation failed to report a hospitalization timely.	—

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

Inspections (56)

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

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