Capacity 250. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.1311(d) - Director Annual Training - Caring for children under 24 months The director did not receive training in the following topics for the July 2022-July 2023 training year: Abusive Head Trauma, Shaken Baby Syndrome and Understanding Early Childhood Brain Development. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required The director has not recieved 30 clcok hours of annual training for the July 2023-July 2024 training year. The director will need to recieve make-up training hours. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children Based on the information obtained throughout the investigation, supervision concerns were addressed. A child was bitten in the Suite 150 classroom. The incident was not observed by either caregiver present. |
— |
| 5 | — |
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System During the walkthrough, the carbon monoxide detector was not in working condition. The carbon monoxide detector portrayed a red blinking light. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled The operation did not have a current employee list posted within the facility. The office manager provided Licensing a copy of the employee list when requested. The list contained 3 names crossed out due to staff no longer being employed. |
Yes |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control One caregiver ignored a parent concern related to children standing on tables in the classroom, which could be considered a hazard. A child was observed standing on the table in Suite 350 on more than one occasion, in which operation staff did not intervene. Although the children were being supervised, the caregiver lacked competency and good judgement by failing to remove the child from the table, and/or acknowledging the parent concerns. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required Staff have not completed annual training hours in one or more of the following topics for their respective training year: SIDS, Shaken Baby Syndrome, Abusive Head Trauma and Early Brain Development. |
— |
| 3 | — |
746.613(c)(2) - Immunization Exception for Children Who are Homeless or in Foster Care Of the 10 children's records evaluated, four lacked an immunization record. |
— |
| 3 | — |
746.2207(c)(2) - Screen Time Activities - Age-appropriate School-age children were wathcing a PG-rated movie. |
Yes |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training Two out of two Director records observed did not have the required 30 annual training topics. The Director's file did not include the required annual training hours, or topics. File 1 contained 14.5 out of the 30 annual training hours. File 2 contained 22 out of the 30 annual training hours. |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating Children did not wash their hands prior to eating breakfast. |
— |
| 3 | — |
746.901 - Required Personnel Records Of the 10 personnel files evaluated lacked the following information: 1. Five lacked a pre-employment affidavit 2. Two lacked documentation of how the staff meets the education requirements 3. One lacked a notarized affidavit |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children One caregiver was observed with 14 children, 2-3 years of age. The caregiver was not within ratio, due to the age group of children in care. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name The employee list is not current; it includes names of staff who are no longer employed at the center. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering Children's hands are not being washed after diaper changes. |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children A child was transported without a list on the van, |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance The Director did not have a time sheet available for review, and/or log that portrays the required number of hours worked per Director qualifications. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. There were 41 children, ages 5-13 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection. |
— |
| 5 | — |
746.613(a) - Required Immunizations Of the 10 children's records evaluated, one was behind with immunizations. |
— |
| 4 | — |
746.3003 - Field Trips - Notification to Parents The operation did not implement a notification to parents informing of the time frame of the field trip. The operation did not document, and/or inform parents of an expected return time. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules The following information is missing from the operational policies: 1. Water activities 2. Field trips 3. Requirements for indoor and outdoor physical activity 4. Parents' Rights 5. Instructions on how parents may access Minimum Standards, Texas Abuse and Neglect Hotline and the HHSC website. 6. Inform parents of the requirement for staff to receive annual training hours in child abuse and neglect; increasing staff and parent awareness regarding abuse and neglect, increasing staff and parent awareness of prevention techniques, local community organizations that assist with abuse and neglect awareness and actions a parent of a child who is a victim of abuse should take to obtain assistance. 7. Staff vaccination policy |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control Based on the video footage observed, one caregiver did not portray good judgment by picking up a 3-year-old child by one arm, and by not tending to the child's needs. The child was picked up by one arm, which resulted in nurse maid's elbow. The child was observed crying, and the caregivers present within the classroom continued to walk by the child. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content Staff did not receive training in one or more of the following topics for their respective training year: adminstering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training As of 8/13/25 corrections have not been received. This deficiency is being recited. Three staff have not completed pre-service training prior to being counted in the child/staff ratio. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name A list of current employees is not posted. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age This standard was evaluated in regard to a report recieved and compliance was not met.Infants were combined with children that were more than 18 monhs older than the youngest child in the group. The youngest child was 12 months old and the oldest child was 4 years old. This was corrected at inspection. |
— |
| 1 | — |
746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service trainingby trainer and employee Four out of seven staff records did not include documentation of orientation. The caregivers did not check on the personnel form that orientation was received. The form was not signed, nor dated by the caregivers, or Director. |
— |
| 4 | — |
746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training The director and van drivers are not current with transportation safety training. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control This standard was evaluated and compliance was not met. A caregiver was observed on video pulling a child's nap mat closer to her while the child was kneeling on the mat. This could have resulted in the child being injured. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times The school-age children were having screen time during rest time. |
Yes |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training Four out five staff/caregivers records observed did not include the required 24 annual training topics/hours. File 1 contained 5 out of 24 annual training hours. File 2 contained 9 out of 24 annual training hours. File 3 contained 6 out of 24 annual training hours. File 4 contained 9 out of 24 annual training hours. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required Seven staff did not completed 24 clock hours of annual training for their respective training year. The caregiver will need to complete make-up training hours. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children Two children were observed opening the main door, and the outside door area. One child who is 2 years of age was observed opening the main door to the outside area. Another child who is 3 years of age was observed opening the main door to the hallway. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups Bottles and cups did not include the initial of the child's last name. This was corrected at inspection. |
Yes |
| 4 | — |
746.1311(d) - Director Annual Training - Caring for children under 24 months The director did not complete a training covering Understanfding Early Childhood Brain Development for the July 2021-July 2022 training year. |
— |
| 3 | — |
746.4751(d) - Maintenance Procedures for Active Play - Keep Records for 3 Months Monthly playground checklist for the previous three months were not available for review. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training Three staff have not completed pre-service training prior to being counted in the child/staff ratio. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information A child was transported without the required emergency medical information. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control Sixteen children were observed in Suite 500. Children within the classroom were observed throwing toys, hitting other children, and screaming. The classroom was out of control. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children This standard was evaluated in regard to a report recieved and compliance was not met. There were 18 children, ages 12 months to 4 years old, with one caregiver. The Specified Age Group was 2 years old which means one caregiver can only care for 11 children. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required Of the 10 personnel records evaluated, 7 did not receive the required number of training hours for their training year and training was not received in all of the required topics. The caregivers will need to receive make-up training hours that will not count towards the current training number. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages The caregiver in Suite 250 was not aware of the youngest child in care. The Director had informed that the caregiver had just returned to employment 3 days prior. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child Staff are not washing their after changing children's diapers. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity This standard was evaluated in regard to a report received and compliance was not met. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom. |
— |
| 4 | — |
746.2431(3) - Infant Daily Report - Times of Diaper Changes Based on the information obtained, there is sufficient evidence to suggest that diaper changes are not being consistently logged in the infant daily reports. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained Of the 10 children's records evaluated, the following information was missing: 1. One lacked the address of the emergency contact 2. Two lacked the name, address and phone number of the child's doctor or health care facility. 3. Five lacked information regarding water activities 4. One lacked a shot record 5. Six children are behind on immunizations 6. One lacked the phone number of the school the child attends 7. One lacked the name and phone number of the school the child attends |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children There were 43 children, ages 5-12 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two Children under the age of 2 years old were participaitng in a screen tiime activity. This was corrected at inspection. |
Yes |
| 3 | — |
746.2205(a)(1) - Written Activity Plan - Group Name and Dates The wrtten activity plans do not include dates and the age group.. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics The director did not receive training in the following topics for the July 2022-July 2023 training year: administering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control One child in Suite 500 was observed climbing on the door. The child was observed running around the classroom while other children were observed sitting at the table top. The child was not listening to the caregiver in charge. |
— |
| 4 | — |
746.2405(4) - Infant Care Area Furnishings and Equipment - Hand-washing Sink The hand washing sink near the diaper changing area of the infant classroom was being used to wash toys. Note- This was corrected during the inspection when the toys were removed from the hand washing sink and placed in the dish washing sink. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children There was a toddler classroom with a specified age group of two years of age that had 12 children with one caregiver which put the classroom over ratio by one child. |
— |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child A child was transported without the parent and emergency contact information on the bus. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules The operational policies was lacking the following information: 1. Safe sleep policy 2. Description of water activities 3. Requirements for outdoor play and physical activity 4. Instructions for a parent to review a copy of the Minimum Standards and the most recent Licensing inspection report. 5. Information on how parents may contact the local Licensing office, the Texas Abuse Hotline and HHSC website. 6. Information for a space for mothers to breastfeed and procedures to provide breast milk. 7. Staff training requirements for reporting child abuse and neglect, increasing staff and parent awareness, etc. 8. Information on the center being in a gang free zone. 9. Staff vaccination requirements. 10. Emergency Preparedness Plan |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages The caregiver in Suite 250 was not aware of the youngest or oldest child in care. |
Yes |
| 5 | — |
746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk Two and three year old children were served whole wieners. This is a choking gazard for chidlren under the age of 4. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver This standard was evaluated in regard to a report received and compliance was not met. The written activity plan is not being followed. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver The school age classroom was observed watching a movie in the gym area during the timeframe that table top activities and breakfast was scheduled. The activity schedule for the gym class documents from 6AM-8AM, staff provide table top activities, breakfast, and clean-up. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children Children in Suite 500 were observed walking out of the classroom, and walking into other classrooms. One caregiver was observed with 16 children, which prevented the caregiver from all children in care. |
— |
| 4 | — |
746.2419(7) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup An infant was observed walking around while drinking their bottle. This was corrected at inspection. |
Yes |
| 4 | — |
746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training The director and one van driver have not completed a transportation safety training. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required The director received 26 of the required 30 clock hours of annual training for July 2021-July 2022 training year. The director needs 4 clock hours of make-up training. The make-up hours will not count towards the current year. |
— |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information Of the 10 children's records evaluated; the following information was missing: 1. One lacked the date of admission. 2. Two lacked the address/phone number for the emergency contact. 3. One lacked the address and phone number of the child's doctor. 4. One lacked the name, address and phone number of the child's doctor. 5. One lacked authorization for emergency medical care. 6. Two lacked the name and phone number of the school the school age children attend. 7. One lacked the results of a heating and vision screening. 8. One child's allergy form was not signed by the parent |
— |
| 4 | — |
746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training The director and one van driver have not completed a transportation safety training. |
— |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training Two out of two Director records observed did not have the required 30 annual training topics. The Director's file did not include the required annual training hours, or topics. File 1 contained 14.5 out of the 30 annual training hours. File 2 contained 22 out of the 30 annual training hours. |
— |
| 4 | — |
746.3003 - Field Trips - Notification to Parents The operation did not implement a notification to parents informing of the time frame of the field trip. The operation did not document, and/or inform parents of an expected return time. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children There was a toddler classroom with a specified age group of two years of age that had 12 children with one caregiver which put the classroom over ratio by one child. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled The operation did not have a current employee list posted within the facility. The office manager provided Licensing a copy of the employee list when requested. The list contained 3 names crossed out due to staff no longer being employed. |
Yes |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required The director has not recieved 30 clcok hours of annual training for the July 2023-July 2024 training year. The director will need to recieve make-up training hours. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children Children in Suite 500 were observed walking out of the classroom, and walking into other classrooms. One caregiver was observed with 16 children, which prevented the caregiver from all children in care. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups Bottles and cups did not include the initial of the child's last name. This was corrected at inspection. |
Yes |
| 5 | — |
746.613(a) - Required Immunizations Of the 10 children's records evaluated, one was behind with immunizations. |
— |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information Of the 10 children's records evaluated; the following information was missing: 1. One lacked the date of admission. 2. Two lacked the address/phone number for the emergency contact. 3. One lacked the address and phone number of the child's doctor. 4. One lacked the name, address and phone number of the child's doctor. 5. One lacked authorization for emergency medical care. 6. Two lacked the name and phone number of the school the school age children attend. 7. One lacked the results of a heating and vision screening. 8. One child's allergy form was not signed by the parent |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics The director did not receive training in the following topics for the July 2022-July 2023 training year: administering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver This standard was evaluated in regard to a report received and compliance was not met. The written activity plan is not being followed. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children One caregiver was observed with 14 children, 2-3 years of age. The caregiver was not within ratio, due to the age group of children in care. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained Of the 10 children's records evaluated, the following information was missing: 1. One lacked the address of the emergency contact 2. Two lacked the name, address and phone number of the child's doctor or health care facility. 3. Five lacked information regarding water activities 4. One lacked a shot record 5. Six children are behind on immunizations 6. One lacked the phone number of the school the child attends 7. One lacked the name and phone number of the school the child attends |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating Children did not wash their hands prior to eating breakfast. |
— |
| 5 | — |
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System During the walkthrough, the carbon monoxide detector was not in working condition. The carbon monoxide detector portrayed a red blinking light. |
— |
| 1 | — |
746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service trainingby trainer and employee Four out of seven staff records did not include documentation of orientation. The caregivers did not check on the personnel form that orientation was received. The form was not signed, nor dated by the caregivers, or Director. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child Staff are not washing their after changing children's diapers. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules The operational policies was lacking the following information: 1. Safe sleep policy 2. Description of water activities 3. Requirements for outdoor play and physical activity 4. Instructions for a parent to review a copy of the Minimum Standards and the most recent Licensing inspection report. 5. Information on how parents may contact the local Licensing office, the Texas Abuse Hotline and HHSC website. 6. Information for a space for mothers to breastfeed and procedures to provide breast milk. 7. Staff training requirements for reporting child abuse and neglect, increasing staff and parent awareness, etc. 8. Information on the center being in a gang free zone. 9. Staff vaccination requirements. 10. Emergency Preparedness Plan |
— |
| 4 | — |
746.2405(4) - Infant Care Area Furnishings and Equipment - Hand-washing Sink The hand washing sink near the diaper changing area of the infant classroom was being used to wash toys. Note- This was corrected during the inspection when the toys were removed from the hand washing sink and placed in the dish washing sink. |
Yes |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content Staff did not receive training in one or more of the following topics for their respective training year: adminstering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials. |
— |
| 4 | — |
746.2431(3) - Infant Daily Report - Times of Diaper Changes Based on the information obtained, there is sufficient evidence to suggest that diaper changes are not being consistently logged in the infant daily reports. |
— |
| 4 | — |
746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training The director and van drivers are not current with transportation safety training. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times The school-age children were having screen time during rest time. |
Yes |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training As of 8/13/25 corrections have not been received. This deficiency is being recited. Three staff have not completed pre-service training prior to being counted in the child/staff ratio. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required The director received 26 of the required 30 clock hours of annual training for July 2021-July 2022 training year. The director needs 4 clock hours of make-up training. The make-up hours will not count towards the current year. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training Four out five staff/caregivers records observed did not include the required 24 annual training topics/hours. File 1 contained 5 out of 24 annual training hours. File 2 contained 9 out of 24 annual training hours. File 3 contained 6 out of 24 annual training hours. File 4 contained 9 out of 24 annual training hours. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages The caregiver in Suite 250 was not aware of the youngest or oldest child in care. |
Yes |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information A child was transported without the required emergency medical information. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control One child in Suite 500 was observed climbing on the door. The child was observed running around the classroom while other children were observed sitting at the table top. The child was not listening to the caregiver in charge. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children There were 43 children, ages 5-12 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection. |
— |
| 4 | — |
746.1311(d) - Director Annual Training - Caring for children under 24 months The director did not complete a training covering Understanfding Early Childhood Brain Development for the July 2021-July 2022 training year. |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance The Director did not have a time sheet available for review, and/or log that portrays the required number of hours worked per Director qualifications. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two Children under the age of 2 years old were participaitng in a screen tiime activity. This was corrected at inspection. |
Yes |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child A child was transported without the parent and emergency contact information on the bus. |
— |
184 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.