San Marcos Treatment Center

Childcare Center|120 BERT BROWN ST, San Marcos, TX 78666|(512) 396-8500

License Information

Status
Licensed
License #
827335
Expires
April 1, 2027
Licensed Capacity
265 children
Licensing Agency
Texas HHSC

Data from Texas HHSC. Updated 2/24/2026.

State records

Inspection History

335 records
  • routine#862208068

    No violations found. All areas in compliance.

    No violations

  • routine#862208067

    No violations found. All areas in compliance.

    No violations

  • routine#862208066

    No violations found. All areas in compliance.

    No violations

  • routine#862208065

    No violations found. All areas in compliance.

    No violations

  • routine#862208064

    No violations found. All areas in compliance.

    No violations

  • routine#862208063

    No violations found. All areas in compliance.

    No violations

  • self-report#862349022

    No violations found. All areas in compliance.

    No violations

  • complaint#862349021

    No violations found. All areas in compliance.

    No violations

  • routine#862208062

    No violations found. All areas in compliance.

    No violations

  • complaint#862349020

    No violations found. All areas in compliance.

    No violations

  • complaint#862349019

    No violations found. All areas in compliance.

    No violations

  • routine#862208061

    No violations found. All areas in compliance.

    No violations

  • routine#862208060

    No violations found. All areas in compliance.

    No violations

  • complaint#862349018

    No violations found. All areas in compliance.

    No violations

  • routine#862208059

    No violations found. All areas in compliance.

    No violations

  • routine#862208058

    No violations found. All areas in compliance.

    No violations

  • routine#862208057

    No violations found. All areas in compliance.

    No violations

  • self-report#862349017

    No violations found. All areas in compliance.

    No violations

  • complaint#862349016

    No violations found. All areas in compliance.

    No violations

  • complaint#862349015

    No violations found. All areas in compliance.

    No violations

  • routine#862208056

    No violations found. All areas in compliance.

    No violations

  • self-report#862349014

    No violations found. All areas in compliance.

    No violations

  • complaint#862349013

    No violations found. All areas in compliance.

    No violations

  • routine#862208055

    No violations found. All areas in compliance.

    No violations

  • routine#862208054

    No violations found. All areas in compliance.

    No violations

  • complaint#862349012

    No violations found. All areas in compliance.

    No violations

  • self-report#862349011

    No violations found. All areas in compliance.

    No violations

  • complaint#862349010

    No violations found. All areas in compliance.

    No violations

  • complaint#862349009

    No violations found. All areas in compliance.

    No violations

  • routine#862208053

    1 violation found (1 high severity).

    Annual Training- Caregivers must have 2 hrs trauma informed care.

    High

    While reviewing staff files it was found that staff are only taking 1 hour of Trauma Informed Care annually.

    748.930(b)(2)Corrected 2025-10-31
  • routine#862208052

    No violations found. All areas in compliance.

    No violations

  • self-report#862349008

    1 violation found (1 high severity).

    Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision

    High

    A child in care was allowed to attend school and be off unit due to a miscommunication from nursing staff to Direct Care staff regarding the child's Safety Plan. This allowed the child to be exposed to contraband and swallowed 2 magnets while off unit.

    748.685(c)(1)Corrected 2025-10-17
  • routine#862208051

    No violations found. All areas in compliance.

    No violations

  • self-report#862349007

    No violations found. All areas in compliance.

    No violations

  • complaint#862349006

    No violations found. All areas in compliance.

    No violations

  • complaint#862349005

    No violations found. All areas in compliance.

    No violations

  • routine#862208050

    No violations found. All areas in compliance.

    No violations

  • routine#862208049

    No violations found. All areas in compliance.

    No violations

  • self-report#862349004

    No violations found. All areas in compliance.

    No violations

  • complaint#862349003

    No violations found. All areas in compliance.

    No violations

  • complaint#862349002

    No violations found. All areas in compliance.

    No violations

  • self-report#862349001

    1 violation found (1 medium severity).

    Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease

    Medium

    A child in care tested positive for a communicable disease and it was not reported to the hotline until after the required timeframe.

    748.303(a)(11)(A)Corrected 2025-08-22
  • routine#862208048

    No violations found. All areas in compliance.

    No violations

  • routine#862208047

    No violations found. All areas in compliance.

    No violations

  • routine#862208046

    No violations found. All areas in compliance.

    No violations

  • complaint#862349000

    No violations found. All areas in compliance.

    No violations

  • complaint#862348999

    No violations found. All areas in compliance.

    No violations

  • routine#862208045

    No violations found. All areas in compliance.

    No violations

  • self-report#862348998

    No violations found. All areas in compliance.

    No violations

  • routine#862208044

    No violations found. All areas in compliance.

    No violations

  • complaint#862348997

    No violations found. All areas in compliance.

    No violations

  • complaint#862348996

    No violations found. All areas in compliance.

    No violations

  • complaint#862348995

    No violations found. All areas in compliance.

    No violations

  • routine#862208043

    No violations found. All areas in compliance.

    No violations

  • complaint#862348994

    No violations found. All areas in compliance.

    No violations

  • complaint#862348993

    No violations found. All areas in compliance.

    No violations

  • routine#862208042

    No violations found. All areas in compliance.

    No violations

  • complaint#862348992

    No violations found. All areas in compliance.

    No violations

  • complaint#862348991

    No violations found. All areas in compliance.

    No violations

  • complaint#862348990

    No violations found. All areas in compliance.

    No violations

  • routine#862208041

    No violations found. All areas in compliance.

    No violations

  • complaint#862348989

    No violations found. All areas in compliance.

    No violations

  • complaint#862348988

    No violations found. All areas in compliance.

    No violations

  • routine#862208040

    No violations found. All areas in compliance.

    No violations

  • routine#862208039

    No violations found. All areas in compliance.

    No violations

  • self-report#862348987

    2 violations found (2 high severity).

    Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

    High

    In interviews with 4 staff and 3 children, it was determined that a staff member would curse at and threaten children in care.

    748.507(1)Corrected 2025-04-18

    Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

    High

    It was determined through interviews with 4 staff and 3 children that a staff would threaten children with restraints and corporal punishment.

    748.2303(a)Corrected 2025-04-18
  • complaint#862348986

    No violations found. All areas in compliance.

    No violations

  • complaint#862348985

    No violations found. All areas in compliance.

    No violations

  • self-report#862348984

    No violations found. All areas in compliance.

    No violations

  • routine#862208038

    No violations found. All areas in compliance.

    No violations

  • complaint#862348983

    No violations found. All areas in compliance.

    No violations

  • complaint#862348982

    No violations found. All areas in compliance.

    No violations

  • routine#862208037

    No violations found. All areas in compliance.

    No violations

  • complaint#862348981

    1 violation found (1 high severity).

    Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

    High

    Through interviews it was found that a staff member was left to supervise 11 residents for an hour during awake hours.

    748.1003(a)Corrected 2025-03-21
  • complaint#862348980

    No violations found. All areas in compliance.

    No violations

  • self-report#862348979

    No violations found. All areas in compliance.

    No violations

  • self-report#862348978

    No violations found. All areas in compliance.

    No violations

  • complaint#862348977

    No violations found. All areas in compliance.

    No violations

  • complaint#862348976

    No violations found. All areas in compliance.

    No violations

  • complaint#862348975

    1 violation found (1 medium severity).

    All employees and caregivers must be aware of and follow your policies and procedures

    Medium

    During an investigation it was determined a staff member failed to review each hygiene box to assure all hygiene items are accounted for, and verify the absence of contraband. Due to this oversight a child was able to use a toothbrush to make a weapon.

    748.126(b)Corrected 2025-02-14
  • complaint#862348974

    No violations found. All areas in compliance.

    No violations

  • complaint#862348973

    No violations found. All areas in compliance.

    No violations

  • complaint#862348972

    No violations found. All areas in compliance.

    No violations

  • complaint#862348971

    No violations found. All areas in compliance.

    No violations

  • complaint#862348970

    No violations found. All areas in compliance.

    No violations

  • complaint#862348969

    No violations found. All areas in compliance.

    No violations

  • routine#862208036

    No violations found. All areas in compliance.

    No violations

  • complaint#862348968

    No violations found. All areas in compliance.

    No violations

  • complaint#862348967

    No violations found. All areas in compliance.

    No violations

  • complaint#862348966

    No violations found. All areas in compliance.

    No violations

  • routine#862208035

    No violations found. All areas in compliance.

    No violations

  • complaint#862348965

    No violations found. All areas in compliance.

    No violations

  • complaint#862348964

    No violations found. All areas in compliance.

    No violations

  • complaint#862348963

    No violations found. All areas in compliance.

    No violations

  • complaint#862348962

    No violations found. All areas in compliance.

    No violations

  • routine#862208034

    No violations found. All areas in compliance.

    No violations

  • self-report#862348961

    1 violation found (1 high severity).

    Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

    High

    It was determined a child was on 5 minute checks and staff did not check on the child timely allowing the child to self harm.

    748.685(a)(4)Corrected 2024-10-25
  • complaint#862348960

    No violations found. All areas in compliance.

    No violations

  • routine#862208033

    1 violation found (1 medium severity).

    Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period

    Medium

    When reviewing training records, 5 out of 10 files reviewed did not have normalcy training completed annually and trauma informed training was missing 1/2 an hour annually.

    748.935(a)(2)Corrected 2024-08-30
  • routine#862208032

    No violations found. All areas in compliance.

    No violations

  • routine#862208031

    No violations found. All areas in compliance.

    No violations

  • complaint#862348959

    No violations found. All areas in compliance.

    No violations

  • complaint#862348958

    No violations found. All areas in compliance.

    No violations

  • complaint#862348957

    No violations found. All areas in compliance.

    No violations

  • routine#862208030

    No violations found. All areas in compliance.

    No violations

  • complaint#862348956

    No violations found. All areas in compliance.

    No violations

  • routine#862208029

    No violations found. All areas in compliance.

    No violations

  • complaint#862348955

    No violations found. All areas in compliance.

    No violations

  • complaint#862348954

    No violations found. All areas in compliance.

    No violations

  • complaint#862348953

    No violations found. All areas in compliance.

    No violations

  • complaint#862348952

    1 violation found (1 high severity).

    Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.

    High

    During the review of this investigation, interviews reported that a staff member slapped a child in care during a restraint.

    748.2303(a)Corrected 2024-08-13
  • routine#862208028

    No violations found. All areas in compliance.

    No violations

  • complaint#862348951

    No violations found. All areas in compliance.

    No violations

  • complaint#862348950

    No violations found. All areas in compliance.

    No violations

  • complaint#862348949

    No violations found. All areas in compliance.

    No violations

  • self-report#862348948

    No violations found. All areas in compliance.

    No violations

  • complaint#862348947

    No violations found. All areas in compliance.

    No violations

  • complaint#862348946

    No violations found. All areas in compliance.

    No violations

  • complaint#862348945

    No violations found. All areas in compliance.

    No violations

  • complaint#862348944

    No violations found. All areas in compliance.

    No violations

  • complaint#862348943

    No violations found. All areas in compliance.

    No violations

  • complaint#862348942

    No violations found. All areas in compliance.

    No violations

  • complaint#862348941

    No violations found. All areas in compliance.

    No violations

  • complaint#862348940

    No violations found. All areas in compliance.

    No violations

  • routine#862208027

    No violations found. All areas in compliance.

    No violations

  • self-report#862348939

    No violations found. All areas in compliance.

    No violations

  • routine#862208026

    No violations found. All areas in compliance.

    No violations

  • complaint#862348938

    No violations found. All areas in compliance.

    No violations

  • routine#862208025

    No violations found. All areas in compliance.

    No violations

  • self-report#862348937

    No violations found. All areas in compliance.

    No violations

  • complaint#862348936

    No violations found. All areas in compliance.

    No violations

  • complaint#862348935

    No violations found. All areas in compliance.

    No violations

  • complaint#862348934

    No violations found. All areas in compliance.

    No violations

  • complaint#862348933

    No violations found. All areas in compliance.

    No violations

  • complaint#862348932

    No violations found. All areas in compliance.

    No violations

  • complaint#862348931

    No violations found. All areas in compliance.

    No violations

  • complaint#862348930

    No violations found. All areas in compliance.

    No violations

  • complaint#862348929

    No violations found. All areas in compliance.

    No violations

  • complaint#862348928

    No violations found. All areas in compliance.

    No violations

  • routine#862208024

    No violations found. All areas in compliance.

    No violations

  • complaint#862348927

    No violations found. All areas in compliance.

    No violations

  • complaint#862348926

    No violations found. All areas in compliance.

    No violations

  • routine#862208023

    No violations found. All areas in compliance.

    No violations

  • routine#862208022

    No violations found. All areas in compliance.

    No violations

  • complaint#862348925

    No violations found. All areas in compliance.

    No violations

  • routine#862208021

    No violations found. All areas in compliance.

    No violations

  • complaint#862348924

    No violations found. All areas in compliance.

    No violations

  • routine#862208020

    No violations found. All areas in compliance.

    No violations

  • self-report#862348923

    No violations found. All areas in compliance.

    No violations

  • routine#862208019

    No violations found. All areas in compliance.

    No violations

  • complaint#862348922

    No violations found. All areas in compliance.

    No violations

  • self-report#862348921

    No violations found. All areas in compliance.

    No violations

  • complaint#862348920

    No violations found. All areas in compliance.

    No violations

  • routine#862208018

    No violations found. All areas in compliance.

    No violations

  • complaint#862348919

    No violations found. All areas in compliance.

    No violations

  • self-report#862348918

    1 violation found (1 high severity).

    AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

    High

    An x-ray concluded that a child in care had a fractured finger, and the injury was not reported to the hotline until after the required timeframe.

    748.303(a)(2)(A)Corrected 2023-12-14
  • routine#862208017

    No violations found. All areas in compliance.

    No violations

  • self-report#862348917

    No violations found. All areas in compliance.

    No violations

  • complaint#862348916

    No violations found. All areas in compliance.

    No violations

  • routine#862208016

    No violations found. All areas in compliance.

    No violations

  • self-report#862348915

    No violations found. All areas in compliance.

    No violations

  • complaint#862348914

    1 violation found (1 high severity).

    Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

    High

    After the review of video footage, it was observed in the common room that there were 12 children to 2 staff members.

    748.1003(a)Corrected 2023-10-26
  • complaint#862348913

    No violations found. All areas in compliance.

    No violations

  • complaint#862348912

    No violations found. All areas in compliance.

    No violations

  • routine#862208015

    No violations found. All areas in compliance.

    No violations

  • complaint#862348911

    No violations found. All areas in compliance.

    No violations

  • self-report#862348910

    No violations found. All areas in compliance.

    No violations

  • routine#862208014

    No violations found. All areas in compliance.

    No violations

  • complaint#862348909

    No violations found. All areas in compliance.

    No violations

  • complaint#862348908

    No violations found. All areas in compliance.

    No violations

  • complaint#862348907

    No violations found. All areas in compliance.

    No violations

  • routine#862208013

    No violations found. All areas in compliance.

    No violations

  • self-report#862348906

    No violations found. All areas in compliance.

    No violations

  • complaint#862348905

    No violations found. All areas in compliance.

    No violations

  • complaint#862348904

    No violations found. All areas in compliance.

    No violations

  • routine#862208012

    No violations found. All areas in compliance.

    No violations

  • self-report#862348903

    No violations found. All areas in compliance.

    No violations

  • routine#862208011

    No violations found. All areas in compliance.

    No violations

  • complaint#862348902

    No violations found. All areas in compliance.

    No violations

  • complaint#862348901

    No violations found. All areas in compliance.

    No violations

  • complaint#862348900

    No violations found. All areas in compliance.

    No violations

  • complaint#862348899

    No violations found. All areas in compliance.

    No violations

  • complaint#862348898

    No violations found. All areas in compliance.

    No violations

  • complaint#862348897

    No violations found. All areas in compliance.

    No violations

  • complaint#862348896

    No violations found. All areas in compliance.

    No violations

  • complaint#862348895

    No violations found. All areas in compliance.

    No violations

  • routine#862208010

    No violations found. All areas in compliance.

    No violations

  • complaint#862348894

    No violations found. All areas in compliance.

    No violations

  • routine#862208009

    No violations found. All areas in compliance.

    No violations

  • complaint#862348893

    1 violation found (1 high severity).

    Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision

    High

    Staff was not properly informed of supervision levels regarding children in care.

    748.685(c)(1)Corrected 2023-06-08
  • complaint#862348892

    No violations found. All areas in compliance.

    No violations

  • complaint#862348891

    No violations found. All areas in compliance.

    No violations

  • routine#862208008

    No violations found. All areas in compliance.

    No violations

  • complaint#862348890

    No violations found. All areas in compliance.

    No violations

  • complaint#862348889

    No violations found. All areas in compliance.

    No violations

  • complaint#862348888

    No violations found. All areas in compliance.

    No violations

  • complaint#862348887

    No violations found. All areas in compliance.

    No violations

  • complaint#862348886

    No violations found. All areas in compliance.

    No violations

  • routine#862208007

    No violations found. All areas in compliance.

    No violations

  • complaint#862348885

    No violations found. All areas in compliance.

    No violations

  • routine#862208006

    No violations found. All areas in compliance.

    No violations

  • complaint#862348884

    No violations found. All areas in compliance.

    No violations

  • self-report#862348883

    No violations found. All areas in compliance.

    No violations

  • routine#862208005

    No violations found. All areas in compliance.

    No violations

  • complaint#862348882

    No violations found. All areas in compliance.

    No violations

  • complaint#862348881

    No violations found. All areas in compliance.

    No violations

  • routine#862208004

    No violations found. All areas in compliance.

    No violations

  • self-report#862348880

    No violations found. All areas in compliance.

    No violations

  • routine#862208003

    No violations found. All areas in compliance.

    No violations

  • complaint#862348879

    No violations found. All areas in compliance.

    No violations

  • routine#862208002

    No violations found. All areas in compliance.

    No violations

  • self-report#862348878

    No violations found. All areas in compliance.

    No violations

  • self-report#862348877

    No violations found. All areas in compliance.

    No violations

  • routine#862208001

    No violations found. All areas in compliance.

    No violations

  • routine#862208000

    No violations found. All areas in compliance.

    No violations

  • complaint#862348876

    No violations found. All areas in compliance.

    No violations

  • complaint#862348875

    No violations found. All areas in compliance.

    No violations

  • routine#862207999

    No violations found. All areas in compliance.

    No violations

  • self-report#862348874

    No violations found. All areas in compliance.

    No violations

  • self-report#862348873

    1 violation found (1 high severity).

    Caregiver responsibility - being able to intervene when necessary to ensure child's safety

    High

    During the course the investigation, it was determined a caregiver failed to intervene timely during an altercation which resulted in minor injuries to a child in care.

    748.685(a)(5)Corrected 2023-01-05
  • routine#862207998

    No violations found. All areas in compliance.

    No violations

  • self-report#862348872

    No violations found. All areas in compliance.

    No violations

  • complaint#862348871

    1 violation found (1 high severity).

    Other Prohibited Punishments-subjecting a child to abusive or profane language

    High

    During the investigation, it was found that seven out of seven children reported that different staff have used profane language/multiple curse words towards the children in care in a derogatory way and/or have said inappropriate derogatory comments towards and around children in care. Other collaterals reported staff may use profane language out of reflex or by accident around children in care, but usually not near or away from the children in care.

    748.2307(9)Corrected 2023-01-13
  • complaint#862348870

    No violations found. All areas in compliance.

    No violations

  • routine#862207997

    No violations found. All areas in compliance.

    No violations

  • routine#862207996

    No violations found. All areas in compliance.

    No violations

  • complaint#862348869

    No violations found. All areas in compliance.

    No violations

  • complaint#862348868

    No violations found. All areas in compliance.

    No violations

  • complaint#862348867

    No violations found. All areas in compliance.

    No violations

  • complaint#862348866

    No violations found. All areas in compliance.

    No violations

  • complaint#862348865

    No violations found. All areas in compliance.

    No violations

  • complaint#862348864

    No violations found. All areas in compliance.

    No violations

  • complaint#862348863

    No violations found. All areas in compliance.

    No violations

  • complaint#862348862

    No violations found. All areas in compliance.

    No violations

  • complaint#862348861

    No violations found. All areas in compliance.

    No violations

  • routine#862207995

    No violations found. All areas in compliance.

    No violations

  • complaint#862348860

    No violations found. All areas in compliance.

    No violations

  • self-report#862348859

    No violations found. All areas in compliance.

    No violations

  • complaint#862348858

    No violations found. All areas in compliance.

    No violations

  • complaint#862348857

    No violations found. All areas in compliance.

    No violations

  • complaint#862348856

    No violations found. All areas in compliance.

    No violations

  • routine#862207994

    No violations found. All areas in compliance.

    No violations

  • complaint#862348855

    No violations found. All areas in compliance.

    No violations

  • routine#862207993

    No violations found. All areas in compliance.

    No violations

  • self-report#862348854

    No violations found. All areas in compliance.

    No violations

  • complaint#862348853

    1 violation found (1 high severity).

    Other Prohibited Punishments-subjecting a child to abusive or profane language

    High

    4 children interviewed mentioned that during the incident one staff member directed profane language toward a child in care.

    748.2307(9)Corrected 2022-09-14
  • routine#862207992

    No violations found. All areas in compliance.

    No violations

  • routine#862207991

    No violations found. All areas in compliance.

    No violations

  • routine#862207990

    No violations found. All areas in compliance.

    No violations

  • complaint#862348852

    No violations found. All areas in compliance.

    No violations

  • routine#862207989

    No violations found. All areas in compliance.

    No violations

  • routine#862207988

    No violations found. All areas in compliance.

    No violations

  • self-report#862348851

    No violations found. All areas in compliance.

    No violations

  • complaint#862348850

    1 violation found (1 high severity).

    AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    High

    A direct care staff has been working at the operation without an active background check. This staff's background check was inactivated as of 6/16/22. [The operation was recently cited for background check results on 3/17/22].

    745.641Corrected 2022-08-02
  • routine#862207987

    No violations found. All areas in compliance.

    No violations

  • self-report#862348849

    1 violation found (1 high severity).

    Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

    High

    A child was able to obtain staff's prescription medication from a staff member's personal backpack while at the operation.

    748.685(a)(4)Corrected 2022-08-09
  • complaint#862348848

    No violations found. All areas in compliance.

    No violations

  • routine#862207986

    2 violations found (2 medium severity).

    Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file

    Medium

    1 child's file documented the child had a dental exam 7 months prior to being placed, however, the operation did not have documentation to prove this exam took place.

    748.1225(b)Corrected 2022-06-23

    Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form

    Medium

    2 out of 3 affidavits for employment were completed after the date of hire.

    748.505(b)(4)Corrected 2022-06-23
  • routine#862207985

    No violations found. All areas in compliance.

    No violations

  • complaint#862348847

    No violations found. All areas in compliance.

    No violations

  • complaint#862348846

    No violations found. All areas in compliance.

    No violations

  • complaint#862348845

    No violations found. All areas in compliance.

    No violations

  • complaint#862348844

    No violations found. All areas in compliance.

    No violations

  • routine#862207984

    No violations found. All areas in compliance.

    No violations

  • complaint#862348843

    No violations found. All areas in compliance.

    No violations

  • routine#862207983

    No violations found. All areas in compliance.

    No violations

  • complaint#862348842

    No violations found. All areas in compliance.

    No violations

  • self-report#862348841

    No violations found. All areas in compliance.

    No violations

  • complaint#862348840

    No violations found. All areas in compliance.

    No violations

  • routine#862207982

    No violations found. All areas in compliance.

    No violations

  • routine#862207981

    No violations found. All areas in compliance.

    No violations

  • complaint#862348839

    No violations found. All areas in compliance.

    No violations

  • routine#862207980

    1 violation found (1 high severity).

    AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    High

    While reviewing the operations background checks, it was observed that a Psychatrist has an inactive background check as of 03/17/20. This Psychatrist is currently employed with this operation.

    745.641Corrected 2022-03-22
  • routine#862207979

    No violations found. All areas in compliance.

    No violations

  • self-report#862348838

    No violations found. All areas in compliance.

    No violations

  • self-report#862348837

    No violations found. All areas in compliance.

    No violations

  • complaint#862348836

    3 violations found (3 high severity).

    EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed

    High

    A staff member?s actions were noted to have escalated a situation, which ultimately resulted in at least one child in care being inappropriately restrained.

    748.2551(a)Corrected 2022-05-27

    Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation

    High

    A staff member?s actions were noted to have presented a genuine threat of substantial harm from physical injury to the child when the staff member placed the child in an inappropriate restraint.

    748.1101(b)(1)(B)Corrected 2022-05-27

    Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing

    High

    A staff member was noted to have placed a limb (hand and arm) around a child?s neck.

    748.2461(b)(3)Corrected 2022-05-27
  • complaint#862348835

    No violations found. All areas in compliance.

    No violations

  • complaint#862348834

    2 violations found (1 high, 1 medium severity).

    Operational responsibilities - Maintain current, true, accurate, and complete records

    Medium

    Physician Progress Notes completed for 4 weeks did not have the correct medications for the client being treated. The medications were from a previous client and were not deleted when the template was used for the next client.

    748.151(3)Corrected 2022-04-27

    Administration of prescription medication-inform medical consenter of benefits/risks/side effects/treatment/consequences of refusing them

    High

    A child in care was injected with Medroxyprogesterone 150MG on 1.31.22 without consent from their medical consenter.

    748.2003(a)Corrected 2022-04-27
  • complaint#862348833

    No violations found. All areas in compliance.

    No violations

  • routine#862207978

    No violations found. All areas in compliance.

    No violations

  • self-report#862348832

    1 violation found (1 high severity).

    Medical care-A child in care must receive medical care as needed for injury, illness, and pain

    High

    A child in care did not receive medical care as needed for an injury when the child had an incident on 1/8/22 of punching walls and did not have an X ray of his hand until 1/11/22, where it was discovered the child had a fractured finger. Following X-rays the child did not see a doctor for their fractured finger until 1/25/22.

    748.1531(a)(2)Corrected 2022-03-25
  • routine#862207977

    No violations found. All areas in compliance.

    No violations

  • routine#862207976

    No violations found. All areas in compliance.

    No violations

  • routine#862207975

    No violations found. All areas in compliance.

    No violations

  • self-report#862348831

    No violations found. All areas in compliance.

    No violations

  • self-report#862348830

    No violations found. All areas in compliance.

    No violations

  • routine#862207974

    No violations found. All areas in compliance.

    No violations

  • self-report#862348829

    No violations found. All areas in compliance.

    No violations

  • complaint#862348828

    No violations found. All areas in compliance.

    No violations

  • routine#862207973

    No violations found. All areas in compliance.

    No violations

  • complaint#862348827

    No violations found. All areas in compliance.

    No violations

  • complaint#862348826

    No violations found. All areas in compliance.

    No violations

  • self-report#862348825

    No violations found. All areas in compliance.

    No violations

  • routine#862207972

    No violations found. All areas in compliance.

    No violations

  • self-report#862348824

    No violations found. All areas in compliance.

    No violations

  • routine#862207971

    No violations found. All areas in compliance.

    No violations

  • routine#862207970

    No violations found. All areas in compliance.

    No violations

  • self-report#862348823

    No violations found. All areas in compliance.

    No violations

  • self-report#862348822

    1 violation found (1 high severity).

    Poisons-Ensure poisonous or flammable materials are inaccessible to children unless child has been evaluated as capable & likely to use responsibly

    High

    Hand sanitizer was left accessible to a child in care who then ingested the hand sanitizer.

    748.3421(3)Corrected 2021-11-23
  • complaint#862348821

    No violations found. All areas in compliance.

    No violations

  • routine#862207969

    No violations found. All areas in compliance.

    No violations

  • routine#862207968

    No violations found. All areas in compliance.

    No violations

  • self-report#862348820

    No violations found. All areas in compliance.

    No violations

  • complaint#862348819

    No violations found. All areas in compliance.

    No violations

  • complaint#862348818

    No violations found. All areas in compliance.

    No violations

  • routine#862207967

    2 violations found (2 medium severity).

    Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.

    Medium

    One of three staff files reviewed did not have a signed/dated statement indicating the employee is responsible for reporting suspected child abuse, neglect, or exploitation to the Texas Abuse and Neglect Hotline, and to the operation?s administrator or administrator?s designee.

    748.363(8)Corrected 2021-09-22

    Triggered Reviews-Must include the same items that must be included and documented in an initial service plan

    Medium

    A child in care was restrained five times in a six day period. The triggered review documentation associated with these incidents did not include all elements of an initial service plan, or a review of the records/orders associated with the emergency behavior interventions.

    748.2907(1)Corrected 2021-09-22
  • complaint#862348817

    1 violation found (1 high severity).

    Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers

    High

    Staff did not demonstrate continuity of care with a child that was displaying multiple physical symptoms. The child went to the emergency room on 8/2/21. Multiple staff that worked with the child in the week following their emergency room visit were not informed of how to monitor the child or what the ER discharge paperwork reported would prompt a need for immediate medical attention. In a week the child continued to lose weight and medical issues progressively worsened.

    748.685(c)(5)Corrected 2022-03-11
  • complaint#862348816

    No violations found. All areas in compliance.

    No violations

  • complaint#862348815

    No violations found. All areas in compliance.

    No violations

  • complaint#862348814

    No violations found. All areas in compliance.

    No violations

  • routine#862207966

    No violations found. All areas in compliance.

    No violations

  • complaint#862348813

    No violations found. All areas in compliance.

    No violations

  • routine#862207965

    5 violations found (4 medium, 1 low severity).

    Initial Service Plan-Include cultural identity needs, including assisting children in connecting with their culture in the community

    Medium

    Three of the three child files reviewed did not have specific information about how each child's cultural identity needs would be met. There was a generic statement in all three records about having weekly meeting with the unit manager to address cultural identity issues.

    748.1337(b)(1)(A)(viii)Corrected 2021-07-02

    Initial Service Plan-Include dental needs, including scheduled dental exams and plans for recommended follow-up treatment

    Medium

    Two of three child files reviewed did not have dental needs addressed in their master treatment plan.

    748.1337(b)(1)(A)(ii)Corrected 2021-07-02

    Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting

    Low

    One of three master treatment plans reviewed did not have documentation that parents were notified two weeks in advance of the meeting.

    748.1341(a)Corrected 2021-07-02

    Placement agreement - Must be signed by parent

    Medium

    Three out of three child records reviewed did not have a placement agreement with parent's signature.

    748.1207(b)Corrected 2021-07-02

    Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.

    Medium

    One of three staff files reviewed did not have a signed and dated statement that they must immediately report suspected child abuse, neglect, or exploitation.

    748.363(8)Corrected 2021-07-02
  • complaint#862348812

    No violations found. All areas in compliance.

    No violations

  • routine#862207964

    No violations found. All areas in compliance.

    No violations

  • self-report#862348811

    No violations found. All areas in compliance.

    No violations

  • routine#862207963

    No violations found. All areas in compliance.

    No violations

  • complaint#862348810

    No violations found. All areas in compliance.

    No violations

  • complaint#862348809

    No violations found. All areas in compliance.

    No violations

  • self-report#862348808

    1 violation found (1 high severity).

    Emergency Behavior Intervention-Never used as a means to get a child to comply

    High

    A child in care was restrained when they were peeling paint off a wall and would not listen to staff when asked to stop

    748.2463(3)Corrected 2021-07-01
  • complaint#862348807

    No violations found. All areas in compliance.

    No violations

  • routine#862207962

    No violations found. All areas in compliance.

    No violations

  • routine#862207961

    3 violations found (1 high, 2 medium severity).

    EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention

    Medium

    In two instances of EBI documentation in one child's file the following was missing: de-escalation attempted before/during; who administered intervention; explanation of behaviors necessary for child s release; and the actions to facilitate child s return to normal activities.

    748.2855(a)Corrected 2021-03-11

    EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child

    Medium

    A child in care was involved in six emergency behavior interventions in January and February 2021. In two of those interventions there is no documentation to show that a post discussion took place with the child.

    748.2851(b)Corrected 2021-03-11

    Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

    High

    Documentation showed a child should have had 9 pills of their PRN medication. Only 8 pills were in the child's medication box and there is no documentation showing a pill was lost or dropped.

    748.2151(d)Corrected 2021-03-04
  • routine#862207960

    No violations found. All areas in compliance.

    No violations

  • self-report#862348806

    No violations found. All areas in compliance.

    No violations

  • complaint#862348805

    No violations found. All areas in compliance.

    No violations

  • complaint#862348804

    No violations found. All areas in compliance.

    No violations

  • complaint#862348803

    No violations found. All areas in compliance.

    No violations

  • self-report#862348802

    No violations found. All areas in compliance.

    No violations

  • complaint#862348801

    No violations found. All areas in compliance.

    No violations

  • self-report#862348800

    No violations found. All areas in compliance.

    No violations

  • self-report#862348799

    No violations found. All areas in compliance.

    No violations

  • complaint#862348798

    1 violation found (1 high severity).

    Caregiver responsibility - when deciding how close to supervise take into account the surrounding circumstances, hazards, and risks

    High

    It was identified during the course of this investigation that a child in care was physically struck by at least two peers during two separate incidents, each incident occurring on two consecutive days. The child in care who was physically struck was moved to another area within the operation subsequent to the first incident as part of a safety plan, however, was again physically struck, unprovoked, by at least two peers, at least one of which was involved in the first incident, after being placed in the same location as these children.

    748.685(b)(4)Corrected 2021-03-26
  • complaint#862348797

    No violations found. All areas in compliance.

    No violations

Availability

265 children capacity

Estimated Tuition

$1,000$1,400/mo

By age group

Infant$1,300$1,750
Toddler$1,150$1,550
Preschool$1,000$1,400
School-age$600$900

Estimated from regional averages. Actual rates may vary.

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