Perfect Start Homes INC
Data Freshness & Provenance
Inspection coverage
13 inspections on record
Active providers
License status: Open
Last refreshed
April 3, 2026
Latest inspection
March 10, 2026
Provenance
Texas licensing inspections and DaycareCheck scoring
Quick Facts
These facts are normalized from the official record so they can be quoted directly.
Updated April 3, 2026
- Provider
- Perfect Start Homes INC
- License number
- 1814618
- Location
- 16823 QUAIL CREST CT, Missouri City, TX 77489
- Status
- Open
- Safety grade
- F (Poor), score 0.0/100
- Inspection record
- 13 inspections, last inspected March 10, 2026
- Provenance
- Official state licensing inspections and DaycareCheck scoring. Last refreshed April 3, 2026.
Safety Scorecard
102
Total Violations
Mar 10, 2026
Last Inspection
7
Capacity
Violation Timeline
Violations by month over the last 3 years, colored by severity.
All Violations (102)
During the inspection, the thermometer in the freezer was observed to be missing.
Resolution: Corrected: 2026-02-09
During the inspection, the thermometer in the freezer was observed to be missing.
Resolution: Corrected: 2026-02-09
During the inspection, the thermometer in the freezer was observed to be missing.
Resolution: Corrected: 2026-02-09
The fire extinguishers inspection is expired.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector in one of the victims room does not work.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector in one of the victims room does not work.
Resolution: Corrected: 2026-02-13
The fire extinguishers inspection is expired.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector in one of the victims room does not work.
Resolution: Corrected: 2026-02-13
The fire extinguishers inspection is expired.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector is expired in one of the residents' bedrooms.
Resolution: Corrected: 2026-02-13
The fire extinguisher in the in the front area of the house was observed to be expired.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector is expired in one of the residents' bedrooms.
Resolution: Corrected: 2026-02-13
The fire extinguisher in the in the front area of the house was observed to be expired.
Resolution: Corrected: 2026-02-13
The fire extinguisher in the in the front area of the house was observed to be expired.
Resolution: Corrected: 2026-02-13
The battery in the smoke detector is expired in one of the residents' bedrooms.
Resolution: Corrected: 2026-02-13
In a review of children's medication logs, the following issues were noted: - Two children are noted to have missed the AM dose on 12/7 for multiple medications. - One child received a half dose on 11/28 - One child received a double dose in the AM on 11/22 - One child missed a dose on 11/29 - One child received a double dose on 11/28 and missed a dose on 11/29.
Resolution: Corrected: 2025-12-11
In a review of the provided operation schedule, it was found that the Administrator was out on leave for an extended period of time. There was no designated back up provider.
Resolution: Corrected: 2025-12-18
The Case Manager was signing off as the treatment director. They do not possess the qualifications of a treatment director for children with ID, ASD, or ED.
Resolution: Corrected: 2025-12-18
Two child records reviewed didn't have the daily count listed on the medication log.
Resolution: Corrected: 2025-12-18
It was found that one staff member does not meet the qualifications of a PLSP with the professional or educational qualifications. This staff member was completing the assessments and the plans for the children.
Resolution: Corrected: 2025-12-12
Two employees were listed on the people list as active that are not employed at the operation.
Resolution: Corrected at inspection
In a review of the two service plans, neither child was provided a copy, nor was the plan signed by the children. There was also no justification documented for not sharing the plan with the child.
Resolution: Corrected: 2025-12-18
Two child records reviewed didn't have the reason the child was taken the medication listed on the medication log.
Resolution: Corrected: 2025-12-18
In a review of children's medication logs, the following issues were noted: - Two children are noted to have missed the AM dose on 12/7 for multiple medications. - One child received a half dose on 11/28 - One child received a double dose in the AM on 11/22 - One child missed a dose on 11/29 - One child received a double dose on 11/28 and missed a dose on 11/29.
Resolution: Corrected: 2025-12-11
The operation's suicide screening tool was created by the operation and cannot be verified to be an approved tool that is supported by evidence-based research.
Resolution: Corrected: 2025-12-12
In two child records, the PLSP did not sign and date the assessments.
Resolution: Corrected: 2025-12-18
In a review of Serious Incident Reports, it was found that one child witnessed a sexual act conducted by a child of an opposite gender.
Resolution: Corrected: 2025-12-18
During a review of records, it was found that one of the two children currently placed at the operation meets ED treatment services. The operation does not have a hired treatment director.
Resolution: Corrected: 2025-12-31
Two child records reviewed were missing required information on both initial service plans.
Resolution: Corrected: 2025-12-25
A staff member was observed with a vape at the dining table upon arrival for the inspection.
Resolution: Corrected: 2025-12-12
In a review of the serious incident report, it was missing the following components: 3: The name, age, gender, and date of admission of the child or children involved. 4: The name of all adults involved and their role in relation to the child(ren) 7: The circumstances surrounding the incident. 10: The resolution of the incident
Resolution: Corrected: 2025-12-18
In a review of the provided operation schedule, it was found that the Administrator was out on leave for an extended period of time. There was no designated back up provider.
Resolution: Corrected: 2025-12-18
The Case Manager was signing off as the treatment director. They do not possess the qualifications of a treatment director for children with ID, ASD, or ED.
Resolution: Corrected: 2025-12-18
Two child records reviewed didn't have the daily count listed on the medication log.
Resolution: Corrected: 2025-12-18
It was found that one staff member does not meet the qualifications of a PLSP with the professional or educational qualifications. This staff member was completing the assessments and the plans for the children.
Resolution: Corrected: 2025-12-12
Two employees were listed on the people list as active that are not employed at the operation.
Resolution: Corrected at inspection
In a review of the two service plans, neither child was provided a copy, nor was the plan signed by the children. There was also no justification documented for not sharing the plan with the child.
Resolution: Corrected: 2025-12-18
Two child records reviewed didn't have the reason the child was taken the medication listed on the medication log.
Resolution: Corrected: 2025-12-18
In a review of children's medication logs, the following issues were noted: - Two children are noted to have missed the AM dose on 12/7 for multiple medications. - One child received a half dose on 11/28 - One child received a double dose in the AM on 11/22 - One child missed a dose on 11/29 - One child received a double dose on 11/28 and missed a dose on 11/29.
Resolution: Corrected: 2025-12-11
The operation's suicide screening tool was created by the operation and cannot be verified to be an approved tool that is supported by evidence-based research.
Resolution: Corrected: 2025-12-12
In two child records, the PLSP did not sign and date the assessments.
Resolution: Corrected: 2025-12-18
In a review of Serious Incident Reports, it was found that one child witnessed a sexual act conducted by a child of an opposite gender.
Resolution: Corrected: 2025-12-18
During a review of records, it was found that one of the two children currently placed at the operation meets ED treatment services. The operation does not have a hired treatment director.
Resolution: Corrected: 2025-12-31
Two child records reviewed were missing required information on both initial service plans.
Resolution: Corrected: 2025-12-25
It was found that one staff member does not meet the qualifications of a PLSP with the professional or educational qualifications. This staff member was completing the assessments and the plans for the children.
Resolution: Corrected: 2025-12-12
Two child records reviewed didn't have the daily count listed on the medication log.
Resolution: Corrected: 2025-12-18
Two employees were listed on the people list as active that are not employed at the operation.
Resolution: Corrected at inspection
Two child records reviewed didn't have the reason the child was taken the medication listed on the medication log.
Resolution: Corrected: 2025-12-18
Two child records reviewed were missing required information on both initial service plans.
Resolution: Corrected: 2025-12-25
During a review of records, it was found that one of the two children currently placed at the operation meets ED treatment services. The operation does not have a hired treatment director.
Resolution: Corrected: 2025-12-31
The operation's suicide screening tool was created by the operation and cannot be verified to be an approved tool that is supported by evidence-based research.
Resolution: Corrected: 2025-12-12
In a review of the serious incident report, it was missing the following components: 3: The name, age, gender, and date of admission of the child or children involved. 4: The name of all adults involved and their role in relation to the child(ren) 7: The circumstances surrounding the incident. 10: The resolution of the incident
Resolution: Corrected: 2025-12-18
In a review of the provided operation schedule, it was found that the Administrator was out on leave for an extended period of time. There was no designated back up provider.
Resolution: Corrected: 2025-12-18
The Case Manager was signing off as the treatment director. They do not possess the qualifications of a treatment director for children with ID, ASD, or ED.
Resolution: Corrected: 2025-12-18
In a review of the two service plans, neither child was provided a copy, nor was the plan signed by the children. There was also no justification documented for not sharing the plan with the child.
Resolution: Corrected: 2025-12-18
In a review of Serious Incident Reports, it was found that one child witnessed a sexual act conducted by a child of an opposite gender.
Resolution: Corrected: 2025-12-18
In two child records, the PLSP did not sign and date the assessments.
Resolution: Corrected: 2025-12-18
A staff member was observed with a vape at the dining table upon arrival for the inspection.
Resolution: Corrected: 2025-12-12
A staff member was observed with a vape at the dining table upon arrival for the inspection.
Resolution: Corrected: 2025-12-12
In a review of the serious incident report, it was missing the following components: 3: The name, age, gender, and date of admission of the child or children involved. 4: The name of all adults involved and their role in relation to the child(ren) 7: The circumstances surrounding the incident. 10: The resolution of the incident
Resolution: Corrected: 2025-12-18
The outside fence is in need of repair with protruding nails.
Resolution: Corrected: 2025-07-30
The policy is missing the preservice training requirements for caregivers as well as EBI components
Resolution: Corrected: 2025-07-23
The policy does not state the program rules and expectations that apply to the children.
Resolution: Corrected at inspection
The requqired statement that the majority of the voting members of the governing body must consist of persons who do not have a conflict of interest that would potentially interfere with objective decision making was missing in the policies.
Resolution: Corrected: 2025-07-23
The operation policies is missing Medical contraindications and religious beliefs.
Resolution: Corrected: 2025-07-23
The operation's policy does not address screening and selection procedures.
Resolution: Corrected: 2025-07-23
The operation's policies has conflicting information regarding the use of restraints as well as missing information on the specific description of the interventions that are permitted.
Resolution: Corrected: 2025-07-23
The required statement of employee may not delegate the responsibility to make a report wasn't included in the policies.
Resolution: Corrected at inspection
The operation was missing the components in the policy--(2)-(5).
Resolution: Corrected: 2025-07-23
The operation's policy reflected they will be accepting girls, however the operation will be licensed to care for boys only, which wasn't correct on the operation's policies.
Resolution: Corrected: 2025-07-23
The required components were missing regarding orientation with a child in regards to EBI requirements. Missing (A)(i)-(ix)
Resolution: Corrected: 2025-07-23
The required information wasn't included in the operation's policies.
Resolution: Corrected: 2025-07-23
The operation's policies are missing the required components of standards 2-5.
Resolution: Corrected: 2025-07-23
The policies reflected that the operation will not accept emergency placements which needs to be corrected, the operation will be accepting emergency placements, but the operation isn't an emergency shelter.
Resolution: Corrected: 2025-07-23
The outside fence is in need of repair with protruding nails.
Resolution: Corrected: 2025-07-30
The policy is missing the preservice training requirements for caregivers as well as EBI components
Resolution: Corrected: 2025-07-23
The policy does not state the program rules and expectations that apply to the children.
Resolution: Corrected at inspection
The requqired statement that the majority of the voting members of the governing body must consist of persons who do not have a conflict of interest that would potentially interfere with objective decision making was missing in the policies.
Resolution: Corrected: 2025-07-23
The operation's policies are missing the required components of standards 2-5.
Resolution: Corrected: 2025-07-23
The outside fence is in need of repair with protruding nails.
Resolution: Corrected: 2025-07-30
The required statement of employee may not delegate the responsibility to make a report wasn't included in the policies.
Resolution: Corrected at inspection
The required components were missing regarding orientation with a child in regards to EBI requirements. Missing (A)(i)-(ix)
Resolution: Corrected: 2025-07-23
The operation policies is missing Medical contraindications and religious beliefs.
Resolution: Corrected: 2025-07-23
The policy does not state the program rules and expectations that apply to the children.
Resolution: Corrected at inspection
The policy is missing the preservice training requirements for caregivers as well as EBI components
Resolution: Corrected: 2025-07-23
The requqired statement that the majority of the voting members of the governing body must consist of persons who do not have a conflict of interest that would potentially interfere with objective decision making was missing in the policies.
Resolution: Corrected: 2025-07-23
The operation's policy reflected they will be accepting girls, however the operation will be licensed to care for boys only, which wasn't correct on the operation's policies.
Resolution: Corrected: 2025-07-23
The operation was missing the components in the policy--(2)-(5).
Resolution: Corrected: 2025-07-23
The operation's policy does not address screening and selection procedures.
Resolution: Corrected: 2025-07-23
The policies reflected that the operation will not accept emergency placements which needs to be corrected, the operation will be accepting emergency placements, but the operation isn't an emergency shelter.
Resolution: Corrected: 2025-07-23
The required information wasn't included in the operation's policies.
Resolution: Corrected: 2025-07-23
The operation's policies has conflicting information regarding the use of restraints as well as missing information on the specific description of the interventions that are permitted.
Resolution: Corrected: 2025-07-23
The required statement of employee may not delegate the responsibility to make a report wasn't included in the policies.
Resolution: Corrected at inspection
The policies reflected that the operation will not accept emergency placements which needs to be corrected, the operation will be accepting emergency placements, but the operation isn't an emergency shelter.
Resolution: Corrected: 2025-07-23
The operation's policies has conflicting information regarding the use of restraints as well as missing information on the specific description of the interventions that are permitted.
Resolution: Corrected: 2025-07-23
The operation's policy does not address screening and selection procedures.
Resolution: Corrected: 2025-07-23
The operation policies is missing Medical contraindications and religious beliefs.
Resolution: Corrected: 2025-07-23
The operation's policies are missing the required components of standards 2-5.
Resolution: Corrected: 2025-07-23
The required information wasn't included in the operation's policies.
Resolution: Corrected: 2025-07-23
The required components were missing regarding orientation with a child in regards to EBI requirements. Missing (A)(i)-(ix)
Resolution: Corrected: 2025-07-23
The operation's policy reflected they will be accepting girls, however the operation will be licensed to care for boys only, which wasn't correct on the operation's policies.
Resolution: Corrected: 2025-07-23
The operation was missing the components in the policy--(2)-(5).
Resolution: Corrected: 2025-07-23
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Frequently Asked Questions
What is Perfect Start Homes INC's safety grade?
Perfect Start Homes INC has a safety grade of F (Poor) based on state inspection data. The composite score is 0.0 out of 100.
How many violations does Perfect Start Homes INC have?
Perfect Start Homes INC has 102 total violations on record, including 42 critical, 54 serious, and 6 minor.
When was Perfect Start Homes INC last inspected?
Perfect Start Homes INC was last inspected on March 10, 2026.