Breakthrough Rhema Ministries

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 12 cited deficiencies for Breakthrough Rhema Ministries in the 3 years before October 10, 2026 (4 High, 4 Medium High, 4 Medium).

Records list 7 inspections in this window. Most recent inspection: 2026-09-08.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (21)

• 2026-09-08 · 746.605(10) · Medium

  Required Admission Information - Physician Information

  Corrected at inspection: Yes. Correction date: 2026-09-08. Correction verified: Not recorded.

  One child's enrollment form was missing healthcare information.

• 2025-09-26 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-09.

  At the time of the inspection the playground area was observed with the fence bowed out, leaving the pointed bottom area of the fence out where it could easily scratch a child. There were also broken toys observed laying around the area. There was animal feces observed in a few spaces around the play area.

• 2025-09-26 · 746.5205(1) · Medium High

  Fire Drill Monthly - Exit in 3 Minutes

  Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-09.

  At the time of the inspection it was found that only 5 fire drills were logged for the current calendar year.

• 2025-09-26 · 746.1203(10) · Medium High

  Responsibilities of Caregivers - Share Information with Incoming Caregivers

  Corrected at inspection: No. Correction date: 2025-09-26. Correction verified: 2025-10-09.

  At the time of the inspection a caregiver left the room while children were sleeping without notifying the person in charge that they needed to step out. The room was within a distance and open that auditory awareness was able to be maintained.

• 2025-09-26 · 746.301(7) · High

  Notification of Additional Services Offered

  Corrected at inspection: Yes. Correction date: 2025-09-26. Correction verified: Not recorded.

  At the time of the inspection a calendar was observed with a field trip schedule posted for the summer of 2024. It was found that the operaiton had conducted field trips the previous summer, but not for the current calendar year.

• 2024-10-22 · 746.603(a) · Medium

  Children's Records Maintained

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-11-07.

  10 children's records were reviewed. Various items were missing or outdated. Items were reviewed with the director.

• 2024-10-22 · 746.4307 · Medium

  Fenced Outdoor Activity Space -Exits Required

  Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-11-07.

  At the time of the inspection the playground area had one exit tied shut with a white rope and a chain wrapped around both poles securing it closed and clipped in place.

• 2024-10-22 · 746.501(a)(20) · Medium

  Written Operational Policies - Parent Rights

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-11-07.

  At the time of the inspection the operation had not updated their operational policies to include information regarding Parent's Rights.

• 2023-11-14 · 746.5607(e)(4)(A) · High

  Child Passenger Safety Seat System - 4 through 7 years of age, outgrown weight or height limit of seat and less than 4 feet, 9 inches in height

  Corrected at inspection: No. Correction date: 2023-11-14. Correction verified: 2023-11-28.

  At the time of the inspection children that would require a booster seat in a general vehicle were transported without a booster seat in the vehicle.

• 2023-11-14 · 746.5617(a)(5) · High

  Required Equipment in Vehicles - Fire Extinguisher

  Corrected at inspection: No. Correction date: 2023-11-14. Correction verified: 2023-11-28.

  At the time of the inspection a vehicle used for transportation did not have the required fire extinguisher present.

• 2023-11-14 · 746.5613 · Medium High

  One Seat Belt Per Person

  Corrected at inspection: No. Correction date: 2023-11-14. Correction verified: 2023-11-28.

  At the time of the inspection it was reported by staff that when all children enrolled for after school care are picked up 2 children will have to share a seatbelt in the back seat.

• 2023-11-14 · 746.5617(a)(6) · High

  Required Equipment in Vehicles - First-aid Kit

  Corrected at inspection: No. Correction date: 2023-11-14. Correction verified: 2023-11-28.

  At the time of the inspection the vehicle used for transportation did not have a first aid kit present.

• 2022-12-12 · 746.605(2) · Medium High

  Required Admission Information - Address and Phone Number

  Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-16.

  At the time of the inspection 1 child's record did not have the child's address or parent's name on the enrollment document.

• 2022-12-12 · 746.605(6) · Medium High

  Required Admission Information - Emergency Contact

  Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-16.

  At the time of the inspection 7 children were missing the emergency contact address from their enrollment documents.

• 2022-12-12 · 746.901(2) · Medium

  Required Personnel Records- Meets Requirements

  Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-16.

  At the time of the inspection 4 staff did not have documentation to show their level of education on file.

• 2022-12-12 · 746.901(4) · Medium Low

  Required Personnel Records - Required Affidavit

  Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-16.

  At the time of the inspection 1 employee did not have the required affadavit notarized and on file.

• 2022-07-15 · 746.1605 · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2022-07-15. Correction verified: 2022-07-25.

  At the time of the inspection a 6 month old child was present in the lunch room being supervised by caregivers who were supervising a group of children ages 2 years to 8 years of age. The 6 month old child was picked up before the inspector left the operation.

• 2022-07-11 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2022-08-02. Correction verified: 2022-08-18.

  Based on information obtained through investigation it was found the operation became aware of an allegation of inappropriate discipline by a caregiver and did not make a report to Childcare Regulation.

• 2022-06-13 · 746.4603(3) · High

  Prohibited Equipment - Trampolines

  Corrected at inspection: No. Correction date: 2022-06-13. Correction verified: 2022-06-14.

  Children were seen jumping on a trampoline on the playground. The trampoline measured over 4'10'' in diameter.

• 2022-06-13 · 746.4803 · Medium

  Measurement of Use Zone for Stationary Equipment

  Corrected at inspection: No. Correction date: 2022-06-13. Correction verified: 2022-06-16.

  Use zones were evaluated on the outdoor playground. There were 4 stationary play items (jungle gym, trampoline, and 2 slides) that had a use zone that measured less than 6 feet from the building or fence. Photos were taken.

• 2022-06-13 · 746.4901(a) · Medium High

  Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

  Corrected at inspection: No. Correction date: 2022-06-30. Correction verified: 2022-06-16.

  There were several play items on the playground that did not have surfacing. The play items included: slides, a jungle gym, and a trampoline. The play items were resting on grassy area. Photos were taken.