Tammys Angels
3440 RENO DR, Paris, TX 75462 · Lamar County
Program
- Type
- Licensed child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-05:30 PM
- Director / administrator
- Tammy Usry
- Phone
- (903) 517-9739
- Regulated since
- Sep 22, 2017
- HHSC IDs
- Operation 1274667 · number 1650532
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 3 | Cleanliness & sanitation (1), Illness & medication (1), Staff background & training (1), Other (1) |
| 2025 | 6 | 3 | Illness & medication (1), Supervision & ratios (2), Safety & premises (1), Staff background & training (2) |
| 2024 | 1 | 1 | Cleanliness & sanitation (1) |
| 2023 | 4 | 1 | Illness & medication (1), Supervision & ratios (1), Staff background & training (2) |
| 2022 | 5 | 5 | Supervision & ratios (3), Safety & premises (1), Staff background & training (1) |
Inspections, investigations & assessments
-
Jun 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 11, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
The assistant caregiver lacked documentation of 24 hours training to complete last years annual training.
HHSC 747.1303(4)(A) — Training Requirements for Caregivers Licensed -24 hours Annual Training
HHSC risk weight: Medium High. Corrected 2026-03-11. Correction verified 2026-02-27.
-
Cleanliness & sanitation Serious
The child proof latch on the cabinet under the kitchen sink needs to be replaced as it is broken and children have access to cleaning supplies.
HHSC 747.3501 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2026-02-16. Correction verified 2026-02-13.
-
Other Serious
Two of the dogs in the home are overdue for the rabies vaccines.
HHSC 747.3703(a) — Animals at Center - Documentation of Vaccinations
HHSC risk weight: Medium High. Corrected 2026-03-04. Correction verified 2026-02-27.
-
Illness & medication
A sampling of children records were evaluated. One child's immunization record was observed incomplete.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2026-03-11. Correction verified 2026-02-13.
-
Staff background & training Serious
-
Apr 11, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
An assistant caregiver did not have CPR/First aid training.
HHSC 747.1303(2)(A) — Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR
HHSC risk weight: Medium High. Corrected 2025-05-11. Correction verified 2025-04-22.
-
Staff background & training
The director lacked 6 hours of instructor-led training to complete last years annual training.
HHSC 747.1309(i) — Primary Caregiver Annual Training - Self- Instructional 80%
HHSC risk weight: Medium Low. Corrected 2025-06-16. Correction verified 2025-06-11.
-
Illness & medication Serious
One child's Epi pen was not in its original container or labeled with the child s full name and the date brought to the operation.
HHSC 747.3605(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-14.
-
Safety & premises Serious
One child's food allergy plan was not signed by the health care professional nor signed by the parent.
HHSC 747.3619 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-04-22.
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Supervision & ratios
One child's record evaluated lacked signed documentation by the parent that the parent received a copy of the parents rights.
HHSC 747.501(9) — Written Operational Policies - Parent Rights
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-14.
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Supervision & ratios
One employees record lacked a notarized Licensing Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home (Form 2985).
HHSC 747.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2025-04-25. Correction verified 2025-04-14.
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Staff background & training Serious
-
Apr 19, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
The changing mat was observed torn with exposed foam.
HHSC 747.3303(a)(1) — Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
HHSC risk weight: Medium High. Corrected 2024-04-22. Correction verified 2024-04-22.
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Cleanliness & sanitation Serious
-
May 30, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
The director lacked documentation of completion of one hour of training in the following topic to complete last years annual training: (1) Recognizing and preventing shaken baby syndrome; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.
HHSC 747.1309(c) — Primary Caregiver Annual Training - Special topics for children under 24 months
HHSC risk weight: Medium High. Corrected 2023-06-13. Correction verified 2023-06-07.
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Staff background & training
The director lacked documentation of completion of training in the following topics to complete last years annual training: 1) Emergency Preparedness; 2) Preventing and responding to emergencies due to food or an allergic reaction; 3) Understanding building and physical premises safety; and 4) Handling, storing, and disposing of hazardous materials.
HHSC 747.1309(e)(1) — Primary Caregiver Annual Training - Required training less than- 5 years experience
HHSC risk weight: Medium. Corrected 2023-06-30. Correction verified 2023-07-11.
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Supervision & ratios
The operation did not have written infant feeding instructions on file for the 9 month old.
HHSC 747.2321(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2023-06-09. Correction verified 2023-05-31.
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Illness & medication
A sampling of children records were evaluated. One child's record lacked information whether or not the parent gives permission for transportation (such as for emergency care), one child's immunization record was observed incomplete, and one child's record lacked a health statement.
HHSC 747.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2023-06-30. Correction verified 2023-05-30.
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Staff background & training Serious
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May 31, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
An individual was present at inspection without a background check. This was corrected at inspection as the individuals background check was submitted.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-05-31. Correction verified 2022-05-31.
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Supervision & ratios Serious
The operational policies were evaluated and lacked written procedures for the following: 1) Promotion of indoor and outdoor physical activity and 2) How parents may access the HHSC website (www.hhs.texas.gov).
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2022-06-14. Correction verified 2022-06-02.
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Supervision & ratios Serious
The operation did not have documentation on file showing they have notified parents of two children enrolled that the operation does not carry liability insurance.
HHSC 747.213(b) — AP Parent Notification of Liability Insurance - Permitted Before April 25, 2021 & No Insurance Must Notify Parent in Writing by May 25, 2021
HHSC risk weight: Medium High. Corrected 2022-05-31. Correction verified 2022-05-31.
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Supervision & ratios Serious
The operation did not have documentation that the operation tested the smoke detectors and carbon monoxide detector for the month of April 2022.
HHSC 747.5115 — Smoke Detectors Testing
HHSC risk weight: High. Corrected 2022-05-31. Correction verified 2022-05-31.
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Safety & premises Serious
A sampling of children records were evaluated. One child's record lacked the address of the responsible individual (friend or relative) who should be contacted in an emergency when the parent cannot be reached.
HHSC 747.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2022-06-14. Correction verified 2022-05-31.
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Staff background & training Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.