Teresa M Ramirez

2008 AGATE DR, Killeen, TX 76549 · Bell County

16cited violations

6serious

12inspections & investigations

0enforcement actions

Program

Type: Registered child-care home
Licensed capacity: 12
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 06:00 AM-06:00 PM
Phone: (254) 501-3775
Regulated since: Jun 18, 1998
HHSC IDs: Operation 155934 · number 536908
Official record: HHSC Child Care Search

Violations by category

Cleanliness & sanitation 4
Safety & premises 4
Staff background & training 2
Other 6

Year by year

Year	Violations	Serious	Main categories
2024	2	2	Safety & premises (2)
2022	14	4	Cleanliness & sanitation (4), Safety & premises (2), Staff background & training (2), Other (6)

Inspections, investigations & assessments

Mar 13, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Mar 13, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Nov 25, 2025 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Nov 25, 2025 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Apr 3, 2024 Inspection · Deficiencies cited
- Safety & premises Serious
  Kids trampoline is 5 feet across with exposed springs. It is 12' high. Director stated that she will have it gone by tomorrow.
  
  HHSC 747.4403(3) — Prohibited Equipment - Trampolines
  
  HHSC risk weight: High. Corrected 2024-04-10. Correction verified 2024-04-04.
HHSC inspection history
Apr 3, 2024 Inspection · Deficiencies cited
- Safety & premises Serious
  Kids trampoline is 5 feet across with exposed springs. It is 12' high. Director stated that she will have it gone by tomorrow.
  
  HHSC 747.4403(3) — Prohibited Equipment - Trampolines
  
  HHSC risk weight: High. Corrected 2024-04-10. Correction verified 2024-04-04.
HHSC inspection history · no longer published by HHSC; kept here
Jun 8, 2022 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jun 8, 2022 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
May 26, 2022 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
May 26, 2022 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
May 23, 2022 Inspection · Deficiencies cited
- Staff background & training
  It was found the Pediatric CPR training was completed online.
  
  HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
  
  HHSC risk weight: Medium High. Corrected 2022-06-02. Correction verified 2022-05-31.
- Other
  A child in care, under, the age of two years old, was watching television. The caregiver immediately turned the television off.
  
  HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
  
  HHSC risk weight: Medium. Corrected 2022-05-23. Correction verified 2022-05-26.
- Other Serious
  An infant aged child was observed wearing an amber necklace. The provider immediately removed the necklace from the child.
  
  HHSC 747.2301(5) — Basic Requirements for Infants - Free from Choking Objects
  
  HHSC risk weight: High. Corrected at inspection. Corrected 2022-05-23.
- Cleanliness & sanitation
  Provider was observed handlings toys, holding children, then going to the kitchen to prepare food without washing their hands.
  
  HHSC 747.3211(1) — Caregiver Handwashing Before Eating or Handling Food
  
  HHSC risk weight: Medium High. Corrected 2022-05-23. Correction verified 2022-05-26.
- Cleanliness & sanitation
  A set of knives, two bottles of cleaning supplies were found in the kitchen cabinets accessible to children in care.These were removed and stored in an area out of reach of the children in care. The cat food and water bowl was on the dining room floor accessible to the children in care. These were removed and stored in an area out of reach of the children in care. Toothpaste tube was on the bathroom counter and shampoo bottles were on the bathtub in the bathroom used by children in care. These were removed and stored out of reach of the children in care. The yard was found to have the following items not fenced or out of reach of the children in care: 2 push lawn mowers, a riding lawn mower, equipment supplies, rakes, shovels, hoe, debris stored on backside of shed, on the side of the shed, and inside a black short trailer, fire starter liquid was on BBQ pit shelf, shed door had staples protruding from where some frames have come off, and a camper on the ground with items on top of it.
  
  HHSC 747.3501 — Safety - Areas Free From Hazards
  
  HHSC risk weight: Medium High. Corrected 2022-06-06. Correction verified 2022-06-08.
- Other
  Nap mats, used by children in care, were found to be stored in the closet floor.
  
  HHSC 747.4305 — Storage for Individual Belongings
  
  HHSC risk weight: Medium. Corrected 2022-05-23. Correction verified 2022-05-26.
- Safety & premises Serious
  Two rooms, used by children in care, were found to not have smoke detectors installed in them.
  
  HHSC 747.5111 — Smoke-Detection System
  
  HHSC risk weight: High. Corrected 2022-05-23. Correction verified 2022-05-26.
HHSC inspection history
May 23, 2022 Inspection · Deficiencies cited
- Staff background & training
  It was found the Pediatric CPR training was completed online.
  
  HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
  
  HHSC risk weight: Medium High. Corrected 2022-06-02. Correction verified 2022-05-31.
- Other
  A child in care, under, the age of two years old, was watching television. The caregiver immediately turned the television off.
  
  HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
  
  HHSC risk weight: Medium. Corrected 2022-05-23. Correction verified 2022-05-26.
- Other Serious
  An infant aged child was observed wearing an amber necklace. The provider immediately removed the necklace from the child.
  
  HHSC 747.2301(5) — Basic Requirements for Infants - Free from Choking Objects
  
  HHSC risk weight: High. Corrected at inspection. Corrected 2022-05-23.
- Cleanliness & sanitation
  Provider was observed handlings toys, holding children, then going to the kitchen to prepare food without washing their hands.
  
  HHSC 747.3211(1) — Caregiver Handwashing Before Eating or Handling Food
  
  HHSC risk weight: Medium High. Corrected 2022-05-23. Correction verified 2022-05-26.
- Cleanliness & sanitation
  A set of knives, two bottles of cleaning supplies were found in the kitchen cabinets accessible to children in care.These were removed and stored in an area out of reach of the children in care. The cat food and water bowl was on the dining room floor accessible to the children in care. These were removed and stored in an area out of reach of the children in care. Toothpaste tube was on the bathroom counter and shampoo bottles were on the bathtub in the bathroom used by children in care. These were removed and stored out of reach of the children in care. The yard was found to have the following items not fenced or out of reach of the children in care: 2 push lawn mowers, a riding lawn mower, equipment supplies, rakes, shovels, hoe, debris stored on backside of shed, on the side of the shed, and inside a black short trailer, fire starter liquid was on BBQ pit shelf, shed door had staples protruding from where some frames have come off, and a camper on the ground with items on top of it.
  
  HHSC 747.3501 — Safety - Areas Free From Hazards
  
  HHSC risk weight: Medium High. Corrected 2022-06-06. Correction verified 2022-06-08.
- Other
  Nap mats, used by children in care, were found to be stored in the closet floor.
  
  HHSC 747.4305 — Storage for Individual Belongings
  
  HHSC risk weight: Medium. Corrected 2022-05-23. Correction verified 2022-05-26.
- Safety & premises Serious
  Two rooms, used by children in care, were found to not have smoke detectors installed in them.
  
  HHSC 747.5111 — Smoke-Detection System
  
  HHSC risk weight: High. Corrected 2022-05-23. Correction verified 2022-05-26.
HHSC inspection history · no longer published by HHSC; kept here

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

Letter text

Dear Open Records Coordinator,

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following Child Care Regulation records for Teresa M Ramirez, 2008 AGATE DR, Killeen, TX 76549-2983 (operation ID 155934, operation number 536908), for January 1, 2019 to the present:

1. Every inspection, assessment and investigation report, including the deficiencies cited and the operation's corrective actions.
2. Every complaint and self-report intake and its finding.
3. Every corrective or adverse action (evaluation, probation, suspension, revocation, denial, administrative penalty) with related correspondence.
4. Every plan of action or correction the operation submitted, and HHSC's response.

I understand that information made confidential by law (for example the identities of children, families and reporters) may be redacted; please release the remainder. Please provide the records electronically by email. If the cost will exceed $40, please send me an itemized estimate first.

Thank you,

[Your name]
[Email] · [Phone]

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, 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.