Pinnacle Montessori
111 EXETER PLACE DR, San Antonio, TX 78253 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 219
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Victoria Serna
- Phone
- (210) 417-4517
- Regulated since
- Jan 5, 2021
- HHSC IDs
- Operation 1355149 · number 1707651
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 7 | 3 | Supervision & ratios (4), Safety & premises (2), Other (1) |
| 2025 | 12 | 1 | Supervision & ratios (4), Safety & premises (3), Staff background & training (3), Records & paperwork (1), Other (1) |
| 2024 | 29 | 11 | Cleanliness & sanitation (6), Illness & medication (2), Supervision & ratios (3), Safety & premises (3), Staff background & training (4), Records & paperwork (3), Other (8) |
| 2023 | 24 | 12 | Cleanliness & sanitation (6), Supervision & ratios (6), Discipline & child guidance (1), Safety & premises (4), Staff background & training (3), Records & paperwork (2), Other (2) |
| 2022 | 20 | 4 | Cleanliness & sanitation (5), Illness & medication (1), Supervision & ratios (2), Safety & premises (1), Records & paperwork (3), Other (8) |
Inspections, investigations & assessments
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 2026 Assessment · Deficiencies cited
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Supervision & ratios Serious
RECITE; The operation does not have a current fire inspection available for review.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2026-07-31. Correction verified 2026-08-20.
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Supervision & ratios Serious
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2026 Inspection · Deficiencies cited
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Other
A current health inspection was not avaiable for review.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2026-04-23. Correction verified 2026-04-13.
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Supervision & ratios Serious
The operation does not have a current fire inspection available for review.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2026-06-12. Correction verified 2026-07-20.
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Safety & premises
Two fire extinguisher have not been serviced, as required.
HHSC 746.5307(b) — Fire Extinguishers Serviced
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-29.
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Other
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Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2026 Inspection · Deficiencies cited
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Supervision & ratios
It was observed that classroom 2 was out of ratio. Three caregiver's had 11 children in care. The ages of the children 4 month, 4 month, 7 month, 7 month, 9 month, 11 month, 11 month, 11 month, 12 month, 13 month, and 14 month old.
HHSC 746.1609 — Maximum Group Size 13 or More Children
HHSC risk weight: Medium High. Corrected 2026-01-22. Correction verified 2026-02-23.
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Safety & premises
It was observed in room 2 that a cabinet was missing a drawer door, creating a hazard. One chair in room 8 was observed broken. One wheel on a scooter board was missing. The boards on two garden beds were observed broken, creating a harzard. The bottom of the metal fence located in the garden play area was bent, creating a tripping hazard. Several boards on the wooden fence had nails that were protuding. Note: The wooden chair was removed from the classroom, the scooter was removed from the playground, and the drawer was fixed during inspection.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2026-02-05. Correction verified 2026-02-23.
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Supervision & ratios Serious
The operation did not have a current fire inspection.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2026-03-13. Correction verified 2026-03-23.
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Supervision & ratios
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Dec 16, 2025 Inspection · Deficiencies cited
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Staff background & training
RECITE; Two staff member files reviewed did not have first aid and CPR training available for review.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2026-01-05. Correction verified 2026-01-22.
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Safety & premises
During inspection I observed a chair was broken. Note: Corrected at inspection when chair was removed.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-12-16.
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Staff background & training
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Nov 6, 2025 Inspection · Deficiencies cited
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Other
The director credential expired on 9/30/2025.
HHSC 746.1057 — Director Certificate Not Renewed
HHSC risk weight: Low. Corrected 2025-11-20. Correction verified 2025-12-08.
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Staff background & training
Director lacked 25 hours of annual training.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2025-11-27. Correction verified 2025-12-08.
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Staff background & training
Two staff member files reviewed did not have first aid and CPR training available for review.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2025-11-27. Correction verified 2025-12-16.
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Supervision & ratios
The operation did not have updated infant feeding instructions for the 9 infants enrolled.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2025-11-13. Correction verified 2025-12-16.
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Records & paperwork
One file reviewed lacked notarized affidavit.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2025-11-13. Correction verified 2025-12-16.
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Other
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Oct 28, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
The operation failed to follow the probation conditions on ratios and health practices. The infant room 4 was observed out of ratio when one caregiver had 7 infants napping. The wooden garden bed was broken with nails protuding, two broken pieces of wood, and a wooden board with a nail protuding was observed in the garden.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-10-28. Correction verified 2025-11-06.
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Supervision & ratios
It was deteremined that caregiver in room 4 had 7 infants in care. The infants are 13 month, 13 months, 13 months, 14 month, 14 months, 14 months and 15 months old. Based of ages of the infants caregiver can only have 5 children to herself.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-10-28. Correction verified 2025-11-06.
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Safety & premises
The wooden garden bed was observed with broken wooden boards that had nails that were protouding out. I observed two pieces of broken wood in the garden. I observed a wooden board with a nail protuding out, in the garden outside by the cabinet located outside the classroom door.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-11-04. Correction verified 2025-11-06.
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Supervision & ratios Serious
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Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2025 Inspection · Deficiencies cited
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Safety & premises
The wooden fence in the playground has several screws that are protoding, and several wooden boards on the fence were oberved to be popping out of place, exposing the screws. During inspection it was observed in the garden area, a wooden board on the ground with a screw that was protuding out, creating a hazard.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2025-09-11. Correction verified 2025-09-18.
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Supervision & ratios
Three of ten children's records reviewed lacked health statement.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2025-09-11. Correction verified 2025-09-18.
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Safety & premises
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Jul 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
Two caregivers were observed caring for children without an eligible background check result.
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 2024-11-06. Correction verified 2024-11-06.
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Other
Activity plans for infants have not been created.
HHSC 746.2203(a) — Written Activity Plans
HHSC risk weight: Medium. Corrected 2024-11-22. Correction verified 2024-12-12.
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Other
A health inspection has not been obtained within the past 12 months.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2024-12-12.
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Cleanliness & sanitation Serious
Spray bottles containing diluted bleach solution were observed accessible to the children in care. Note: This was corrected at inspection as the bottles were placed in a high cabinet.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-11-06. Correction verified 2024-12-12.
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Cleanliness & sanitation
Garbage was observed accessible to the children in care as the lid on the trash did not completely close. Note: This was corrected at inspection as the trash can was replaced during inspection.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected 2024-11-06. Correction verified 2024-12-12.
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Other
The carbon monoxide detector was not checked for the month of October.
HHSC 746.5537(a)(2) — Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
HHSC risk weight: Medium High. Corrected 2024-11-06. Correction verified 2024-12-12.
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Staff background & training Serious
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Sep 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
Ceilings tiles were observed still damaged due to a water leak in the ceiling.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2024-09-06. Correction verified 2024-09-10.
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Cleanliness & sanitation
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Aug 14, 2024 Report · Deficiencies cited
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Safety & premises
Based on the investigation conducted, there is sufficient evidence to state there are no toys present in the classroom.
HHSC 746.2505(2) — Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
HHSC risk weight: Medium High. Corrected 2024-10-09. Correction verified 2024-11-06.
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Safety & premises
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Jul 30, 2024 Report · Deficiencies cited
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Records & paperwork Serious
Based on the DFPS investigation conducted, there is sufficient evidence to state that situations that placed children at risk were not reported to Child Care Regulation.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-09-06. Correction verified 2024-09-10.
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Records & paperwork Serious
Based on the DFPS investigation conducted, there is sufficient evidence to state situations that placed children at risk were not reported to the children's parents.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2024-09-06. Correction verified 2024-09-10.
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Other
Based on the DFPS investigation conducted, there is sufficient evidence to state staff did not have access to tracking systems such as attendance roosters.
HHSC 746.631(b) — Caregivers Have Access to Tracking System
HHSC risk weight: Medium High. Corrected 2024-09-06. Correction verified 2024-09-10.
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Illness & medication
Based on the DFPS investigation conducted, there is sufficient evidence to state that incident reports were not created for situations that placed children at risk.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2024-09-06. Correction verified 2024-09-10.
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Records & paperwork Serious
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Jul 26, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
Ceilings tiles were observed to still damaged due to a water leak in the ceiling.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2024-08-16. Correction verified 2024-08-23.
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Cleanliness & sanitation
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Jul 2, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver without an eligible background check was observed caring for children during the inspection.
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 2024-07-02. Correction verified 2024-07-03.
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Staff background & training Serious
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Jun 20, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
A 15 year old child was observed present at the operation without a background check.
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 2024-06-20. Correction verified 2024-07-02.
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Other Serious
Caregivers did not know the children they are responsible for.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2024-06-20. Correction verified 2024-07-02.
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Other Serious
Multiple caregivers did not know the number of the children they are responsible for.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2024-06-20. Correction verified 2024-07-02.
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Supervision & ratios
Multiple classes were observed exceeding the ratio with one caregiver.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-06-20. Correction verified 2024-07-02.
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Staff background & training Serious
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Jun 18, 2024 Report · Deficiencies cited
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Other Serious
Caregivers was unaware they were responsible for a two year old child who was left unsupervised for four minutes.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Supervision & ratios Serious
A two year old child was left unsupervised for four minutes.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Supervision & ratios
Based on the investigation conducted, there is sufficient evidence to state a caregiver was left with 35 children in care.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Other
Permit holder is not complying with the with the child-care licensing law found in Chapter 42 of the Human Resources Code, the applicable minimum standards, and other applicable rules in the Texas Administrative Code
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Records & paperwork Serious
Child Care Regulation was not notified of an incident where a two year old child was left unsupervised for four minutes.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Cleanliness & sanitation
Ceilings tiles were damaged due to a water leak in the ceiling.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2024-07-17. Correction verified 2024-07-26.
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Illness & medication
Based on the investigation conducted, it was determined that an incident report was not generated for the incident that placed a child at risk. A two year old was left unsupervised for four minutes.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2024-07-17. Correction verified 2024-07-26.
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Other Serious
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Apr 24, 2024 Inspection · Deficiencies cited
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Safety & premises
A food allergy plan was not obtained for a child with a diagnosed food allergy.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2024-05-31. Correction verified 2024-05-30.
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Safety & premises
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Apr 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
Caregivers admitted to washing bibs in the hand washing sink, and lunch dishes were found in a hand washing sink.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2024-03-01. Correction verified 2024-04-11.
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Cleanliness & sanitation
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Feb 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2024 Inspection · Deficiencies cited
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Staff background & training
One caregiver was missing four hours of pre-service training.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2024-02-01. Correction verified 2024-02-06.
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Staff background & training
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Jan 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Inspection · Deficiencies cited
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Safety & premises
Cabinets in 2 classrooms had loose hinges which could cause the doors to fall off and possibly injury a child.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-01-08. Correction verified 2024-01-18.
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Safety & premises
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Dec 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Operation staff did not exercise good judgment when leaving an unattached cabinet door propped on the wall in the classroom resulting in it falling on a two year old child.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-12-20. Correction verified 2024-01-04.
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Cleanliness & sanitation
Cabinet located in the two-year-old classroom was not in good repair resulting in the cabinet door falling off.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2023-12-20. Correction verified 2024-01-04.
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Supervision & ratios Serious
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Nov 9, 2023 Inspection · Deficiencies cited
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Staff background & training
One out ten staff files reviewed during inspection did not have current First Aid and CPR training.
HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
HHSC risk weight: Medium High. Corrected 2023-12-07. Correction verified 2023-12-08.
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Staff background & training
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Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 24, 2023 Report · Deficiencies cited
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Staff background & training Serious
A caregiver was observed caring for children without an eligible background check result.
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 2023-08-30. Correction verified 2023-08-31.
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Staff background & training Serious
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Aug 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 24, 2023 Inspection · Deficiencies cited
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Supervision & ratios
The three year old classroom was observed out of ratio as there was one caregiver to 16 children. The correct ratio is one caregiver to 15 children. Note: This was corrected at inspection as a second caregiver stepped in the classroom.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-07-24.
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Supervision & ratios
The operation did not have a current health inspection.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2023-11-30. Correction verified 2023-11-08.
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Supervision & ratios
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Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jun 21, 2023 Report · Deficiencies cited
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Supervision & ratios
Based on the investigation conducted, there is sufficient evidence that the operation did not gather medical documentation for the child's special need.
HHSC 746.603(a)(10) — Children's Records - Specialized Medical Assistance from Health Care Professional
HHSC risk weight: Medium. Corrected 2023-08-07. Correction verified 2023-08-16.
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Supervision & ratios
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Jun 19, 2023 Report · Deficiencies cited (self-report)
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Safety & premises Serious
A caregiver did not exercise good judgment when forcefully rocking the crib that a swaddled three-month-old was laying in.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-07-18. Correction verified 2023-07-24.
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Other Serious
The Safe Exception form for an infant observed swaddled did not include the medical reason for swaddling a three month old infant.
HHSC 746.2428 — No Swaddling of Infant Unless Completed Sleep Exception Form on File
HHSC risk weight: High. Corrected 2023-07-18. Correction verified 2023-07-24.
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Safety & premises Serious
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Jun 12, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
There was an infant sleeping on a restrictive device without an a sleep exception form on file.
HHSC 746.2426(a)(2) — Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
HHSC risk weight: High. Corrected 2023-06-12. Correction verified 2023-06-22.
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Safety & premises Serious
There was approximately one inch thread of a screw exposed on the blue, yellow and green play structure.
HHSC 746.4601(4) — Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
HHSC risk weight: High. Corrected 2023-06-16. Correction verified 2023-06-22.
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Safety & premises Serious
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May 30, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver was present and in ratio with an ineligible background check on 5/25/2023, 5/26/2023 and 5/30/2023. Note, caregiver removed them self from the classroom and left the premises on 5/30/2023.
HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
HHSC risk weight: High. Corrected 2023-05-30. Correction verified 2023-06-22.
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Staff background & training Serious
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May 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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May 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 27, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 21, 2023 Assessment · Deficiencies cited
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Cleanliness & sanitation
Garbage was observed accessible to the children in care as the trash can did not have a lid placed on it.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected 2023-04-21. Correction verified 2023-04-27.
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Cleanliness & sanitation
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Apr 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 27, 2023 Inspection · Deficiencies cited
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Other Serious
A caregiver incorrectly stated there were 16 children in care when there were actually 14. Note: This was corrected at inspection when the caregiver counted again and gave the correct count of children in their care.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected at inspection. Corrected 2023-03-27.
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Cleanliness & sanitation
Child was observed not washing hands after toileting. Note: This was corrected at inspection when the child washed their hands.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-03-27.
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Other Serious
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Mar 8, 2023 Report · Deficiencies cited
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Records & paperwork
Based on the investigation conducted, there sufficient evidence to state the person in charge did not have access to records.
HHSC 746.1013(a)(3) — Director's Absence - Caregiver in Charge Has Access to All Records
HHSC risk weight: Medium. Corrected 2023-04-22. Correction verified 2023-04-27.
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Discipline & child guidance Serious
Based on the investigation conducted, there is reason to believe a 20-month-old child was alone for 38 minutes in a restroom.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2023-04-22. Correction verified 2023-04-27.
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Supervision & ratios Serious
Based on the evidence conducted, there is sufficient evidence to state caregivers were not aware that a 20 month old left the group, therefore, the child became unsupervised.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2023-04-22. Correction verified 2023-04-27.
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Supervision & ratios Serious
Child Care Regulation (CCR) was not notified by the operation staff of a child left unsupervised.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2023-04-22. Correction verified 2023-04-27.
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Records & paperwork
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Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 5, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation
In the toddler classroom a toilet brush and plunger were found in the children's restroom. This was corrected when the director had an employee remove these items during inspection.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-01-05.
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Cleanliness & sanitation
Recited: Needed repairs remain to be made to remove all damaged ceiling tiles. New tiles have been purchased and are ready for replacement.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2023-01-31. Correction verified 2023-02-03.
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Cleanliness & sanitation
A toddler class was observed as they came in from outdoors. They did not immediately wash their hands before being allowed to play with toys at their tables. This was corrected at inspection when an assistant caregiver began helping each child wash their hands.
HHSC 746.3417(4) — Children Handwashing After Outdoor Activities
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-01-05.
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Safety & premises Serious
Upon conducting the follow up for inspection, it was observed that repairs have not been conducted to successfully obtain a passing fire inspection. The report advising of corrections needed was done 7/2022.
HHSC 746.5105 — Corrections Made to Fire Inspection
HHSC risk weight: High. Corrected 2023-03-03. Correction verified 2023-03-23.
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Records & paperwork
Recited: Personnel files have not been assembled/completed for employees. Director is still in the process of completing them.
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2023-01-31. Correction verified 2023-02-03.
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Cleanliness & sanitation
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Nov 28, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. Note: This was corrected when a trash can lid was obtained and put on top of the trash can.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-11-28.
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Cleanliness & sanitation
Recited: The ceiling tiles in the operation had multiple water stains and leaks.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2022-12-12. Correction verified 2023-01-05.
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Other
Recited: Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.
HHSC 746.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-12-02. Correction verified 2023-01-05.
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Supervision & ratios
Recited: The operation lacks a current fire inspection.
HHSC 746.801(11) — Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care
HHSC risk weight: Medium High. Corrected 2022-12-12. Correction verified 2023-01-05.
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Records & paperwork
Recited: Two out of ten personnel files were provided during the follow up inspection. The additional files were unavailable and incomplete.
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2022-12-12. Correction verified 2023-01-05.
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Cleanliness & sanitation
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Nov 14, 2022 Inspection · Deficiencies cited
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Records & paperwork
Director was not present during the inspection and the person in charge was unable to provide essential information due to lack of knowledge.
HHSC 746.1013(a)(3) — Director's Absence - Caregiver in Charge Has Access to All Records
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-28.
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Other Serious
When speaking to two caregivers in classrooms, they were not aware of the ages of the children that were caring for.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Other
A caregiver was observed to be on her cell phone while supervising children
HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Other
The sheets in one of the infant rooms did not fit properly.
HHSC 746.2411(2)(B) — Safety Requirements for Play Yards - Snug Fitting Sheets
HHSC risk weight: Medium High. Corrected 2022-11-21. Correction verified 2022-11-28.
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Other
In observing the infant rooms, the monthly written feeding instructions had not been updated in over thirty days.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-11-15. Correction verified 2022-11-28.
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Cleanliness & sanitation
A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. A trash can outside was observed to be tipped over and there was trash scattered on the ground.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected 2022-11-14. Correction verified 2022-11-28.
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Cleanliness & sanitation
The ceiling tiles in the operation had multiple water stains and leaks.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2022-11-28. Correction verified 2022-11-28.
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Other
Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.
HHSC 746.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-28.
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Illness & medication
Three of the ten files reviewed were missing update immunizations.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2022-11-21. Correction verified 2022-11-28.
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Safety & premises
During the inspection there was not a fire inspection available for review.
HHSC 746.801(11) — Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care
HHSC risk weight: Medium High. Corrected 2022-11-21. Correction verified 2022-11-28.
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Records & paperwork
The personnel records were not available during the time of the inspection and were not reviewed.
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2022-11-21. Correction verified 2022-11-28.
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Records & paperwork
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Aug 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 29, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
A fire inspection has not been conducted at the operation in the past 12 months.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2022-07-29. Correction verified 2022-07-22.
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Supervision & ratios Serious
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Jun 21, 2022 Report · Deficiencies cited
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Cleanliness & sanitation Serious
Based on the investigation conducted, there is evidence to state a caregiver did not exercise good judgment when allowing children to play with the water in the toilet during a lockdown drill.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2022-08-15. Correction verified 2022-08-22.
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Cleanliness & sanitation Serious
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May 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2022 Inspection · Deficiencies cited
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Other Serious
A caregiver gave an incorrect count of the children in care. Note: This was corrected at inspection as the caregiver gave a correct count after counting again.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected at inspection. Corrected 2022-01-26.
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Other
One classroom did not have the sleeping mats labeled with the child's name or an assigned number. One classroom did not have a number/child assignment map available.
HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name
HHSC risk weight: Medium. Corrected 2022-01-26. Correction verified 2022-02-09.
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Other 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.
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- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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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.