Talitha Koum Nurture Center

5801 BISHOP DR, Waco, TX 76710 · Mclennan County

14cited violations

10serious

7inspections & investigations

0enforcement actions

Program

Type: Licensed center
Licensed capacity: 43
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 07:30 AM-05:30 PM
Director / administrator: Karlie Guerra
Phone: (254) 753-1144
Regulated since: Aug 24, 2026
HHSC IDs: Operation 1511912 · number 1820537
Official record: HHSC Child Care Search

Violations by category

Illness & medication 2
Supervision & ratios 5
Discipline & child guidance 1
Safety & premises 3
Staff background & training 1
Other 2

Year by year

Year	Violations	Serious	Main categories
2026	11	7	Illness & medication (2), Supervision & ratios (5), Discipline & child guidance (1), Safety & premises (2), Staff background & training (1)
2025	3	3	Safety & premises (1), Other (2)

Inspections, investigations & assessments

Jun 25, 2026 Inspection · Deficiencies cited
- Safety & premises Serious
  The fire extinguishers had not been checked in May. This was corrected during the inspection when the fire extinguishers were checked by the director.
  
  HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-06-25.
- Supervision & ratios Serious
  One of the operation's fire extinguishers was under-pressurized.
  
  HHSC 746.5307(b) — Fire Extinguishers Serviced
  
  HHSC risk weight: Medium High. Corrected 2026-07-31. Correction verified 2026-07-22.
- Illness & medication
  One child was missing a health statement and parent phone number, and two children needed updated immunization records.
  
  HHSC 746.603(a) — Children's Records Maintained
  
  HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-07-22.
- Staff background & training
  One staff member did not have proof of education on file, and two staff members did not have statements that they received the center policies and attended orientation with an overview of the operation's abuse and neglect policies.
  
  HHSC 746.901 — Required Personnel Records
  
  HHSC risk weight: Medium. Corrected 2026-07-09. Correction verified 2026-07-13.
HHSC inspection history
Apr 8, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Mar 26, 2026 Inspection · Deficiencies cited
- Supervision & ratios Serious
  There was no additional employee available during naptime. This was corrected during the inspection when an additional caregiver returned from lunch break.
  
  HHSC 746.1613(a)(4) — Naptime Child/Caregiver Ratio - Additional Employee Required
  
  HHSC risk weight: Medium High. Corrected 2026-03-26. Correction verified 2026-04-08.
- Illness & medication
  Out of four children's records reviewed, three were missing an admission date, one was missing healthcare information and an authorization for emergency medical treatment, one was missing a health statement, and all of them were missing immunization records.
  
  HHSC 746.603(a) — Children's Records Maintained
  
  HHSC risk weight: Medium. Corrected 2026-05-07. Correction verified 2026-05-04.
HHSC inspection history
Mar 5, 2026 Report · Deficiencies cited
- Discipline & child guidance Serious
  During the DFPS investigation, there was sufficient evidence found to determine that concerns of abuse were brought to an employee's attention on 3/2/26, and the employee did not make a report to DFPS until 3/6/26.
  
  HHSC 746.1201(5) — Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation
  
  HHSC risk weight: High. Corrected 2026-04-06. Correction verified 2026-04-08.
HHSC inspection history
Jan 8, 2026 Inspection · Deficiencies cited
- Supervision & ratios
  The operation's menu was not posted. This was corrected during the inspection when a weekly menu was posted.
  
  HHSC 746.401(6) — Posting Requirements - Daily menu, including all snacks and meals served by the child care center
  
  HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-01-08.
- Supervision & ratios Serious
  The operation had not completed a fire drill yet.
  
  HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
  
  HHSC risk weight: Medium High. Corrected 2026-01-14. Correction verified 2026-01-09.
- Safety & premises Serious
  Two of the classrooms did not have an evacuation diagram posted in them.
  
  HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
  
  HHSC risk weight: Medium High. Corrected 2026-01-14. Correction verified 2026-01-09.
- Supervision & ratios Serious
  The operation's fire extinguishers had not been checked. This was corrected during the inspection when the fire extinguishers were checked and their needles were in the green.
  
  HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-01-08.
HHSC inspection history
Jan 5, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Aug 6, 2025 Inspection · Deficiencies cited
- Other Serious
  The parent handbook was missing several of the required policies and procedures.
  
  HHSC 746.201(1) — Policies Comply with Rules
  
  HHSC risk weight: High. Corrected 2025-09-01. Correction verified 2025-09-08.
- Safety & premises Serious
  The fence on the largest playground had two gaps at the bottom that were large enough for a small child to get stuck in. The wire at the bottom of the infant playground fencing had come loose in one section. There were also live ant hills on the infant playground.
  
  HHSC 746.3701 — Safety - Areas Free From Hazards
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-09-05.
- Other Serious
  The director had not reviewed the CPSC recall list.
  
  HHSC 746.4135(a) — Children's Products- Review list and Remove unsafe products
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-08-29.
HHSC inspection history

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 Talitha Koum Nurture Center, 5801 BISHOP DR, Waco, TX 76710-2713 (operation ID 1511912, operation number 1820537), 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, 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.