Tiny Feet Child Care

11360 WESTHEIMER RD, Houston, TX 77077 · Harris County

38cited violations

22serious

9inspections & investigations

0enforcement actions

Program

Type: Licensed center
Licensed capacity: 27
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 06:00 AM-07:00 PM
Director / administrator: Nakesha Parnell
Phone: (281) 531-0800
Regulated since: Jan 29, 2014
HHSC IDs: Operation 1119073 · number 1521278
Official record: HHSC Child Care Search

Violations by category

Cleanliness & sanitation 1
Illness & medication 3
Supervision & ratios 3
Safety & premises 4
Staff background & training 19
Records & paperwork 1
Other 7

Year by year

Year	Violations	Serious	Main categories
2026	2	1	Staff background & training (2)
2025	10	5	Safety & premises (1), Staff background & training (6), Other (3)
2024	1	1	Cleanliness & sanitation (1)
2023	5	3	Illness & medication (1), Supervision & ratios (1), Safety & premises (1), Staff background & training (2)
2022	15	9	Illness & medication (1), Supervision & ratios (2), Safety & premises (1), Staff background & training (7), Records & paperwork (1), Other (3)
2021	5	3	Illness & medication (1), Safety & premises (1), Staff background & training (2), Other (1)

Inspections, investigations & assessments

Aug 11, 2026 Inspection · Deficiencies cited
- Staff background & training Serious
  One caregiver and director did not have a current transportation training certificate to provide to licensing during the inspection.
  
  HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
  
  HHSC risk weight: Medium High. Corrected 2026-08-25. Correction verified 2026-08-24.
- Staff background & training
  A volunteer present at the operation did not have a current orientation training certificate to provide to licensing during the inspection.
  
  HHSC 746.1403(a)(1)(A) — Training requirements for substitutes, volunteers, and contractors-Orientation
  
  HHSC risk weight: Medium. Corrected 2026-08-25. Correction verified 2026-08-24.
HHSC inspection history
Oct 3, 2025 Assessment · Deficiencies cited
- Staff background & training
  The operation failed to submit trainings by compliance date. A caregiver did not have the following HASA trainings available for review. 1.Administering medication 2. Preventing and responding to emergencies due to food or an allergic reaction. 3. Handling, storing, and disposing of hazardous materials. 4.Understand building and premises safety
  
  HHSC 746.1309(e) — Documented Annual Training- Required Content
  
  HHSC risk weight: Medium. Corrected 2025-10-17. Correction verified 2025-10-20.
- Staff background & training
  The operation failed to submit trainings by compliance date. The director did not have the following HASA trainings available for review. 1. Administering medication 2. Preventing and responding to emergencies due to food or an allergic reaction. 3. Handling, storing, and disposing of hazardous materials. 4. Building and premises safety
  
  HHSC 746.1311(e) — Director Annual Training - Additional required topics
  
  HHSC risk weight: Medium. Corrected 2025-10-17. Correction verified 2025-10-20.
- Staff background & training Serious
  The operation failed to submit trainings by compliance date. The director and caregivers did not have the skill based CPR training certificate available for licensing to review.
  
  HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
  
  HHSC risk weight: Medium High. Corrected 2025-10-17. Correction verified 2025-10-20.
HHSC inspection history
Aug 18, 2025 Inspection · Deficiencies cited
- Staff background & training
  A caregiver did not have the following HASA trainings available for review. 1.Administering medication 2. Preventing and responding to emergencies due to food or an allergic reaction. 3. Handling, storing, and disposing of hazardous materials. 4.Understand building and premises safety
  
  HHSC 746.1309(e) — Documented Annual Training- Required Content
  
  HHSC risk weight: Medium. Corrected 2025-09-01. Correction verified 2025-10-03.
- Staff background & training
  The director did not have the following HASA trainings available for review. 1. Administering medication 2. Preventing and responding to emergencies due to food or an allergic reaction. 3. Handling, storing, and disposing of hazardous materials. 4. Building and premises safety
  
  HHSC 746.1311(e) — Director Annual Training - Additional required topics
  
  HHSC risk weight: Medium. Corrected 2025-09-01. Correction verified 2025-10-03.
- Staff background & training Serious
  The director and caregivers did not have the skill based CPR training certificate available for licensing to review.
  
  HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-10-03.
- Safety & premises
  The use zone around the stationary playground equipment does not meet the 6 feet perimeter requirements.
  
  HHSC 746.4803 — Measurement of Use Zone for Stationary Equipment
  
  HHSC risk weight: Medium. Corrected 2025-09-01. Correction verified 2025-10-02.
- Other Serious
  The use zone of the slide was not the required 6 feet.
  
  HHSC 746.4805(a) — Measurement of Use Zone for Slides - in Front of Access and on Sides
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-10-02.
- Other Serious
  The use zone in front of the slide did not have the required 6 feet.
  
  HHSC 746.4805(b) — Measurement of Use Zone for Slides - Six Feet High or Less
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-10-02.
- Other Serious
  A playground swing and slide structure did not have the required surfacing.
  
  HHSC 746.4901(a) — Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
  
  HHSC risk weight: Medium High. Corrected 2025-09-01. Correction verified 2025-10-02.
HHSC inspection history
Aug 20, 2024 Inspection · Deficiencies cited
- Cleanliness & sanitation Serious
  I observed brown ceiling tiles in the primary room. The tiles appears to have a dip in them.
  
  HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
  
  HHSC risk weight: Medium High. Corrected 2024-09-03. Correction verified 2024-08-28.
HHSC inspection history
Sep 6, 2023 Inspection · Deficiencies cited
- Staff background & training
  2 out off 2 caregivers did not have 24 hours of annual training completed.
  
  HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
  
  HHSC risk weight: Medium. Corrected 2023-09-20. Correction verified 2023-09-20.
- Staff background & training
  The director did not have 30 hours of annual training completed.
  
  HHSC 746.1311(a) — Director Annual Training 30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2023-09-20. Correction verified 2023-09-20.
- Safety & premises Serious
  A broken tricycle was observed on the playground. This was corrected during the inspection and removed off playground.
  
  HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-06.
- Illness & medication Serious
  2 out 4 children files reviewed did not have a current immunization record.
  
  HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
  
  HHSC risk weight: Medium High. Corrected 2023-09-20. Correction verified 2023-09-20.
HHSC inspection history
Aug 29, 2023 Inspection · Deficiencies cited
- Supervision & ratios Serious
  Caregiver arrived to the facility when inspector arrived. This left one caregiver with 17 children ages ranged from 5m-3yrs old alone in the building. This was corrected at inspection once caregiver walked into the building.
  
  HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-08-29.
HHSC inspection history
Nov 2, 2022 Inspection · Deficiencies cited
- Staff background & training Serious
  During a follow up inspection, one caregiver was missing a high school diploma or the equivalent on file for review.
  
  HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
  
  HHSC risk weight: Medium High. Corrected 2022-11-18. Correction verified 2022-11-14.
- Staff background & training
  During a follow up inspection, one caregiver was missing 9 hours of annual training for the annual training year.
  
  HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
  
  HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-15.
HHSC inspection history
Oct 12, 2022 Inspection · Deficiencies cited
- Other Serious
  The director did not provide CCR with accurate documentation during an inspection.
  
  HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
  
  HHSC risk weight: High. Corrected 2022-10-26. Correction verified 2022-11-02.
- Staff background & training Serious
  One out of two caregivers was missing a high school diploma or the equivalent on file for review.
  
  HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
  
  HHSC risk weight: Medium High. Corrected 2022-10-26. Correction verified 2022-11-02.
- Staff background & training
  Two caregivers personnel files were evaluated. Both were missing hours of annual training for the last annual training year.
  
  HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
  
  HHSC risk weight: Medium. Corrected 2022-10-26. Correction verified 2022-11-02.
- Staff background & training
  The director is missing hours of annual training for the last annual training year.
  
  HHSC 746.1311(a) — Director Annual Training 30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2022-10-26. Correction verified 2022-11-02.
- Staff background & training Serious
  The director and two caregivers do not have pediatric first aid training on file 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 2022-10-27. Correction verified 2022-11-02.
- Staff background & training Serious
  The director and two caregivers do not have pediatric CPR training on file for review.
  
  HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2022-10-27. Correction verified 2022-11-02.
- Safety & premises Serious
  In the infant classroom, I observed a five month old child sleeping in a crib with a pacifier clipped to her shirt. Note: Corrected when the pacifier and clip were removed from the crib.
  
  HHSC 746.2415(b) — AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
  
  HHSC risk weight: High. Corrected 2022-10-12. Correction verified 2022-11-02.
- Other Serious
  I observed a five month child lying on her stomach while sleeping. Note: Corrected when the child was placed on her back.
  
  HHSC 746.2427 — AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant
  
  HHSC risk weight: High. Corrected 2022-10-12. Correction verified 2022-11-02.
- Other
  I observed two children sleeping on mats that were not labeled by name or number. Note Corrected when the mats were labeled.
  
  HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name
  
  HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-10-12.
- Supervision & ratios Serious
  The operation's emergency preparedness plan does not state how children 24 months and younger will evacuate during an emergency.
  
  HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
  
  HHSC risk weight: Medium High. Corrected 2022-10-26. Correction verified 2022-10-28.
- Illness & medication Serious
  Two out of four children's files evaluated were missing current immunization records on file for review.
  
  HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
  
  HHSC risk weight: Medium High. Corrected 2022-10-26. Correction verified 2022-11-02.
- Supervision & ratios
  There was no written documentation provided to the parents stating the operation does not carry liability insurance.
  
  HHSC 746.801(6) — Required Records Maintained and Made Available - Liability Insurance
  
  HHSC risk weight: Medium. Corrected 2022-10-26. Correction verified 2022-11-02.
- Records & paperwork
  One caregiver does not have a notarized affidavit on file for review.
  
  HHSC 746.901(4) — Required Personnel Records - Required Affidavit
  
  HHSC risk weight: Medium Low. Corrected 2022-10-26. Correction verified 2022-10-28.
HHSC inspection history
Oct 18, 2021 Inspection · Deficiencies cited
- Staff background & training Serious
  1 out of 2 caregivers has not completed 24 hours of annual training for an evaluation period reviewed from 7/1/2020 to 7/1/2021
  
  HHSC 746.1301(5)(A) — Training Requirements for Employees and Caregivers - 24 Annual Training
  
  HHSC risk weight: Medium High. Corrected 2021-11-08. Correction verified 2021-11-16.
- Staff background & training Serious
  The director has not completed 30 hours of annual training for an evaluated period reviewed from 8/19/2020 to 8/19/2021.
  
  HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
  
  HHSC risk weight: Medium High. Corrected 2021-11-08. Correction verified 2021-11-16.
- Other
  The inspection form from the last inspection was not posted.
  
  HHSC 746.401(2) — Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
  
  HHSC risk weight: Medium. Corrected 2021-11-08. Correction verified 2021-11-16.
- Safety & premises Serious
  Thye 2019 van used to transport children does not have a safety alarm installed.
  
  HHSC 746.5625(a) — Electronic Child Safety Alarm - is equipped in each vehicle
  
  HHSC risk weight: High. Corrected 2021-11-08. Correction verified 2021-11-16.
- Illness & medication
  1 out of 4 children's records reviewed did not have an immunization record.
  
  HHSC 746.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2021-11-08. Correction verified 2021-11-16.
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 Tiny Feet Child Care, 11360 WESTHEIMER RD, Houston, TX 77077-6842 (operation ID 1119073, operation number 1521278), 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.