Tiny Tots Childcare
299 LAKE FORK DR STE 2, Emory, TX 75440 · Rains County
Program
- Type
- Licensed center
- Licensed capacity
- 37
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:45 AM-05:30 PM
- Director / administrator
- Yashica Conley
- Phone
- (903) 473-0280
- Regulated since
- Mar 29, 2011
- HHSC IDs
- Operation 622368 · number 1115546
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 7 | 2 | Cleanliness & sanitation (1), Supervision & ratios (2), Safety & premises (2), Staff background & training (1), Records & paperwork (1) |
| 2024 | 10 | 3 | Supervision & ratios (6), Safety & premises (1), Staff background & training (2), Other (1) |
| 2023 | 12 | 2 | Supervision & ratios (3), Discipline & child guidance (2), Staff background & training (3), Records & paperwork (2), Other (2) |
| 2022 | 7 | 0 | Illness & medication (1), Supervision & ratios (1), Staff background & training (5) |
| 2021 | 9 | 3 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (3), Safety & premises (2), Staff background & training (2) |
Inspections, investigations & assessments
-
Aug 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2025 Inspection · Deficiencies cited
-
Safety & premises
At the inspection, the grass on the playground was knee high and needs to be mowed.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-07-29. Correction verified 2025-08-08.
-
Supervision & ratios Serious
At the inspection, the operational policy did not include information related to having an unassigned epipen available for emergency situations.
HHSC 746.501(a)(29) — Written Operational Policies - Unassigned Epinephrine Auto-Injectors
HHSC risk weight: High. Corrected 2025-07-29. Correction verified 2025-07-23.
-
Supervision & ratios Serious
At the inspection, the operation did not have a working carbon monoxide detection system.
HHSC 746.5531 — Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
HHSC risk weight: High. Corrected 2025-07-29. Correction verified 2025-08-08.
-
Records & paperwork
At the inspection, 3 out of 3 children's records reviewed did not include a health care provider statement.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2025-08-12. Correction verified 2025-08-06.
-
Safety & premises
At the inspection, 2 out of 3 children's records reviewed did not have the address for the emergency contact in the file.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2025-07-29. Correction verified 2025-07-29.
-
Staff background & training
At the inspection, two out of four training records reviewed did not complete their hours within the training year. Two caregivers need 9 hours of annual training.
HHSC 746.901(6) — Required Personnel Records -Training Hours
HHSC risk weight: Medium. Corrected 2025-08-22. Correction verified 2025-08-08.
-
Safety & premises
-
Jun 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2025 Report · Deficiencies cited
-
Cleanliness & sanitation
This standard was evaluated as part of the investigation and found to be deficient. The children in the infant classroom were moved into another room in January after a frozen pipe busted in the classroom. The classroom was not tested for mold until 2 months later and the result was positive.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-04-10.
-
Cleanliness & sanitation
-
Nov 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 26, 2024 Report · Deficiencies cited
-
Supervision & ratios
This standard was evaluated as part of the investigation and found to be deficient. The operation did not notify Child Care Regulation about an arrest of one of the caregivers employed at the center.
HHSC 746.305(a)(5) — Report of Criminal Complaint Against Employees
HHSC risk weight: Medium High. Corrected 2024-10-21. Correction verified 2024-11-14.
-
Supervision & ratios
-
Aug 9, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
At the inspection, two caregivers violated the conditions set by CBCU by being left alone with a group of children in care at the operation.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2024-08-12. Correction verified 2024-08-19.
-
Staff background & training
At the inspection, 2 out of 2 personnel training records reviewed did not meet the required 24 hours of annual training. One caregiver needs 14 hours of training and the other caregiver needs 11 hours of annual training for the 2023 training year.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2024-09-17. Correction verified 2024-09-19.
-
Staff background & training
At the inspection, the director has recorded 9 hours of annual training and needs 21 hours of training to complete the 2023 training year.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2024-09-17. Correction verified 2024-09-19.
-
Other
At the inspection, two infants age 7 months and 15 months were present on the playground with the older children through age 7 years old.
HHSC 746.2403(3) — Infant Care Area - Separate from Older Children
HHSC risk weight: Medium High. Corrected 2024-08-09. Correction verified 2024-08-19.
-
Supervision & ratios Serious
At the inspection, the operational policy did not include information regarding having an unassigned epinephrine auto injector at the operation.
HHSC 746.501(a)(29) — Written Operational Policies - Unassigned Epinephrine Auto-Injectors
HHSC risk weight: High. Corrected 2024-08-23. Correction verified 2024-08-15.
-
Supervision & ratios
At the inspection, the operational policy did not include information supporting inclusive services for children with special needs.
HHSC 746.501(a)(30) — Written Operational Policies - Support inclusive services
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-08-19.
-
Supervision & ratios Serious
-
Aug 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2024 Report · Deficiencies cited
-
Supervision & ratios
This standard was evaluated as part of the investigation and found to be deficient. The children present were combined in a classroom together ages 7 months to 5 years old.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-05-07.
-
Supervision & ratios
This standard was evaluated as part of the investigation and found to be deficient. A caregiver allowed children age 3 & 4 years old to play in the front parking area of the operation and not be fenced or in an enclosed outdoor activity space.
HHSC 746.4305 — Fenced Outdoor Activity Space
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-05-07.
-
Safety & premises Serious
At the investigation inspection, it was determined the fire inspection expired as of 2/24/23.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2024-05-29. Correction verified 2024-06-10.
-
Supervision & ratios
-
Nov 2, 2023 Inspection · Deficiencies cited
-
Staff background & training
11/2/23- At the follow-up inspection, one caregiver needs 5 hours of training to complete the training year. At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2023-11-16. Correction verified 2023-11-29.
-
Staff background & training
-
Sep 26, 2023 Inspection · Deficiencies cited
-
Staff background & training
At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2023-10-24. Correction verified 2023-11-02.
-
Staff background & training
At the inspection, the director did not meet the 30 hours of required annual training for the training year and needs 12 hours of training.
HHSC 746.1301(a)(6)(A) — Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
HHSC risk weight: Medium High. Corrected 2023-10-24. Correction verified 2023-11-02.
-
Discipline & child guidance
At the inspection, the operational policy did not include information related to accessing the HHSC website.
HHSC 746.501(a)(23) — Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-11-02.
-
Discipline & child guidance
At the inspection, the operational policy did not include information related to preventing and respnding to abuse and neglect of children.
HHSC 746.501(a)(26) — Written Operational Policies - Preventing and Responding to Abuse and Neglect
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-11-02.
-
Supervision & ratios Serious
At the inspection, the operational policy did not include information related to maintaining and administering unassigned ephinephrine injectors for use during an emergency.
HHSC 746.501(a)(29) — Written Operational Policies - Unassigned Epinephrine Auto-Injectors
HHSC risk weight: High. Corrected 2023-10-17. Correction verified 2023-11-02.
-
Supervision & ratios
At the inspection, the operational poilcy did not include information related to services for children with special needs.
HHSC 746.501(a)(30) — Written Operational Policies - Support inclusive services
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-11-02.
-
Supervision & ratios
At the inspection, 2 out of 4 children's records reviewed did not include information of receiving the operational policy.
HHSC 746.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-10-16.
-
Other
At the inspection, the practice drills documentation was incomplete for half of the 2023 year.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-11-02.
-
Records & paperwork
At the inspection, 3 out of the 4 children's records reviewed did not include a health care provider statement.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-10-16.
-
Staff background & training
-
Feb 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 19, 2023 Report · Deficiencies cited
-
Other Serious
This standard was evaluated as part of the investigation and found to be deficient. It was determined the caregiver was taking infant children to the playground one at a time, leaving the room with one infant and leaving the other infants unsupervised in the classroom.
HHSC 746.2401(7) — Basic Requirements for Infants - Never Unsupervised
HHSC risk weight: High. Corrected 2023-02-16. Correction verified 2023-02-23.
-
Records & paperwork
This standard was evaluated as part of an investigation and found to be deficient. The infant caregiver is not sharing a daily report with parents of infant children every day of the week.
HHSC 746.2431 — Infant Daily Report - Share with Parent
HHSC risk weight: Medium High. Corrected 2023-02-16. Correction verified 2023-02-23.
-
Other Serious
-
Oct 12, 2022 Inspection · Deficiencies cited
-
Staff background & training
At the inspection, the director needs 22 hours of training for the prior training year.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-11-02. Correction verified 2022-11-21.
-
Staff background & training
At the inspection, one caregiver that started in May 2022 did not have proof of having completed pre-service training.
HHSC 746.1305(a)(1) — Pre-service Training- Developmental Stages
HHSC risk weight: Medium. Corrected 2022-10-26. Correction verified 2022-11-07.
-
Staff background & training
At the inspection, one caregiver needs to complete 24 hours of annual training.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2022-11-09. Correction verified 2022-11-07.
-
Staff background & training
At the inspection, the director and the two caregivers did not have current first aid training.
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 2022-10-26. Correction verified 2022-10-19.
-
Staff background & training
At the inspection, the director and the caregivers present did not have current CPR training.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-10-26. Correction verified 2022-10-19.
-
Supervision & ratios
At the inspection, the operational policy did not include the information related to the promotion of indoor/outdoor physical activity.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-10-26. Correction verified 2022-11-07.
-
Staff background & training
-
Aug 8, 2022 Report · Deficiencies cited (self-report)
-
Illness & medication
This standard was evaluated as part of an investigation and found deficient. The operation failed to self-report a positive case of Covid within the required 48 hours. The operation was informed by a teacher that was positive on 8/4/22 and did not report until 8/10/22.
HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness
HHSC risk weight: Medium High. Corrected 2022-08-16. Correction verified 2022-08-16.
-
Illness & medication
-
Dec 9, 2021 Inspection · Deficiencies cited
-
Staff background & training
At the inspection, the director did not have annual training hours for the year 2020-2021.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-17. Correction verified 2022-01-20.
-
Staff background & training
-
Nov 17, 2021 Inspection · Deficiencies cited
-
Staff background & training
At the inspection, the director did not have annual training hours for the year 2020-2021.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-17. Correction verified 2021-12-09.
-
Supervision & ratios Serious
At the inspection, a bottle was present in the crib of a 10 month old sleeping infant. The operation corrected at inspection.
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 2021-11-17. Correction verified 2021-12-09.
-
Cleanliness & sanitation
At the inspection, the caregiver was not expressing positive language or encouraging good behavior with children playing in centers and at clean up time.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2021-11-17. Correction verified 2021-12-09.
-
Supervision & ratios
At the inspection, the operational policy did not include the indoor/outdoor physical activity information.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2021-12-08. Correction verified 2021-12-06.
-
Supervision & ratios Serious
The fire inspection for the operation has expired and is dated 7/27/2020.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2021-12-17. Correction verified 2021-12-08.
-
Illness & medication
1 out of 4 children's records reviewed at the inspection did not include a current immunization.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2021-12-01. Correction verified 2021-11-19.
-
Safety & premises Serious
3 out of 4 childrens records reviewed at the inspection did not include the emergency care authorization information.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2021-12-01. Correction verified 2021-11-18.
-
Safety & premises
3 out of 4 childrens records reviewed did not have the information required for emergency contacts.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2021-12-01. Correction verified 2021-11-18.
-
Staff background & training
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, 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.