The Nurturing Nest Child Development Center
1535 W STAN SCHLUETER LOOP, Killeen, TX 76549 · Bell County
Program
- Type
- Licensed center
- Licensed capacity
- 134
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 05:00 AM-07:00 PM
- Director / administrator
- Madelyn Sunstein
- Phone
- (254) 432-4999
- Regulated since
- Aug 25, 2022
- HHSC IDs
- Operation 1401339 · number 1738705
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 0 | Cleanliness & sanitation (4) |
| 2024 | 12 | 2 | Cleanliness & sanitation (4), Supervision & ratios (2), Safety & premises (2), Other (4) |
| 2023 | 10 | 2 | Cleanliness & sanitation (2), Safety & premises (2), Staff background & training (2), Other (4) |
| 2022 | 6 | 0 | Safety & premises (2), Other (4) |
Inspections, investigations & assessments
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 5, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2026 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The caregiver did not wash the child's hands after changing the child's diaper. This was corrected at the inspection when the caregiver was observed doing diaper changes and washing the children hands.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-18.
-
Cleanliness & sanitation
The diaper changing mat in the toddler room was observed with rips and tares. This was corrected at the inspection when the director replaced the mat with a new one.
HHSC 746.3503(a) — Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-18.
-
Cleanliness & sanitation
-
Feb 18, 2026 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The caregiver did not wash the child's hands after changing the child's diaper. This was corrected at the inspection when the caregiver was observed doing diaper changes and washing the children hands.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-18.
-
Cleanliness & sanitation
The diaper changing mat in the toddler room was observed with rips and tares. This was corrected at the inspection when the director replaced the mat with a new one.
HHSC 746.3503(a) — Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Feb 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 4, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2024 Inspection · Deficiencies cited
-
Safety & premises
4 cribs were observed with mattresses that did not fit firmly against the crib. This was corrected during the inspection when the caregiver changed the sheets on the mattresses to allow for a firm fit.
HHSC 746.2409(a)(1) — Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
HHSC risk weight: Medium High. Corrected 2024-10-16. Correction verified 2024-10-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Oct 16, 2024 Inspection · Deficiencies cited
-
Safety & premises
4 cribs were observed with mattresses that did not fit firmly against the crib. This was corrected during the inspection when the caregiver changed the sheets on the mattresses to allow for a firm fit.
HHSC 746.2409(a)(1) — Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
HHSC risk weight: Medium High. Corrected 2024-10-16. Correction verified 2024-10-30.
-
Safety & premises
-
Oct 14, 2024 Report · Deficiencies cited
-
Other Serious
During the inspection one child were observed climbing on two different book shelves, while two others were observed climbing into shelves with doors and openings.
HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety
HHSC risk weight: High. Corrected 2024-10-16. Correction verified 2024-10-30.
-
Supervision & ratios
The operation did not notify the parent of the child of an incident that occurred at the operation.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2024-11-15. Correction verified 2024-11-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Oct 14, 2024 Report · Deficiencies cited
-
Other Serious
During the inspection one child were observed climbing on two different book shelves, while two others were observed climbing into shelves with doors and openings.
HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety
HHSC risk weight: High. Corrected 2024-10-16. Correction verified 2024-10-30.
-
Supervision & ratios
The operation did not notify the parent of the child of an incident that occurred at the operation.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2024-11-15. Correction verified 2024-11-15.
-
Other Serious
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2024 Inspection · Deficiencies cited
-
Other
A caregiver was observed with screen time activities during a rest period. This was corrected when the caregiver turned the screen off.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-08.
-
Cleanliness & sanitation
One caregiver were observed not washing hands after diapering a child, and anther after placing hands inside a garbage can. This was corrected when the caregiver washed their hands and that of the child.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-07-16.
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Other
-
Jul 8, 2024 Inspection · Deficiencies cited
-
Other
A caregiver was observed with screen time activities during a rest period. This was corrected when the caregiver turned the screen off.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-07-08.
-
Cleanliness & sanitation
One caregiver were observed not washing hands after diapering a child, and anther after placing hands inside a garbage can. This was corrected when the caregiver washed their hands and that of the child.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-07-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 14, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 2, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
There were diaper creams stored in an unlocked cabinet underneath the diaper changing station where children could reach them. This was corrected during the inspection when the creams were moved to a cabinet out of the reach of children.
HHSC 746.3501(6) — Diaper Changing Steps-Supplies Kept Out of Child's Reach
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-04-02.
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Cleanliness & sanitation
-
Apr 2, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
There were diaper creams stored in an unlocked cabinet underneath the diaper changing station where children could reach them. This was corrected during the inspection when the creams were moved to a cabinet out of the reach of children.
HHSC 746.3501(6) — Diaper Changing Steps-Supplies Kept Out of Child's Reach
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-04-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
During the walk through, the operation was not following the conditions of the CBCU with regards to background checks.
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 2023-07-10. Correction verified 2023-07-31.
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Other
Children were observed watching television and cell phone screens during a designated nap or rest period.
HHSC 746.2207(c)(1) — Screen Time Activities - Related to Planned Activities
HHSC risk weight: Medium. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Safety & premises
During the walk-through cribs were observed with loose fitted sheets and mattresses that were smaller than the manufacturer's design. The sheets and mattresses were adjusted to fit the cribs.
HHSC 746.2409(a)(1) — Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Cleanliness & sanitation
During the walk through, toilets in the classrooms had not been flushed. The porcelain backing of the toilet was laid across a shelf and accessible to the children posing a potential risk. This was corrected at inspection when the toilets were flushed and the porcelain back was place on the toilet.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Other
Children were observed sleeping on the floor and on torn sponge mats with blankets.
HHSC 746.4503(c) — Napping Floor Mats Marked with Sleeping Side Distinguished
HHSC risk weight: Medium. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Staff background & training Serious
-
Jul 10, 2023 Inspection · Deficiencies cited
-
Staff background & training Serious
During the walk through, the operation was not following the conditions of the CBCU with regards to background checks.
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 2023-07-10. Correction verified 2023-07-31.
-
Other
Children were observed watching television and cell phone screens during a designated nap or rest period.
HHSC 746.2207(c)(1) — Screen Time Activities - Related to Planned Activities
HHSC risk weight: Medium. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Safety & premises
During the walk-through cribs were observed with loose fitted sheets and mattresses that were smaller than the manufacturer's design. The sheets and mattresses were adjusted to fit the cribs.
HHSC 746.2409(a)(1) — Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Cleanliness & sanitation
During the walk through, toilets in the classrooms had not been flushed. The porcelain backing of the toilet was laid across a shelf and accessible to the children posing a potential risk. This was corrected at inspection when the toilets were flushed and the porcelain back was place on the toilet.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2023-07-10. Correction verified 2023-07-31.
-
Other
Children were observed sleeping on the floor and on torn sponge mats with blankets.
HHSC 746.4503(c) — Napping Floor Mats Marked with Sleeping Side Distinguished
HHSC risk weight: Medium. Corrected 2023-07-10. Correction verified 2023-07-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2022 Inspection · Deficiencies cited
-
Other
During the insepction children were observed watching televsion while other chidlren were allowed to nap.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected 2022-08-19. Correction verified 2022-08-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Aug 12, 2022 Inspection · Deficiencies cited
-
Other
During the insepction children were observed watching televsion while other chidlren were allowed to nap.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected 2022-08-19. Correction verified 2022-08-18.
-
Other
-
Aug 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2022 Inspection · Deficiencies cited
-
Safety & premises
Children in the toddler classroom were observed napping in one corner of the room where all of their mats or cots were touching and combined resulting in no walk space between the children. This was corrected at inspection when children were separated to allow for adequate spacing.
HHSC 746.2909(3) — Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-09.
-
Other
There was an outlet that was uncovered and accessible to children in an infant classroom and a toddler classroom. This was corrected at inspection when both outlets were covered using a safety cover.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-09.
-
Safety & premises
-
Jun 9, 2022 Inspection · Deficiencies cited
-
Safety & premises
Children in the toddler classroom were observed napping in one corner of the room where all of their mats or cots were touching and combined resulting in no walk space between the children. This was corrected at inspection when children were separated to allow for adequate spacing.
HHSC 746.2909(3) — Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-09.
-
Other
There was an outlet that was uncovered and accessible to children in an infant classroom and a toddler classroom. This was corrected at inspection when both outlets were covered using a safety cover.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
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.