Bettys Learning Center
21647 F M 2767, Winona, TX 75792 · Smith County
Program
- Type
- Licensed child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-05:30 PM
- Director / administrator
- Betty Harden
- Phone
- (903) 566-6045
- Regulated since
- Oct 6, 2003
- HHSC IDs
- Operation 224942 · number 827348
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2024 | 2 | 2 | Supervision & ratios (2) |
| 2023 | 6 | 0 | Illness & medication (2), Supervision & ratios (2), Staff background & training (2) |
| 2022 | 14 | 0 | Illness & medication (2), Supervision & ratios (8), Staff background & training (2), Records & paperwork (2) |
| 2021 | 2 | 0 | Staff background & training (2) |
Inspections, investigations & assessments
-
Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
At the inspection, the operational policy did not include information related to an unassigned epinephrine auto-injector.
HHSC 747.501(15) — Written Operational Policies - Unassigned Epinephrine Auto-Injectors
HHSC risk weight: High. Corrected 2024-08-26. Correction verified 2024-08-26.
-
Supervision & ratios Serious
-
Aug 19, 2024 Inspection · Deficiencies cited
-
Supervision & ratios Serious
At the inspection, the operational policy did not include information related to an unassigned epinephrine auto-injector.
HHSC 747.501(15) — Written Operational Policies - Unassigned Epinephrine Auto-Injectors
HHSC risk weight: High. Corrected 2024-08-26. Correction verified 2024-08-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 19, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
At the inspection, the operational policy reviewed did not include information for the procedure of handling medical emergencies.
HHSC 747.501(4) — Written Operational Policies - Emergencies
HHSC risk weight: Medium. Corrected 2023-10-03. Correction verified 2023-09-28.
-
Illness & medication
At the inspection, two out of five children's records reviewed did not have updated immunizations records in the file.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-09-28.
-
Staff background & training
At the inspection, the primary caregiver did not have record of completing the required annual training hours for the training year. The primary caregiver needs 19 hours of annual training.
HHSC 747.901(5) — Personnel Records- Training Hours
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-09-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 19, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
At the inspection, the operational policy reviewed did not include information for the procedure of handling medical emergencies.
HHSC 747.501(4) — Written Operational Policies - Emergencies
HHSC risk weight: Medium. Corrected 2023-10-03. Correction verified 2023-09-28.
-
Illness & medication
At the inspection, two out of five children's records reviewed did not have updated immunizations records in the file.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-09-28.
-
Staff background & training
At the inspection, the primary caregiver did not have record of completing the required annual training hours for the training year. The primary caregiver needs 19 hours of annual training.
HHSC 747.901(5) — Personnel Records- Training Hours
HHSC risk weight: Medium. Corrected 2023-10-17. Correction verified 2023-09-28.
-
Supervision & ratios
-
Sep 30, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
At the inspection, the operation has several kittens present outside and has not given written notification to parents.
HHSC 747.3701(1) — Animals - Notify Parents in Writing
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-03.
-
Supervision & ratios
At the inspection, the operational policy did not include information related to the procedure of the release of children.
HHSC 747.501(1) — Written Operational Policies - Release of Children
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Supervision & ratios
At the inspection, the operational policy did not have information regarding safe sleep for infants.
HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Supervision & ratios
At the inspection, the operational policy did not include all the information needed for the promotion of indoor and outdoor physical activity.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-03.
-
Records & paperwork
At the inspection, 1 out 6 children's records reviewed did not have a healthcare provider statement.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-05.
-
Illness & medication
At the inspection, 4 out of 6 childrens records reviewed did not have an updated immunization record in the file.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Staff background & training
The permit holder did not have verification of having attended the child maltreatment training that is required.
HHSC 747.901(9) — Required Personnel Records- Licensed Homes - signed dated statement that caregiver attended child maltreatment training
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 30, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
At the inspection, the operation has several kittens present outside and has not given written notification to parents.
HHSC 747.3701(1) — Animals - Notify Parents in Writing
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-03.
-
Supervision & ratios
At the inspection, the operational policy did not include information related to the procedure of the release of children.
HHSC 747.501(1) — Written Operational Policies - Release of Children
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Supervision & ratios
At the inspection, the operational policy did not have information regarding safe sleep for infants.
HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Supervision & ratios
At the inspection, the operational policy did not include all the information needed for the promotion of indoor and outdoor physical activity.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-03.
-
Records & paperwork
At the inspection, 1 out 6 children's records reviewed did not have a healthcare provider statement.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-05.
-
Illness & medication
At the inspection, 4 out of 6 childrens records reviewed did not have an updated immunization record in the file.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-07.
-
Staff background & training
The permit holder did not have verification of having attended the child maltreatment training that is required.
HHSC 747.901(9) — Required Personnel Records- Licensed Homes - signed dated statement that caregiver attended child maltreatment training
HHSC risk weight: Medium. Corrected 2022-10-14. Correction verified 2022-10-21.
-
Supervision & ratios
-
Oct 25, 2021 Inspection · Deficiencies cited
-
Staff background & training
During a review of the required training, the following was missing; understanding safe sleep, understanding early childhood brain development, administering medication, understanding building and physical premises, handling and disposing of hazardous materials.
HHSC 747.1305(d) — Caregivers Required Annual Training-Required Topics without hour restriction
HHSC risk weight: Medium. Corrected 2021-11-29. Correction verified 2021-12-02.
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Staff background & training
-
Oct 25, 2021 Inspection · Deficiencies cited
-
Staff background & training
During a review of the required training, the following was missing; understanding safe sleep, understanding early childhood brain development, administering medication, understanding building and physical premises, handling and disposing of hazardous materials.
HHSC 747.1305(d) — Caregivers Required Annual Training-Required Topics without hour restriction
HHSC risk weight: Medium. Corrected 2021-11-29. Correction verified 2021-12-02.
HHSC inspection history · no longer published by HHSC; kept here
-
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.