Miles Of Smiles Childcare
1305 S WASHINGTON AVE, Marshall, TX 75670 · Harrison County
Program
- Type
- Licensed center
- Licensed capacity
- 79
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-05:30 PM
- Director / administrator
- Chanitra Sanders
- Phone
- (903) 702-5506
- Regulated since
- Dec 1, 2022
- HHSC IDs
- Operation 1407510 · number 1743742
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 0 | Cleanliness & sanitation (2), Illness & medication (2) |
| 2025 | 10 | 2 | Cleanliness & sanitation (2), Supervision & ratios (2), Staff background & training (2), Records & paperwork (2), Other (2) |
| 2024 | 2 | 0 | Other (2) |
| 2023 | 6 | 2 | Cleanliness & sanitation (2), Supervision & ratios (2), Other (2) |
| 2022 | 34 | 2 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (8), Safety & premises (10), Staff background & training (6), Records & paperwork (2), Other (4) |
Inspections, investigations & assessments
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Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 19, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 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
No violations cited on this visit.
-
Aug 5, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2026 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2026-06-17. Correction verified 2026-07-07.
-
Illness & medication
During inspection 6 child records were reviewed and one child needs an updated shot record.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-07.
-
Cleanliness & sanitation
-
Jun 17, 2026 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2026-06-17. Correction verified 2026-07-07.
-
Illness & medication
During inspection 6 child records were reviewed and one child needs an updated shot record.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
May 9, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 6, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
During the investigation it was determined that children have been injured when caregivers did not intervene in the activity that caused the injury. Groups of children were also observed, during inspection, to be running through the building, from one class area to another without structure of the caregiver being able to see where the children are or what they are doing. The management of children's behaviors are not under control.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2025-12-17. Correction verified 2025-12-31.
-
Cleanliness & sanitation
During the investigation it was determined a child was sent home with a wet diaper and had to be brought back in to be changed.
HHSC 746.3501(1) — Diaper Changing Steps- Prompt
HHSC risk weight: Medium High. Corrected 2025-12-17. Correction verified 2025-12-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Nov 18, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
During the investigation it was determined that children have been injured when caregivers did not intervene in the activity that caused the injury. Groups of children were also observed, during inspection, to be running through the building, from one class area to another without structure of the caregiver being able to see where the children are or what they are doing. The management of children's behaviors are not under control.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2025-12-17. Correction verified 2025-12-31.
-
Cleanliness & sanitation
During the investigation it was determined a child was sent home with a wet diaper and had to be brought back in to be changed.
HHSC 746.3501(1) — Diaper Changing Steps- Prompt
HHSC risk weight: Medium High. Corrected 2025-12-17. Correction verified 2025-12-31.
-
Supervision & ratios Serious
-
Oct 22, 2025 Inspection · Deficiencies cited
-
Staff background & training
During inspection 2 of four personnel was missing annual training documentation.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-10-30.
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Other
A classroom did not have enough light so my eyes did not have to adjust to see inside the room.
HHSC 746.2911 — Adequate Lighting During Naptime
HHSC risk weight: Medium High. Corrected 2025-10-22. Correction verified 2025-10-30.
-
Records & paperwork
During inspection 4 files were reviewed and all four were missing required information.
HHSC 746.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 22, 2025 Inspection · Deficiencies cited
-
Staff background & training
During inspection 2 of four personnel was missing annual training documentation.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-10-30.
-
Other
A classroom did not have enough light so my eyes did not have to adjust to see inside the room.
HHSC 746.2911 — Adequate Lighting During Naptime
HHSC risk weight: Medium High. Corrected 2025-10-22. Correction verified 2025-10-30.
-
Records & paperwork
During inspection 4 files were reviewed and all four were missing required information.
HHSC 746.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-11-05. Correction verified 2025-11-04.
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Staff background & training
-
Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 5, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 24, 2024 Report · Deficiencies cited
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Other
During the investigation, it was found that a caregiver pushed two fighting students apart and did not use any guidance to the behavior.
HHSC 746.2803(3) — Discipline - Teaches Acceptable Behavior and Self-control
HHSC risk weight: Medium High. Corrected 2024-11-21. Correction verified 2024-11-21.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 24, 2024 Report · Deficiencies cited
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Other
During the investigation, it was found that a caregiver pushed two fighting students apart and did not use any guidance to the behavior.
HHSC 746.2803(3) — Discipline - Teaches Acceptable Behavior and Self-control
HHSC risk weight: Medium High. Corrected 2024-11-21. Correction verified 2024-11-21.
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Other
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Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During inspection a caregiver left a group of children unsupervised for a few moments.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2023-06-13. Correction verified 2023-06-26.
-
Other
During inspection a room was being used for care that is not on the permit.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-06-13.
-
Cleanliness & sanitation
During inspection, hand sanitizer, Lysol, and disinfecting wipes were observed in reach of children.
HHSC 746.3407(13) — Using, Storing and Disposing of Hazardous Materials
HHSC risk weight: Medium High. Corrected 2023-06-13. Correction verified 2023-06-26.
-
Supervision & ratios Serious
-
Jun 13, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During inspection a caregiver left a group of children unsupervised for a few moments.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2023-06-13. Correction verified 2023-06-26.
-
Other
During inspection a room was being used for care that is not on the permit.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-06-13.
-
Cleanliness & sanitation
During inspection, hand sanitizer, Lysol, and disinfecting wipes were observed in reach of children.
HHSC 746.3407(13) — Using, Storing and Disposing of Hazardous Materials
HHSC risk weight: Medium High. Corrected 2023-06-13. Correction verified 2023-06-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2022 Assessment · Deficiencies cited
-
Safety & premises
During an inspection broken toys and riding toys were observed on the playground. These toys were removed during the inspection. A broken window was observed on the building that is accessible from the toddler playground.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-10-12. Correction verified 2022-10-21.
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Safety & premises
-
Oct 12, 2022 Assessment · Deficiencies cited
-
Safety & premises
During an inspection broken toys and riding toys were observed on the playground. These toys were removed during the inspection. A broken window was observed on the building that is accessible from the toddler playground.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-10-12. Correction verified 2022-10-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Sep 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 28, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 30, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 22, 2022 Inspection · Deficiencies cited
-
Staff background & training
Four staff files were reviewed. #2, #3, #4 need 8 hours of preservice training and CPR/1st aid training. All need Abuse/Neglect Training #1 and any other employees who work in the infant room need SIDS/Abusive Head Trauma/Brain Development Training.
HHSC 746.1301(2)(A) — Training Requirements for Employees and Caregivers - Pre-service Training
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
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Staff background & training
During inspection four records were reviewed: #2, #3, and #4 do not have current CPR/1st aid training.
HHSC 746.1301(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
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Other
During inspection it was found that all cubbies or hooks need to be labeled.
HHSC 746.4505 — Storage for Individual Belongings
HHSC risk weight: Medium. Corrected 2022-08-05. Correction verified 2022-08-15.
-
Safety & premises
Four records were reviewed during inspection: #2 Address and phone for doctor; healthcare provider statement #4 needs an updated shot record.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
-
Staff background & training
Four records were reviewed: Staff #2, #3, and #4 do not have completed personnel form such as Employment begin date Date of Birth Employee statement about center and personnel policies Checked that orientation was received and signed by employee and director
HHSC 746.901(1) — Required Personnel Records - Dates of Employment
HHSC risk weight: Medium Low. Corrected 2022-08-05. Correction verified 2022-08-22.
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Records & paperwork
Four records were reviewed and #3 and #4 are missing an affidavit of employment.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2022-08-05. Correction verified 2022-08-15.
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Safety & premises
Four records were reviewed and all four need a copy of a photo ID. The director needs a copy of current driver's license.
HHSC 746.901(9) — Required Personnel Records- Current Driver's License
HHSC risk weight: Medium. Corrected 2022-08-05. Correction verified 2022-08-15.
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Staff background & training
-
Jul 22, 2022 Inspection · Deficiencies cited
-
Staff background & training
Four staff files were reviewed. #2, #3, #4 need 8 hours of preservice training and CPR/1st aid training. All need Abuse/Neglect Training #1 and any other employees who work in the infant room need SIDS/Abusive Head Trauma/Brain Development Training.
HHSC 746.1301(2)(A) — Training Requirements for Employees and Caregivers - Pre-service Training
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
-
Staff background & training
During inspection four records were reviewed: #2, #3, and #4 do not have current CPR/1st aid training.
HHSC 746.1301(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
-
Other
During inspection it was found that all cubbies or hooks need to be labeled.
HHSC 746.4505 — Storage for Individual Belongings
HHSC risk weight: Medium. Corrected 2022-08-05. Correction verified 2022-08-15.
-
Safety & premises
Four records were reviewed during inspection: #2 Address and phone for doctor; healthcare provider statement #4 needs an updated shot record.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-26.
-
Staff background & training
Four records were reviewed: Staff #2, #3, and #4 do not have completed personnel form such as Employment begin date Date of Birth Employee statement about center and personnel policies Checked that orientation was received and signed by employee and director
HHSC 746.901(1) — Required Personnel Records - Dates of Employment
HHSC risk weight: Medium Low. Corrected 2022-08-05. Correction verified 2022-08-22.
-
Records & paperwork
Four records were reviewed and #3 and #4 are missing an affidavit of employment.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2022-08-05. Correction verified 2022-08-15.
-
Safety & premises
Four records were reviewed and all four need a copy of a photo ID. The director needs a copy of current driver's license.
HHSC 746.901(9) — Required Personnel Records- Current Driver's License
HHSC risk weight: Medium. Corrected 2022-08-05. Correction verified 2022-08-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jun 9, 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 · No deficiencies cited
No violations cited on this visit.
-
May 27, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The infant room has a wall that needs border put up to cover up torn walls at the base of the floor where paint can be pulled off and put into an infants mouth. There is also a place under the window area that needs repaired or covered. The entrance to the infant room has carpet that is frayed and needs to be covered. The large room has a wall that h as holes and peeling paint on the bottom that needs repairing or covering. The girls restroom has plaster on the wall by the left sink that needs repaired or covered.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Safety & premises
The air conditioning unit on the playground must be inaccessible to children. The grass needs to be maintained to prevent unwanted animals from hiding in tall grass and weeds. Mow, weed eat, and pull up plants that are poisonous. Trim Tree if desired to help with shade. Remove Wiring in large room.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Other
Individual storage for children is not available.
HHSC 746.4505 — Storage for Individual Belongings
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Illness & medication
The Parent Handbook does not have information about required immunizations.
HHSC 746.501(a)(11) — Written Operational Policies - Immunizations
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Supervision & ratios
The Parent Handbook does not have information about required vision and hearing testing.
HHSC 746.501(a)(12) — Written Operational Policies - Vision and Hearing Screening
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Supervision & ratios
The Handbook is missing information about Promotion of indoor and outdoor active Play The benefits of active play The duration of active play that will be provided Examples of active play provided Where active play will occur And how active play will be provided during extreme weather.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-06-02.
-
Supervision & ratios
Procedures for how parents can participate in activities at the center is not provided in the handbook.
HHSC 746.501(a)(21) — Written Operational Policies - Procedures for Parent Participation
HHSC risk weight: Medium Low. Corrected 2022-06-27. Correction verified 2022-06-02.
-
Supervision & ratios Serious
The Emergency Preparedness Plan is incomplete and lacking information.
HHSC 746.501(a)(24) — Written Operational Policies - Emergency Preparedness Plans
HHSC risk weight: High. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Safety & premises
Diagrams showing all the required components of the evacuation plan was not available.
HHSC 746.5207(a)(1) — Emergency Evacuation and Relocation Diagram - Floor Plan
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
May 27, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
The infant room has a wall that needs border put up to cover up torn walls at the base of the floor where paint can be pulled off and put into an infants mouth. There is also a place under the window area that needs repaired or covered. The entrance to the infant room has carpet that is frayed and needs to be covered. The large room has a wall that h as holes and peeling paint on the bottom that needs repairing or covering. The girls restroom has plaster on the wall by the left sink that needs repaired or covered.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Safety & premises
The air conditioning unit on the playground must be inaccessible to children. The grass needs to be maintained to prevent unwanted animals from hiding in tall grass and weeds. Mow, weed eat, and pull up plants that are poisonous. Trim Tree if desired to help with shade. Remove Wiring in large room.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Other
Individual storage for children is not available.
HHSC 746.4505 — Storage for Individual Belongings
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Illness & medication
The Parent Handbook does not have information about required immunizations.
HHSC 746.501(a)(11) — Written Operational Policies - Immunizations
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Supervision & ratios
The Parent Handbook does not have information about required vision and hearing testing.
HHSC 746.501(a)(12) — Written Operational Policies - Vision and Hearing Screening
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Supervision & ratios
The Handbook is missing information about Promotion of indoor and outdoor active Play The benefits of active play The duration of active play that will be provided Examples of active play provided Where active play will occur And how active play will be provided during extreme weather.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-06-02.
-
Supervision & ratios
Procedures for how parents can participate in activities at the center is not provided in the handbook.
HHSC 746.501(a)(21) — Written Operational Policies - Procedures for Parent Participation
HHSC risk weight: Medium Low. Corrected 2022-06-27. Correction verified 2022-06-02.
-
Supervision & ratios Serious
The Emergency Preparedness Plan is incomplete and lacking information.
HHSC 746.501(a)(24) — Written Operational Policies - Emergency Preparedness Plans
HHSC risk weight: High. Corrected 2022-06-27. Correction verified 2022-05-31.
-
Safety & premises
Diagrams showing all the required components of the evacuation plan was not available.
HHSC 746.5207(a)(1) — Emergency Evacuation and Relocation Diagram - Floor Plan
HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-06-09.
-
Cleanliness & sanitation
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.