Kids R Kids #47
4401 SIENNA CIR, Missouri City, TX 77459 · Fort Bend County
Program
- Type
- Licensed center
- Licensed capacity
- 323
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:30 PM
- Director / administrator
- Lisa Mcdowell
- Phone
- (281) 778-3600
- Regulated since
- Oct 14, 2008
- HHSC IDs
- Operation 328189 · number 881036
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 0 | Staff background & training (4) |
| 2025 | 4 | 2 | Supervision & ratios (2), Safety & premises (2) |
| 2023 | 6 | 0 | Illness & medication (2), Supervision & ratios (4) |
| 2022 | 10 | 4 | Illness & medication (2), Supervision & ratios (2), Safety & premises (2), Staff background & training (4) |
Inspections, investigations & assessments
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 14, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jan 7, 2026 Inspection · Deficiencies cited
-
Staff background & training
2 out of 10 staff records evaluated did not have the education translated to English.
HHSC 746.1045 — Education Outside of U.S.
HHSC risk weight: Low. Corrected 2026-01-19. Correction verified 2026-01-08.
-
Staff background & training
10 out of 10 staff records evaluated did not have the preemployment affidavit made available for review.
HHSC 746.901(5) — Required Personnel Records - Required Affidavit (Form 2912)
HHSC risk weight: Medium Low. Corrected 2026-01-19. Correction verified 2026-01-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 7, 2026 Inspection · Deficiencies cited
-
Staff background & training
2 out of 10 staff records evaluated did not have the education translated to English.
HHSC 746.1045 — Education Outside of U.S.
HHSC risk weight: Low. Corrected 2026-01-19. Correction verified 2026-01-08.
-
Staff background & training
10 out of 10 staff records evaluated did not have the preemployment affidavit made available for review.
HHSC 746.901(5) — Required Personnel Records - Required Affidavit (Form 2912)
HHSC risk weight: Medium Low. Corrected 2026-01-19. Correction verified 2026-01-21.
-
Staff background & training
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 29, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 26, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jan 24, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The operation did not conduct a fire drill on a monthly basis
HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-01-24.
-
Safety & premises Serious
A caregiver transported children in care without using the child safety alarm.
HHSC 746.5625(c) — Electronic Child Safety Alarm - used at all times when transporting a child in care
HHSC risk weight: High. Corrected 2025-01-24. Correction verified 2025-01-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 24, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The operation did not conduct a fire drill on a monthly basis
HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-01-24.
-
Safety & premises Serious
A caregiver transported children in care without using the child safety alarm.
HHSC 746.5625(c) — Electronic Child Safety Alarm - used at all times when transporting a child in care
HHSC risk weight: High. Corrected 2025-01-24. Correction verified 2025-01-24.
-
Supervision & ratios
-
Jan 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 30, 2023 Report · Deficiencies cited
-
Supervision & ratios
Based on the DFPS investigation, the operation failed to notify Licensing within 48 hours after a child sustained a broken femur.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2023-12-15. Correction verified 2023-12-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 30, 2023 Report · Deficiencies cited
-
Supervision & ratios
Based on the DFPS investigation, the operation failed to notify Licensing within 48 hours after a child sustained a broken femur.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2023-12-15. Correction verified 2023-12-18.
-
Supervision & ratios
-
Mar 6, 2023 Report · Deficiencies cited
-
Supervision & ratios
Based on the DFPS investigation, the operation failed to report the injury to Child Care Licensing within 48 hours after the incident occurred.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2023-03-20. Correction verified 2023-04-12.
-
Illness & medication
The operation did not keep original copies of the incident report before sharing with the parent.
HHSC 746.701(1) — Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
HHSC risk weight: Medium. Corrected 2023-03-20. Correction verified 2023-04-12.
-
Supervision & ratios
-
Mar 6, 2023 Report · Deficiencies cited
-
Supervision & ratios
Based on the DFPS investigation, the operation failed to report the injury to Child Care Licensing within 48 hours after the incident occurred.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2023-03-20. Correction verified 2023-04-12.
-
Illness & medication
The operation did not keep original copies of the incident report before sharing with the parent.
HHSC 746.701(1) — Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
HHSC risk weight: Medium. Corrected 2023-03-20. Correction verified 2023-04-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 28, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
Two caregivers were allowed direct access to the children in care without a cleared background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-01.
-
Staff background & training
The director had a total of 8 out of 30 required training hours.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2022-03-31. Correction verified 2022-04-25.
-
Supervision & ratios
The infant classroom was over ratio by 4 infants.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-23.
-
Safety & premises Serious
One out of three buses used for transportation did not have a working child safety alarm.
HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
HHSC risk weight: High. Corrected 2022-03-14. Correction verified 2022-03-23.
-
Illness & medication
One out of ten children files evaluated were missing an updated imunization record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2022-03-18. Correction verified 2022-03-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Feb 28, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
Two caregivers were allowed direct access to the children in care without a cleared background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-01.
-
Staff background & training
The director had a total of 8 out of 30 required training hours.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2022-03-31. Correction verified 2022-04-25.
-
Supervision & ratios
The infant classroom was over ratio by 4 infants.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-23.
-
Safety & premises Serious
One out of three buses used for transportation did not have a working child safety alarm.
HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
HHSC risk weight: High. Corrected 2022-03-14. Correction verified 2022-03-23.
-
Illness & medication
One out of ten children files evaluated were missing an updated imunization record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2022-03-18. Correction verified 2022-03-23.
-
Staff background & training Serious
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.