Lake Highlands Presbyterian Cdc
8525 AUDELIA RD, Dallas, TX 75238 · Dallas County
Program
- Type
- Licensed center
- Licensed capacity
- 154
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-06:00 PM
- Director / administrator
- Nicole Muraoka
- Phone
- (214) 343-7103
- Regulated since
- Mar 25, 2005
- HHSC IDs
- Operation 268969 · number 847683
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 12 | 7 | Illness & medication (1), Supervision & ratios (4), Safety & premises (3), Food & allergies (2), Other (2) |
| 2025 | 14 | 8 | Cleanliness & sanitation (1), Supervision & ratios (3), Discipline & child guidance (1), Safety & premises (3), Food & allergies (3), Other (3) |
| 2024 | 14 | 5 | Cleanliness & sanitation (5), Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (4), Food & allergies (1), Staff background & training (1), Other (1) |
| 2023 | 6 | 2 | Cleanliness & sanitation (1), Supervision & ratios (2), Safety & premises (1), Other (2) |
| 2022 | 2 | 0 | Safety & premises (1), Other (1) |
Inspections, investigations & assessments
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Sep 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Report · Deficiencies cited (self-report)
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Safety & premises
A caregiver failed to share necessary information with an incoming caregiver by exiting the classroom without clearly communicating that they were leaving and without confirming that the incoming caregiver had assumed responsibility for the children.
HHSC 746.1203(10) — Responsibilities of Caregivers - Share Information with Incoming Caregivers
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-16.
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Supervision & ratios Serious
A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes.
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 2026-09-11. Correction verified 2026-09-16.
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Safety & premises
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Aug 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 6, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 30, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2026 Report · Deficiencies cited
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Other Serious
It was determined that a caregiver used prohibited physical punishment by grabbing and pulling a child by one arm.
HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling
HHSC risk weight: High. Corrected 2026-08-20. Correction verified 2026-08-27.
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Other Serious
During an investigation, it was determined that a caregiver used inappropriate verbal discipline by yelling at children.
HHSC 746.2805(5) — Prohibited Punishments - Humiliating, Rejecting, Yelling
HHSC risk weight: High. Corrected 2026-08-20. Correction verified 2026-08-27.
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Supervision & ratios Serious
The operation failed to timely report allegations of possible mistreatment of children to Child Care Regulation after management became aware of the concerns.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2026-08-20. Correction verified 2026-08-27.
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Other Serious
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Jun 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2026 Inspection · Deficiencies cited
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Supervision & ratios Serious
A caregiver in room 109 fell asleep while caring for children.
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 2026-05-26. Correction verified 2026-06-08.
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Safety & premises
I observed an infant sitting in a bouncer without being properly strapped in Infant A.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2026-05-26. Correction verified 2026-06-08.
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Supervision & ratios Serious
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May 22, 2026 Report · Deficiencies cited (self-report)
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Food & allergies Serious
This standard was tasked as part of an investigation and found to be deficient. A caregiver demonstrated poor judgement and competency after failing to follow allergy protocols and giving a child with diagnosed food allergen a food item without getting authorization from the child?s parent or reading the label to ensure it did not contain the child?s allergens.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-06-11. Correction verified 2026-06-22.
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Food & allergies
This standard was tasked as part of an investigation and found to be deficient. A child with a diagnosed food allergy was given a food item that contained three of the child?s identified allergens. Resulting in allergic reaction requiring medical treatment.
HHSC 746.3301(i) — Nutrition and Food Service - Must not serve identified foods to allergic child
HHSC risk weight: Medium High. Corrected 2026-06-11. Correction verified 2026-06-22.
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Illness & medication
This standard was tasked as part of an investigation and found to be deficient. The operation has not yet received parent signature on the incident report to indicate the report had been shared with the child's parents.
HHSC 746.707 — Incident/Illness Report Form Shared with Parent
HHSC risk weight: Medium. Corrected 2026-06-12. Correction verified 2026-06-22.
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Food & allergies Serious
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Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 4, 2026 Inspection · Deficiencies cited
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Safety & premises
During an infant class observation, an infant was found not properly strapped into a child bouncer. This was corrected during the inspection after the caregiver strapped the child in.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2026-02-04. Correction verified 2026-02-19.
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Safety & premises
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Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 7, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During a classroom transition, a child was left unattended.
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 2026-01-26. Correction verified 2026-02-04.
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Supervision & ratios Serious
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Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
A caregiver inappropriately redirected a child during nap by hitting their leg.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2025-12-15. Correction verified 2025-12-29.
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Discipline & child guidance Serious
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Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 3, 2025 Report · Deficiencies cited (self-report)
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Other Serious
This standard was tasked as part of an investigation and found deficient. Two caregivers transitioning a group of children outside did not ensure all children were accounted for before leaving the classroom. As a result, one child was left unattended in the classroom restroom.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2025-10-24. Correction verified 2025-10-29.
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Other Serious
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Sep 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2025 Report · Deficiencies cited (self-report)
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Food & allergies Serious
This standard was tasked as part of an investigation and found deficient. A caregiver fed the wrong bottle to an infant.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-10-23. Correction verified 2025-10-29.
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Food & allergies Serious
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2025 Report · Deficiencies cited (self-report)
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Other
This standard was tasked as part of an investigation and found deficient. A caregiver departing their classroom did not relay classroom information to the incoming caregiver, resulting in uncertainty about who was responsible for the group. This led to the classroom being left unattended for at least five minutes.
HHSC 746.1203(10) — Responsibilities of Caregivers - Share Information with Incoming Caregivers
HHSC risk weight: Medium High. Corrected 2025-08-11. Correction verified 2025-08-25.
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Supervision & ratios Serious
This standard was tasked as part of an investigation and found deficient. A classroom was left unattended for at least five minutes due to a miscommunication between caregivers.
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 2025-08-11. Correction verified 2025-08-25.
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Other
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Jul 15, 2025 Inspection · Deficiencies cited
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Safety & premises
Loose fill under two playground structures does not meet a depth of at least six inches.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2025-08-18. Correction verified 2025-08-25.
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Safety & premises
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Jun 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Report · Deficiencies cited (self-report)
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Food & allergies Serious
This standard was tasked as part of an investigation and found deficient. A caregiver gave one child the wrong infant bottle.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-06-10. Correction verified 2025-06-11.
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Food & allergies Serious
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May 22, 2025 Inspection · Deficiencies cited
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Safety & premises
Five of the seven food allergy emergency plans do not have parent signatures.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2025-05-29. Correction verified 2025-05-29.
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Safety & premises
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Report · Deficiencies cited (self-report)
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Safety & premises
This standard was tasked as part of an investigation and found deficient. A child was served food identified on their food allergy emergency plan.
HHSC 746.3301(i) — Nutrition and Food Service - Must not serve identified foods to allergic child
HHSC risk weight: Medium High. Corrected 2025-06-02. Correction verified 2025-06-11.
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Food & allergies
This standard was tasked as part of an investigation and found deficient. A child's food allergy was not posted in their classroom by the child's first day in care.
HHSC 746.403(b) — Posting Requirements - Child's Food Allergy Plans
HHSC risk weight: Medium High. Corrected 2025-06-02. Correction verified 2025-06-11.
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Safety & premises
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 12, 2025 Inspection · Deficiencies cited
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Other
3 classrooms were checked, and found to have cots the did not have a child's name on the cot or label with a number to match a child's name assignment map available.
HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-02-12.
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Other
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation Serious
A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children,
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 2025-02-19. Correction verified 2025-02-26.
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Cleanliness & sanitation Serious
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Jan 22, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
The operation did not have a procedure in place to account for the number of children that transitioned from one area of the operation to another.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2025-02-19. Correction verified 2025-02-26.
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Supervision & ratios Serious
Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom.
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 2025-02-19. Correction verified 2025-02-26.
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Supervision & ratios Serious
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Nov 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
This standard was tasked as part of an investigation and found deficient. Indoor furniture was arranged in a way that did not allow for caregivers to properly supervise.
HHSC 746.4601(1) — Safety Requirements for Active Play Equipment - Arranged for Supervision
HHSC risk weight: High. Corrected 2024-12-05. Correction verified 2024-12-18.
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Supervision & ratios Serious
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Oct 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Oct 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 29, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
One caregiver was observed not washing a child's hands after diaper changing.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2024-08-29. Correction verified 2024-09-06.
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Cleanliness & sanitation
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2024 Inspection · Deficiencies cited
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Staff background & training
One caregiver that has worked at the operation for at least 90 days is not current in CPR training.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2024-04-24. Correction verified 2024-04-18.
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Food & allergies Serious
A child with a food allergy indicated by the physician consumed food they were allergic to. This child experienced allergic reaction symptoms. This information was not reported to CCR.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-04-05. Correction verified 2024-04-16.
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Cleanliness & sanitation
In two classrooms, caregiver's hands were not washed after diaper changing.
HHSC 746.3505(a) — Diapering Procedures - Caregiver's Hands Washed
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-16.
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Cleanliness & sanitation
In two classrooms, infant's hands were not washed after diaper changing.
HHSC 746.3505(b) — Diapering Procedures - Wash Infant's Hands
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-16.
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Cleanliness & sanitation
Diaper changing tables are not sanitized according to the manufacturer instructions. The diaper changing surface is to be sprayed and set for one minute before wiping to be sanitized. Caregivers were not waiting the full minute to wipe down the table.
HHSC 746.3505(e) — Diapering Procedures - Sanitizing Diaper Changing Area
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-16.
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Safety & premises
One child with diagnosed food allergy had an incomplete food allergy plan. The plan did not specify each food the child is allergic to, it did not list possible symptoms if the child is exposed to the food, steps to take if a child has an allergic reaction, and it was not signed by the parent.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2024-04-09. Correction verified 2024-04-16.
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Safety & premises
The designated relocation site was not indicate on the emergency evacuation diagrams.
HHSC 746.5207(a)(3) — Emergency Evacuation and Relocation Diagram - Designated Location
HHSC risk weight: Medium High. Corrected 2024-04-12. Correction verified 2024-04-16.
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Safety & premises
The emergency evacuation diagram does not indicate the location inside thte center where children and caregivers shelter in place.
HHSC 746.5207(a)(4) — Emergency Evacuation and Relocation Diagram - Designated Location Inside
HHSC risk weight: Medium High. Corrected 2024-04-12. Correction verified 2024-04-16.
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Staff background & training
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Apr 4, 2024 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
This standard was tasked as part of an investigation and found deficient. Inappropriate guidance was used by a caregiver when redirecting a child's behavior. The caregiver picked a child up by their legs and flipped them onto their stomach during naptime.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2024-04-30. Correction verified 2024-05-03.
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Discipline & child guidance Serious
-
Mar 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2024 Report · Deficiencies cited (self-report)
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Other Serious
This standard was evaluated as part of an investigation and was in deficient. The caregivers did not know the group of children they were responsible for.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2024-03-13. Correction verified 2024-03-18.
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Cleanliness & sanitation Serious
This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-03-13. Correction verified 2024-03-18.
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Safety & premises
This standard was evaluated as part of an investigation and was in deficient. A child gained access to a hazardous material and spilled it on their clothes.
HHSC 746.3407(13) — Using, Storing and Disposing of Hazardous Materials
HHSC risk weight: Medium High. Corrected 2024-03-13. Correction verified 2024-03-18.
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Other Serious
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Feb 12, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 25, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 6, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2023 Inspection · Deficiencies cited
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Safety & premises
An infant was observed not being strapped in while sitting at a kidney feeding table. This was corrected during the inspection the infant was removed from table.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2023-06-22. Correction verified 2023-06-28.
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Other
An infant feeding instruction reviewed had not been updated within the required timeframe.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2023-06-26. Correction verified 2023-06-26.
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Supervision & ratios
The operation did not have updated documentation for CPSC recall items. This was corrected during inspection.
HHSC 746.4135(c) — Children's Products-Posting of CPSC website
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-06-22.
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Safety & premises
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Jun 21, 2023 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
This standard was evaluated as part of an investigation and was deficient. A caregiver aggressively placed a child on their nap mat. It was also determined that a caregiver applied pressure with her arm on a child chest during diaper changing.
HHSC 746.1203(5) — Responsibilities of Caregivers - Interact positively with children
HHSC risk weight: Medium High. Corrected 2023-07-19. Correction verified 2023-07-27.
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Other Serious
This standard was evaluated as part of an investigation and was deficient. Children were being yelled at and humiliated.
HHSC 746.2805(5) — Prohibited Punishments - Humiliating, Rejecting, Yelling
HHSC risk weight: High. Corrected 2023-07-19. Correction verified 2023-07-27.
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Supervision & ratios Serious
The operation failed to notify childcare regulation within the required timeframe when they were made aware of a situation that placed children at risk.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2023-07-19. Correction verified 2023-07-27.
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Cleanliness & sanitation
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Oct 27, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2022 Inspection · Deficiencies cited
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Other
Ten infant schedules were reviewed and did not have the required signature. Three of ten infant schedules reviewed did not have the required date.
HHSC 746.2421(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2022-07-20. Correction verified 2022-07-21.
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Safety & premises
One child was blocking the classrooms entrance during naptime. The child was moved to another part of the classroom.
HHSC 746.2909(1) — Arrangement of Napping Equipment - Not Blocking Entrances or Exits
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-14.
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Other
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.