Mama Grace Playhouse
908 S WALNUT ST, Pearsall, TX 78061 · Frio County
Program
- Type
- Licensed child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:30 AM-05:30 PM
- Director / administrator
- Grace Riojas
- Phone
- (830) 334-4904
- Regulated since
- Sep 14, 1998
- HHSC IDs
- Operation 154785 · number 535440
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 22 | 2 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (2), Food & allergies (8), Staff background & training (8) |
| 2025 | 30 | 8 | Cleanliness & sanitation (4), Supervision & ratios (6), Safety & premises (2), Staff background & training (4), Records & paperwork (4), Other (10) |
| 2024 | 36 | 2 | Cleanliness & sanitation (8), Illness & medication (8), Supervision & ratios (2), Discipline & child guidance (4), Staff background & training (2), Records & paperwork (8), Other (4) |
| 2023 | 10 | 0 | Supervision & ratios (2), Safety & premises (2), Staff background & training (4), Other (2) |
| 2022 | 14 | 2 | Supervision & ratios (2), Safety & premises (2), Food & allergies (2), Staff background & training (2), Other (6) |
| 2021 | 4 | 0 | Staff background & training (2), Records & paperwork (2) |
Inspections, investigations & assessments
-
Sep 2, 2026 Inspection · Deficiencies cited
-
Illness & medication
Two out of three child records evaluated had out of date immunizations on file.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2026-09-16.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Sep 2, 2026 Inspection · Deficiencies cited
-
Illness & medication
Two out of three child records evaluated had out of date immunizations on file.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2026-09-16.
-
Illness & medication
-
Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Inspection · Deficiencies cited
-
Staff background & training
The primary and assistant caregiver do not have current training in pediatric first-aid. The training expired on 05/11/2026.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2026-06-30. Correction verified 2026-06-29.
-
Staff background & training
The primary and assistant caregivers do not have current training in pediatric CPR. The training expired on 05/11/2026.
HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
HHSC risk weight: Medium High. Corrected 2026-06-30. Correction verified 2026-06-29.
-
Staff background & training
A toddler was observed to be asleep with a bottle in the pack and play. This was corrected when it was addressed and the bottle was removed from the pack and play.
HHSC 747.2405(4)(C) — Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
HHSC risk weight: Medium. Corrected 2026-06-16. Correction verified 2026-07-23.
-
Food & allergies
The food program child meal patterns were not followed during lunch time as the meal was lacking food components such as a vegetable, fruit, and milk. A child was served a bean and cheese taco for lunch.
HHSC 747.3101(b) — Nutrition and Food Service - Follow Meal Patterns
HHSC risk weight: Medium High. Corrected 2026-06-22. Correction verified 2026-07-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jun 16, 2026 Inspection · Deficiencies cited
-
Staff background & training
The primary and assistant caregiver do not have current training in pediatric first-aid. The training expired on 05/11/2026.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2026-06-30. Correction verified 2026-06-29.
-
Staff background & training
The primary and assistant caregivers do not have current training in pediatric CPR. The training expired on 05/11/2026.
HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
HHSC risk weight: Medium High. Corrected 2026-06-30. Correction verified 2026-06-29.
-
Staff background & training
A toddler was observed to be asleep with a bottle in the pack and play. This was corrected when it was addressed and the bottle was removed from the pack and play.
HHSC 747.2405(4)(C) — Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
HHSC risk weight: Medium. Corrected 2026-06-16. Correction verified 2026-07-23.
-
Food & allergies
The food program child meal patterns were not followed during lunch time as the meal was lacking food components such as a vegetable, fruit, and milk. A child was served a bean and cheese taco for lunch.
HHSC 747.3101(b) — Nutrition and Food Service - Follow Meal Patterns
HHSC risk weight: Medium High. Corrected 2026-06-22. Correction verified 2026-07-23.
-
Staff background & training
-
Apr 15, 2026 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation did not meet the condition regarding creating a plan 30 days prior to the probation ending addressing how the operation plan to maintain compliance.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2026-04-24. Correction verified 2026-04-24.
-
Staff background & training
Complete training records for one caregiver were unavailable for review.
HHSC 747.801(3) — Records Maintained and Made Available - Personnel and Training
HHSC risk weight: Medium. Corrected 2026-04-22. Correction verified 2026-04-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Apr 15, 2026 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation did not meet the condition regarding creating a plan 30 days prior to the probation ending addressing how the operation plan to maintain compliance.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2026-04-24. Correction verified 2026-04-24.
-
Staff background & training
Complete training records for one caregiver were unavailable for review.
HHSC 747.801(3) — Records Maintained and Made Available - Personnel and Training
HHSC risk weight: Medium. Corrected 2026-04-22. Correction verified 2026-04-24.
-
Supervision & ratios Serious
-
Mar 18, 2026 Inspection · Deficiencies cited
-
Food & allergies
The meal served did not follow the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal patterns as it was lacking food components such as a fruit and vegetable.
HHSC 747.3101(b) — Nutrition and Food Service - Follow Meal Patterns
HHSC risk weight: Medium High. Corrected 2026-03-19. Correction verified 2026-04-15.
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Food & allergies
There was not enough food served to provide for a second serving of vegetable, fruit, grain, and milk groups.
HHSC 747.3101(e) — Nutrition and Food Service - Second Serving
HHSC risk weight: Medium. Corrected 2026-03-19. Correction verified 2026-04-15.
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Food & allergies
A meal that was provided by a parent for their child was halved and shared with another child in care. The meal was not intended for two children.
HHSC 747.3109(c) — Parent Provided Meals/Snacks - Provide Safe Storage
HHSC risk weight: Medium. Corrected 2026-03-19. Correction verified 2026-04-15.
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Cleanliness & sanitation
A caregiver fed a child lunch with their hands.
HHSC 747.3117 — Food Service and Preparation - Safe and Sanitary
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Food & allergies
-
Mar 18, 2026 Inspection · Deficiencies cited
-
Food & allergies
The meal served did not follow the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal patterns as it was lacking food components such as a fruit and vegetable.
HHSC 747.3101(b) — Nutrition and Food Service - Follow Meal Patterns
HHSC risk weight: Medium High. Corrected 2026-03-19. Correction verified 2026-04-15.
-
Food & allergies
There was not enough food served to provide for a second serving of vegetable, fruit, grain, and milk groups.
HHSC 747.3101(e) — Nutrition and Food Service - Second Serving
HHSC risk weight: Medium. Corrected 2026-03-19. Correction verified 2026-04-15.
-
Food & allergies
A meal that was provided by a parent for their child was halved and shared with another child in care. The meal was not intended for two children.
HHSC 747.3109(c) — Parent Provided Meals/Snacks - Provide Safe Storage
HHSC risk weight: Medium. Corrected 2026-03-19. Correction verified 2026-04-15.
-
Cleanliness & sanitation
A caregiver fed a child lunch with their hands.
HHSC 747.3117 — Food Service and Preparation - Safe and Sanitary
HHSC risk weight: Medium High. Corrected 2026-03-18. Correction verified 2026-04-15.
-
Food & allergies
-
Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 13, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation did not have documentation to indicate which subchapter was reviewed for October and what date it was reviewed. They also did not have it noted down when they reviewed the HHS website.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-11-17. Correction verified 2025-11-17.
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Other
The children's product certification had not been certified in over 12 months. It was last certified in September 2024. This was corrected at inspection when the Children's Product Certification form was re-certified.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-11-13.
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Supervision & ratios Serious
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Nov 13, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation did not have documentation to indicate which subchapter was reviewed for October and what date it was reviewed. They also did not have it noted down when they reviewed the HHS website.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-11-17. Correction verified 2025-11-17.
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Other
The children's product certification had not been certified in over 12 months. It was last certified in September 2024. This was corrected at inspection when the Children's Product Certification form was re-certified.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-11-13.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
-
Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Re-cite: The operation has not met the conditions set by Child Care Enforcement. They failed to conduct a quarterly review of deficiencies. They also have not completed a child records evaluation form since June 2025. The operation has also not documented areas of concerns identified during daily walkthroughs and what was done to correct the concern.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-09-29. Correction verified 2025-09-29.
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Cleanliness & sanitation
A child's hands were not washed before sitting down for snack. This was corrected at inspection when it was addressed with the caregiver and hands were washed.
HHSC 747.3213(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-09-23.
-
Records & paperwork
Re-cite: One out of four child records evaluated were lacking a health statement signed by a doctor. The child has been enrolled for over 12 months.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2025-09-30. Correction verified 2025-10-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Sep 23, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
Re-cite: The operation has not met the conditions set by Child Care Enforcement. They failed to conduct a quarterly review of deficiencies. They also have not completed a child records evaluation form since June 2025. The operation has also not documented areas of concerns identified during daily walkthroughs and what was done to correct the concern.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-09-29. Correction verified 2025-09-29.
-
Cleanliness & sanitation
A child's hands were not washed before sitting down for snack. This was corrected at inspection when it was addressed with the caregiver and hands were washed.
HHSC 747.3213(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-09-23.
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Records & paperwork
Re-cite: One out of four child records evaluated were lacking a health statement signed by a doctor. The child has been enrolled for over 12 months.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2025-09-30. Correction verified 2025-10-02.
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Supervision & ratios Serious
-
Aug 26, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation has not met the condition set by Child Care Enforcement. They failed to maintain dated documentation of the subchapters being reviewed. The operation also did not review the HHSC website as required per probation.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-09-05. Correction verified 2025-09-23.
-
Records & paperwork
Two out of four child records evaluated were lacking a health statement signed by a doctor. Both children have been enrolled for over 12 months.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2025-09-09. Correction verified 2025-09-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Aug 26, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation has not met the condition set by Child Care Enforcement. They failed to maintain dated documentation of the subchapters being reviewed. The operation also did not review the HHSC website as required per probation.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-09-05. Correction verified 2025-09-23.
-
Records & paperwork
Two out of four child records evaluated were lacking a health statement signed by a doctor. Both children have been enrolled for over 12 months.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2025-09-09. Correction verified 2025-09-23.
-
Supervision & ratios Serious
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 25, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
Two children were served a snack without a sanitary holder. This was corrected at inspection when it was addressed with the caregiver.
HHSC 747.3117(5) — Food Service and Preparation - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-25.
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Cleanliness & sanitation
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Jun 25, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
Two children were served a snack without a sanitary holder. This was corrected at inspection when it was addressed with the caregiver.
HHSC 747.3117(5) — Food Service and Preparation - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 28, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
The provider did not comply with the conditions set in the corrective action plan. The provider did not create an individual training plan within the required 15 days nor did the provider include screen time in the operational policies within the 15 days.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-06.
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Staff background & training Serious
-
May 28, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
The provider did not comply with the conditions set in the corrective action plan. The provider did not create an individual training plan within the required 15 days nor did the provider include screen time in the operational policies within the 15 days.
HHSC 745.8641 — Requirements during probation
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Apr 14, 2025 Inspection · Deficiencies cited
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Other
A menu for the current week was not available for review.
HHSC 747.3113(4) — Menus Available to Licensing
HHSC risk weight: Medium. Corrected 2025-04-15. Correction verified 2025-04-15.
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Other
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Apr 14, 2025 Inspection · Deficiencies cited
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Other
A menu for the current week was not available for review.
HHSC 747.3113(4) — Menus Available to Licensing
HHSC risk weight: Medium. Corrected 2025-04-15. Correction verified 2025-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 5, 2025 Inspection · Deficiencies cited
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Safety & premises
5 children in care did not participate in outdoor activities in the afternoon for the minimum daily required time.
HHSC 747.2104(a)(1) — Written Activity Plan - Outdoor Play Opportunities
HHSC risk weight: Medium. Corrected 2025-02-06. Correction verified 2025-02-21.
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Other
Screen time was being utilized while a child under 2 years of age was present.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-21.
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Other
Screen time was observed to exceed one hour.
HHSC 747.2105(c)(3) — Screen Time Activities - Not Exceed One Hour Daily
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-21.
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Staff background & training
Four toddler cups were observed to be lacking a label identifying which child it belongs to. A cup was given to the wrong child.
HHSC 747.2405(4)(A) — Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
HHSC risk weight: Medium. Corrected 2025-02-06. Correction verified 2025-02-21.
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Other
Multiple negative statements were witnessed being utilized by a caregiver when redirecting children's behavior.
HHSC 747.2703(4)(C) — Positive Methods of Discipline and Guidance - Redirecting Behavior
HHSC risk weight: Medium High. Corrected 2025-02-06. Correction verified 2025-02-21.
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Safety & premises
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Feb 5, 2025 Inspection · Deficiencies cited
-
Safety & premises
5 children in care did not participate in outdoor activities in the afternoon for the minimum daily required time.
HHSC 747.2104(a)(1) — Written Activity Plan - Outdoor Play Opportunities
HHSC risk weight: Medium. Corrected 2025-02-06. Correction verified 2025-02-21.
-
Other
Screen time was being utilized while a child under 2 years of age was present.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-21.
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Other
Screen time was observed to exceed one hour.
HHSC 747.2105(c)(3) — Screen Time Activities - Not Exceed One Hour Daily
HHSC risk weight: Medium. Corrected 2025-02-05. Correction verified 2025-02-21.
-
Staff background & training
Four toddler cups were observed to be lacking a label identifying which child it belongs to. A cup was given to the wrong child.
HHSC 747.2405(4)(A) — Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
HHSC risk weight: Medium. Corrected 2025-02-06. Correction verified 2025-02-21.
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Other
Multiple negative statements were witnessed being utilized by a caregiver when redirecting children's behavior.
HHSC 747.2703(4)(C) — Positive Methods of Discipline and Guidance - Redirecting Behavior
HHSC risk weight: Medium High. Corrected 2025-02-06. Correction verified 2025-02-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Dec 17, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A caregiver did not use soap and water to wash hands after changing a diaper. This was corrected at inspection when it was addressed with the caregiver.
HHSC 747.3215 — Handwashing Procedures
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-12-17.
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Cleanliness & sanitation
A diaper was changed on the sofa and there was not a diaper changing mat utilized. This was corrected at inspection when it was addressed and a non-absorbant mat that can be utilized for diaper changing was made available by the owner.
HHSC 747.3303(b) — Diaper Changing Equipment - No Play or Eating Surfaces Used
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-12-17.
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Cleanliness & sanitation
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Dec 17, 2024 Inspection · Deficiencies cited
-
Cleanliness & sanitation
A caregiver did not use soap and water to wash hands after changing a diaper. This was corrected at inspection when it was addressed with the caregiver.
HHSC 747.3215 — Handwashing Procedures
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-12-17.
-
Cleanliness & sanitation
A diaper was changed on the sofa and there was not a diaper changing mat utilized. This was corrected at inspection when it was addressed and a non-absorbant mat that can be utilized for diaper changing was made available by the owner.
HHSC 747.3303(b) — Diaper Changing Equipment - No Play or Eating Surfaces Used
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-12-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Dec 4, 2024 Assessment · Deficiencies cited
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Discipline & child guidance
Re-cited: This citation is being recited because operation failed to update and create complete operational policies. The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2024-12-17.
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Discipline & child guidance
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Dec 4, 2024 Assessment · Deficiencies cited
-
Discipline & child guidance
Re-cited: This citation is being recited because operation failed to update and create complete operational policies. The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-12-13. Correction verified 2024-12-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2024 Inspection · Deficiencies cited
-
Discipline & child guidance
The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-11-05. Correction verified 2024-12-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance
-
Oct 15, 2024 Inspection · Deficiencies cited
-
Discipline & child guidance
The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-11-05. Correction verified 2024-12-04.
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Discipline & child guidance
-
Sep 24, 2024 Inspection · Deficiencies cited
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Illness & medication
The operational polices were lacking several required items including: a statement regarding medication administration, safe sleep policy for infants, promotion of indoor/outdoor physical activity, parent rights, and emergency preparedness.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-15.
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Other
Screen time activities were utilized when a child under 2 years old was present. This was corrected at inspection when it was addressed and the screen time activity ended.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-09-24.
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Records & paperwork
The most recent licensing inspection form was not posted.
HHSC 747.401(a)(2) — Posting Requirements-Inspection Report
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
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Other
The Keeping Children Safe poster was not posted.
HHSC 747.401(a)(3) — Posting Requirements-Keeping Children Safe Poster
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
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Records & paperwork
2 out of 4 children's records reviewed were lacking a health statement.
HHSC 747.611(b) — Health Statement on File
HHSC risk weight: Medium. Corrected 2024-10-08. Correction verified 2024-09-27.
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Supervision & ratios
There were no documents to verify that the parents have been notified in writing that the operation does not carry liability insurance.
HHSC 747.801(14) — Records Maintained and Made Available - Proof of Liability Insurance
HHSC risk weight: Medium. Corrected 2024-10-08. Correction verified 2024-10-15.
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Records & paperwork
Documentation for safety drills was not available.
HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
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Illness & medication
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Sep 24, 2024 Inspection · Deficiencies cited
-
Illness & medication
The operational polices were lacking several required items including: a statement regarding medication administration, safe sleep policy for infants, promotion of indoor/outdoor physical activity, parent rights, and emergency preparedness.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2024-10-08. Correction verified 2024-10-15.
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Other
Screen time activities were utilized when a child under 2 years old was present. This was corrected at inspection when it was addressed and the screen time activity ended.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-09-24.
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Records & paperwork
The most recent licensing inspection form was not posted.
HHSC 747.401(a)(2) — Posting Requirements-Inspection Report
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
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Other
The Keeping Children Safe poster was not posted.
HHSC 747.401(a)(3) — Posting Requirements-Keeping Children Safe Poster
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
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Records & paperwork
2 out of 4 children's records reviewed were lacking a health statement.
HHSC 747.611(b) — Health Statement on File
HHSC risk weight: Medium. Corrected 2024-10-08. Correction verified 2024-09-27.
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Supervision & ratios
There were no documents to verify that the parents have been notified in writing that the operation does not carry liability insurance.
HHSC 747.801(14) — Records Maintained and Made Available - Proof of Liability Insurance
HHSC risk weight: Medium. Corrected 2024-10-08. Correction verified 2024-10-15.
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Records & paperwork
Documentation for safety drills was not available.
HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
HHSC risk weight: Medium. Corrected 2024-10-01. Correction verified 2024-10-15.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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May 8, 2024 Inspection · Deficiencies cited
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Illness & medication
Re-Cited: 1 out of 4 children's records reviewed were missing immunization records.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-05-15. Correction verified 2024-05-13.
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Illness & medication
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May 8, 2024 Inspection · Deficiencies cited
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Illness & medication
Re-Cited: 1 out of 4 children's records reviewed were missing immunization records.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-05-15. Correction verified 2024-05-13.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
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Apr 22, 2024 Inspection · Deficiencies cited
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Staff background & training
The primary caregiver and substitute caregiver are both lacking up to date pediatric first aid and CPR. Both caregivers trainings expired in 2023.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2024-05-22. Correction verified 2024-05-16.
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Cleanliness & sanitation
2 children were served their afternoon snack on a bare table.
HHSC 747.3117(5) — Food Service and Preparation - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected 2024-04-22. Correction verified 2024-05-08.
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Cleanliness & sanitation
The dining room and kitchen area had large amounts of mail, paperwork, and various items that children could access. There were multiple toys along the fenceline outside with spiderwebs. There was also a container of lighter fluid and a large jug of disinfectant solution accessible to children in the backyard play area. There were also a couple of cracked/broken play items outside.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-04-25. Correction verified 2024-05-08.
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Illness & medication Serious
There was a ziploc bag with multiple prescription medications located in the dining area and it was accessible to children in care.
HHSC 747.3607(1) — Storage of Medication - Inaccessible to Children
HHSC risk weight: High. Corrected 2024-04-22. Correction verified 2024-05-08.
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Illness & medication
1 out of 4 children's records reviewed were missing immunization records.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-04-29. Correction verified 2024-05-08.
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Records & paperwork
1 out of 4 children's records reviewed was missing an admission date.
HHSC 747.605(3) — Required Admission Information - Date of Admission
HHSC risk weight: Medium Low. Corrected 2024-04-23. Correction verified 2024-04-23.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Apr 22, 2024 Inspection · Deficiencies cited
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Staff background & training
The primary caregiver and substitute caregiver are both lacking up to date pediatric first aid and CPR. Both caregivers trainings expired in 2023.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2024-05-22. Correction verified 2024-05-16.
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Cleanliness & sanitation
2 children were served their afternoon snack on a bare table.
HHSC 747.3117(5) — Food Service and Preparation - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected 2024-04-22. Correction verified 2024-05-08.
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Cleanliness & sanitation
The dining room and kitchen area had large amounts of mail, paperwork, and various items that children could access. There were multiple toys along the fenceline outside with spiderwebs. There was also a container of lighter fluid and a large jug of disinfectant solution accessible to children in the backyard play area. There were also a couple of cracked/broken play items outside.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-04-25. Correction verified 2024-05-08.
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Illness & medication Serious
There was a ziploc bag with multiple prescription medications located in the dining area and it was accessible to children in care.
HHSC 747.3607(1) — Storage of Medication - Inaccessible to Children
HHSC risk weight: High. Corrected 2024-04-22. Correction verified 2024-05-08.
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Illness & medication
1 out of 4 children's records reviewed were missing immunization records.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-04-29. Correction verified 2024-05-08.
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Records & paperwork
1 out of 4 children's records reviewed was missing an admission date.
HHSC 747.605(3) — Required Admission Information - Date of Admission
HHSC risk weight: Medium Low. Corrected 2024-04-23. Correction verified 2024-04-23.
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Staff background & training
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Sep 25, 2023 Inspection · Deficiencies cited
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Staff background & training
Caregiver lacked 24 annual training hours.
HHSC 747.1303(4)(A) — Training Requirements for Caregivers Licensed -24 hours Annual Training
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
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Staff background & training
Provider lacked 30 hours of annual training.
HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
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Supervision & ratios
The operational policies were not complete.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2023-10-13. Correction verified 2023-09-27.
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Other
The children's product form was not re-certified.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-09-26.
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Safety & premises
Two of seven children's records reviewed lacked address for emergency contact.
HHSC 747.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
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Staff background & training
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Sep 25, 2023 Inspection · Deficiencies cited
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Staff background & training
Caregiver lacked 24 annual training hours.
HHSC 747.1303(4)(A) — Training Requirements for Caregivers Licensed -24 hours Annual Training
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
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Staff background & training
Provider lacked 30 hours of annual training.
HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
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Supervision & ratios
The operational policies were not complete.
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2023-10-13. Correction verified 2023-09-27.
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Other
The children's product form was not re-certified.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2023-10-13. Correction verified 2023-09-26.
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Safety & premises
Two of seven children's records reviewed lacked address for emergency contact.
HHSC 747.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2023-11-10. Correction verified 2023-11-21.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 14, 2022 Inspection · Deficiencies cited
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Other
Scrren time was being used with a child 8 months old and a 13 month old.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Other
Screen time was observed to be utilized for more than one hour in addition, one 4 year old child was allowed to have screen time on a cell phone for more than one hour.
HHSC 747.2105(c)(3) — Screen Time Activities - Not Exceed One Hour Daily
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Food & allergies
One eight month old child not on table food did not have any written feeding instructions. A copy of an example of a feeding form was provided.
HHSC 747.2321(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-29.
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Safety & premises
One 12 month old baby was left awake in an empty crib for more than 45 minutes.
HHSC 747.2325 — Crib Activities
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Other Serious
Four toddlers were observed sitting in high chairs for more than 40 minutes to ensure they do not run around the infant child on the floor.
HHSC 747.2705(10) — Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
HHSC risk weight: High. Corrected 2022-11-14. Correction verified 2022-11-29.
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Supervision & ratios
One out of four children's files lacked a signed copy of acknowledgment of the operational policy.
HHSC 747.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-11-21. Correction verified 2022-11-29.
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Staff background & training
One out of two staff files lacked a signed statement of receiving copy of the operational policy.
HHSC 747.901(9) — Required Personnel Records- Licensed Homes - signed dated statement that caregiver attended child maltreatment training
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-11-14.
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Other
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Nov 14, 2022 Inspection · Deficiencies cited
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Other
Scrren time was being used with a child 8 months old and a 13 month old.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Other
Screen time was observed to be utilized for more than one hour in addition, one 4 year old child was allowed to have screen time on a cell phone for more than one hour.
HHSC 747.2105(c)(3) — Screen Time Activities - Not Exceed One Hour Daily
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Food & allergies
One eight month old child not on table food did not have any written feeding instructions. A copy of an example of a feeding form was provided.
HHSC 747.2321(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-29.
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Safety & premises
One 12 month old baby was left awake in an empty crib for more than 45 minutes.
HHSC 747.2325 — Crib Activities
HHSC risk weight: Medium. Corrected 2022-11-14. Correction verified 2022-11-29.
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Other Serious
Four toddlers were observed sitting in high chairs for more than 40 minutes to ensure they do not run around the infant child on the floor.
HHSC 747.2705(10) — Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
HHSC risk weight: High. Corrected 2022-11-14. Correction verified 2022-11-29.
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Supervision & ratios
One out of four children's files lacked a signed copy of acknowledgment of the operational policy.
HHSC 747.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-11-21. Correction verified 2022-11-29.
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Staff background & training
One out of two staff files lacked a signed statement of receiving copy of the operational policy.
HHSC 747.901(9) — Required Personnel Records- Licensed Homes - signed dated statement that caregiver attended child maltreatment training
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-11-14.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Dec 20, 2021 Inspection · Deficiencies cited
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Staff background & training
Two out of two staff records lacked SIDS training.
HHSC 747.1309(c) — Primary Caregiver Annual Training - Special topics for children under 24 months
HHSC risk weight: Medium High. Corrected 2022-01-03. Correction verified 2021-12-22.
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Records & paperwork
Three out of four children's records lavcked a health statemnet signed by a physican.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2022-01-11. Correction verified 2021-12-28.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Dec 20, 2021 Inspection · Deficiencies cited
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Staff background & training
Two out of two staff records lacked SIDS training.
HHSC 747.1309(c) — Primary Caregiver Annual Training - Special topics for children under 24 months
HHSC risk weight: Medium High. Corrected 2022-01-03. Correction verified 2021-12-22.
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Records & paperwork
Three out of four children's records lavcked a health statemnet signed by a physican.
HHSC 747.611(a) — Required Health Statement
HHSC risk weight: Low. Corrected 2022-01-11. Correction verified 2021-12-28.
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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.