Care 4 Tots Learning Center, LLC
1196A S AMY LN, Harker Heights, TX 76548 · Bell County
Program
- Type
- Licensed center
- Licensed capacity
- 155
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 05:30 AM-06:00 PM
- Director / administrator
- Flavia Nazario
- Phone
- (254) 699-8697
- Regulated since
- Jun 14, 2006
- HHSC IDs
- Operation 286744 · number 856028
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 1 | Staff background & training (1) |
| 2024 | 1 | 0 | Cleanliness & sanitation (1) |
| 2023 | 4 | 0 | Supervision & ratios (1), Staff background & training (2), Other (1) |
| 2022 | 4 | 1 | Cleanliness & sanitation (1), Safety & premises (3) |
| 2021 | 1 | 0 | Staff background & training (1) |
Inspections, investigations & assessments
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Aug 20, 2026 Inspection · Deficiencies cited
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Staff background & training Serious
Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks. This was corrected when an eligible caregiver came into the classroom with them.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2026-08-24. Correction verified 2026-09-15.
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Staff background & training Serious
-
Aug 18, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 25, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it.
HHSC 746.3415(7) — Employee Handwashing After Handling or Cleaning Bodily Fluids
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-06-25.
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Cleanliness & sanitation
-
Sep 1, 2023 Inspection · Deficiencies cited
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Staff background & training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-01.
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Staff background & training
-
Aug 29, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 30, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2023 Inspection · Deficiencies cited
-
Staff background & training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2023-08-02. Correction verified 2023-08-07.
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Staff background & training
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Feb 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2023 Inspection · Deficiencies cited
-
Other
During the inspection it was observed that children under the age of two were having screen time.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2023-01-23. Correction verified 2023-02-06.
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Other
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Jan 13, 2023 Report · Deficiencies cited
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Supervision & ratios
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2023-01-23. Correction verified 2023-02-06.
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Supervision & ratios
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Sep 20, 2022 Inspection · Deficiencies cited
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Safety & premises
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors.
HHSC 746.4001 — First Aid Kit - Available in Each Building, on Field Trips, during Transportation
HHSC risk weight: Medium High. Corrected 2022-09-23. Correction verified 2022-09-22.
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Safety & premises
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2022-09-27. Correction verified 2022-09-27.
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Safety & premises Serious
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly.
HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
HHSC risk weight: High. Corrected 2022-09-27. Correction verified 2022-10-03.
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Safety & premises
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Mar 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-02-25.
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Cleanliness & sanitation
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Oct 14, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2021 Report · Deficiencies cited
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Staff background & training
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2021-10-25. Correction verified 2021-10-25.
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Staff background & training
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Oct 6, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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.