Nana's Little House

100 PHIL ST, Del Rio, TX 78840 · Val Verde County

20cited violations

2serious

10inspections & investigations

0enforcement actions

Program

Type: Licensed child-care home
Licensed capacity: 12
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 07:30 AM-04:00 PM
Director / administrator: Adriana Alfaro
Phone: (830) 734-0353
Regulated since: Aug 31, 2011
HHSC IDs: Operation 835169 · number 1289006
Official record: HHSC Child Care Search

Violations by category

Illness & medication 2
Supervision & ratios 8
Safety & premises 6
Staff background & training 2
Records & paperwork 2

Year by year

Year	Violations	Serious	Main categories
2026	4	0	Illness & medication (2), Records & paperwork (2)
2025	4	0	Supervision & ratios (2), Staff background & training (2)
2024	4	0	Supervision & ratios (4)
2023	2	0	Safety & premises (2)
2022	6	2	Supervision & ratios (2), Safety & premises (4)

Inspections, investigations & assessments

May 28, 2026 Inspection · Deficiencies cited
- Records & paperwork
  Three of the four children records were missing a selection on health statement.
  
  HHSC 747.611(b) — Health Statement on File
  
  HHSC risk weight: Medium. Corrected 2026-05-29. Correction verified 2026-05-29.
- Illness & medication
  One child out of four did not have immunizations on file.
  
  HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
  
  HHSC risk weight: Medium. Corrected 2026-06-02. Correction verified 2026-06-01.
HHSC inspection history · no longer published by HHSC; kept here
May 28, 2026 Inspection · Deficiencies cited
- Records & paperwork
  Three of the four children records were missing a selection on health statement.
  
  HHSC 747.611(b) — Health Statement on File
  
  HHSC risk weight: Medium. Corrected 2026-05-29. Correction verified 2026-05-29.
- Illness & medication
  One child out of four did not have immunizations on file.
  
  HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
  
  HHSC risk weight: Medium. Corrected 2026-06-02. Correction verified 2026-06-01.
HHSC inspection history
May 29, 2025 Inspection · Deficiencies cited
- Staff background & training
  The director stated she completed First Aid/CPR all on line without a manikin.
  
  HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
  
  HHSC risk weight: Medium High. Corrected 2025-06-12. Correction verified 2025-06-06.
- Supervision & ratios
  The operation had not done a fire drill in FEB and MAR of 2025. This was corrected at inspection when the operation conducted a fire drill.
  
  HHSC 747.5005(1) — Fire Drill Monthly - Exit in 3 Minutes
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-29.
HHSC inspection history
May 29, 2025 Inspection · Deficiencies cited
- Staff background & training
  The director stated she completed First Aid/CPR all on line without a manikin.
  
  HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
  
  HHSC risk weight: Medium High. Corrected 2025-06-12. Correction verified 2025-06-06.
- Supervision & ratios
  The operation had not done a fire drill in FEB and MAR of 2025. This was corrected at inspection when the operation conducted a fire drill.
  
  HHSC 747.5005(1) — Fire Drill Monthly - Exit in 3 Minutes
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-29.
HHSC inspection history · no longer published by HHSC; kept here
Jul 17, 2024 Inspection · Deficiencies cited
- Supervision & ratios
  The operation did not have a policy for infant safe sleep in operational policy.
  
  HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
  
  HHSC risk weight: Medium High. Corrected 2024-07-24. Correction verified 2024-07-24.
- Supervision & ratios
  The operation did not have a policy on promotional of indoor and outdoor physical activity.
  
  HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
  
  HHSC risk weight: Medium. Corrected 2024-07-24. Correction verified 2024-07-24.
HHSC inspection history
Jul 17, 2024 Inspection · Deficiencies cited
- Supervision & ratios
  The operation did not have a policy for infant safe sleep in operational policy.
  
  HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
  
  HHSC risk weight: Medium High. Corrected 2024-07-24. Correction verified 2024-07-24.
- Supervision & ratios
  The operation did not have a policy on promotional of indoor and outdoor physical activity.
  
  HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
  
  HHSC risk weight: Medium. Corrected 2024-07-24. Correction verified 2024-07-24.
HHSC inspection history · no longer published by HHSC; kept here
Aug 17, 2023 Inspection · Deficiencies cited
- Safety & premises
  The playground space being used for the daycare does not have two exits.
  
  HHSC 747.4109 — Fenced Outdoor Activity Space -Exits Required
  
  HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-08-25.
HHSC inspection history · no longer published by HHSC; kept here
Aug 17, 2023 Inspection · Deficiencies cited
- Safety & premises
  The playground space being used for the daycare does not have two exits.
  
  HHSC 747.4109 — Fenced Outdoor Activity Space -Exits Required
  
  HHSC risk weight: Medium. Corrected 2023-09-14. Correction verified 2023-08-25.
HHSC inspection history
Sep 9, 2022 Inspection · Deficiencies cited
- Supervision & ratios
  The operational policies did not have the promotion of indoor and outdoor activity play requirements.
  
  HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
  
  HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-12.
- Safety & premises Serious
  Two out of five children's records reviewed were lacking the parent signature for the emergency medical transportation section.
  
  HHSC 747.605(12) — Required Admission Information - Emergency Medical Authorization
  
  HHSC risk weight: High. Corrected 2022-09-13. Correction verified 2022-09-12.
- Safety & premises
  Three out of five children's files were lacking the address for the emergency contact and two files were lacking an emergency contact.
  
  HHSC 747.605(6) — Required Admission Information - Emergency Contact
  
  HHSC risk weight: Medium High. Corrected 2022-09-16. Correction verified 2022-09-12.
HHSC inspection history · no longer published by HHSC; kept here
Sep 9, 2022 Inspection · Deficiencies cited
- Supervision & ratios
  The operational policies did not have the promotion of indoor and outdoor activity play requirements.
  
  HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
  
  HHSC risk weight: Medium. Corrected 2022-09-16. Correction verified 2022-09-12.
- Safety & premises Serious
  Two out of five children's records reviewed were lacking the parent signature for the emergency medical transportation section.
  
  HHSC 747.605(12) — Required Admission Information - Emergency Medical Authorization
  
  HHSC risk weight: High. Corrected 2022-09-13. Correction verified 2022-09-12.
- Safety & premises
  Three out of five children's files were lacking the address for the emergency contact and two files were lacking an emergency contact.
  
  HHSC 747.605(6) — Required Admission Information - Emergency Contact
  
  HHSC risk weight: Medium High. Corrected 2022-09-16. Correction verified 2022-09-12.
HHSC inspection history

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

Letter text

Dear Open Records Coordinator,

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following Child Care Regulation records for Nana's Little House, 100 PHIL ST, Del Rio, TX 78840-3768 (operation ID 835169, operation number 1289006), for January 1, 2019 to the present:

1. Every inspection, assessment and investigation report, including the deficiencies cited and the operation's corrective actions.
2. Every complaint and self-report intake and its finding.
3. Every corrective or adverse action (evaluation, probation, suspension, revocation, denial, administrative penalty) with related correspondence.
4. Every plan of action or correction the operation submitted, and HHSC's response.

I understand that information made confidential by law (for example the identities of children, families and reporters) may be redacted; please release the remainder. Please provide the records electronically by email. If the cost will exceed $40, please send me an itemized estimate first.

Thank you,

[Your name]
[Email] · [Phone]

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.