A Childs Garden Daycare And Learning Center LLC
12935 E US HIGHWAY 82, Whitesboro, TX 76273 · Cooke County
Program
- Type
- Licensed center
- Licensed capacity
- 62
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 PM
- Director / administrator
- Tamera Alford
- Phone
- (903) 267-3330
- Regulated since
- Jan 25, 2021
- HHSC IDs
- Operation 1354703 · number 1707320
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 8 | 0 | Supervision & ratios (4), Staff background & training (2), Other (2) |
| 2025 | 6 | 4 | Supervision & ratios (2), Discipline & child guidance (2), Other (2) |
| 2024 | 2 | 0 | Supervision & ratios (2) |
| 2023 | 4 | 2 | Supervision & ratios (2), Other (2) |
| 2022 | 76 | 6 | Cleanliness & sanitation (10), Illness & medication (4), Supervision & ratios (26), Safety & premises (4), Staff background & training (16), Records & paperwork (4), Other (12) |
| 2021 | 20 | 8 | Illness & medication (4), Supervision & ratios (10), Staff background & training (2), Other (4) |
Inspections, investigations & assessments
-
Sep 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 26, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
An ant nest over a foot in length was found against the wall in the operation's front play area.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2026-09-09. Correction verified 2026-09-21.
-
Supervision & ratios
-
Aug 26, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
An ant nest over a foot in length was found against the wall in the operation's front play area.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2026-09-09. Correction verified 2026-09-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 18, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 24, 2026 Inspection · Deficiencies cited
-
Staff background & training
During the inspection, it was found that one of the dirvers for the operation had not completed their annual transportation training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-03-27.
-
Staff background & training
-
Mar 24, 2026 Inspection · Deficiencies cited
-
Staff background & training
During the inspection, it was found that one of the dirvers for the operation had not completed their annual transportation training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-03-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Feb 26, 2026 Inspection · Deficiencies cited
-
Other
During the inspection outlets accessible to children in both the two-year old class and three-year old class were not covered by child safety covers. The Director did immediately locate new outlet covers to cover the outlets when the issue was brought to her attention.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 26, 2026 Inspection · Deficiencies cited
-
Other
During the inspection outlets accessible to children in both the two-year old class and three-year old class were not covered by child safety covers. The Director did immediately locate new outlet covers to cover the outlets when the issue was brought to her attention.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-26.
-
Other
-
Feb 20, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation's back building suffered major damage during a January 2026 winter storm that rendered the building unsafe for human occupation. The operation did not report this until late February of 2026. The operation has now permanently closed the building.
HHSC 746.305(a)(1) — Report Unsafe Facility Occurrence
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-03-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 20, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios
The operation's back building suffered major damage during a January 2026 winter storm that rendered the building unsafe for human occupation. The operation did not report this until late February of 2026. The operation has now permanently closed the building.
HHSC 746.305(a)(1) — Report Unsafe Facility Occurrence
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-03-23.
-
Supervision & ratios
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Based on information obtained during a DFPS investigation it was determined that the director of the operation had knowledge of concerning behavior by a staff person and continued with that person's employment, even going so far as to rehire them after terminating them previously.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-10-20. Correction verified 2025-10-28.
-
Discipline & child guidance Serious
Based on information obtained during a DFPS investigation it was determined that children in care were abused by daycare staff. It was determined that multiple children in care had photos obtained and utilized to create explicit content.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2025-10-20. Correction verified 2025-10-28.
-
Other
Based on information obtained during a DFPS investigation it was determined that the owner blatantly disregarded the safety of the children by allowing children to be exposed to an unsafe person.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2025-10-20. Correction verified 2025-10-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Aug 8, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
Based on information obtained during a DFPS investigation it was determined that the director of the operation had knowledge of concerning behavior by a staff person and continued with that person's employment, even going so far as to rehire them after terminating them previously.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-10-20. Correction verified 2025-10-28.
-
Discipline & child guidance Serious
Based on information obtained during a DFPS investigation it was determined that children in care were abused by daycare staff. It was determined that multiple children in care had photos obtained and utilized to create explicit content.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2025-10-20. Correction verified 2025-10-28.
-
Other
Based on information obtained during a DFPS investigation it was determined that the owner blatantly disregarded the safety of the children by allowing children to be exposed to an unsafe person.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2025-10-20. Correction verified 2025-10-28.
-
Supervision & ratios Serious
-
May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 31, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 2, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
This standard was evaluated as part of an investigation an found deficient. A child received medical attention by a health care professional when dirt was accidentally thrown into the child's eyes. The operation did not report the incident within the required time-frame.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2024-04-01. Correction verified 2024-04-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 2, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios
This standard was evaluated as part of an investigation an found deficient. A child received medical attention by a health care professional when dirt was accidentally thrown into the child's eyes. The operation did not report the incident within the required time-frame.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2024-04-01. Correction verified 2024-04-03.
-
Supervision & ratios
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2023 Inspection · Deficiencies cited
-
Other Serious
The child safety alarm was not working properly at the time of inspection.
HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
HHSC risk weight: High. Corrected 2023-03-10. Correction verified 2023-03-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Mar 3, 2023 Inspection · Deficiencies cited
-
Other Serious
The child safety alarm was not working properly at the time of inspection.
HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
HHSC risk weight: High. Corrected 2023-03-10. Correction verified 2023-03-06.
-
Other Serious
-
Jan 23, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not reported the total number of employees that left the operation for the previous year.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2023-01-26. Correction verified 2023-02-08.
-
Supervision & ratios
-
Jan 23, 2023 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not reported the total number of employees that left the operation for the previous year.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2023-01-26. Correction verified 2023-02-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 15, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
An employee did not wash their hands after changing a young child's diaper.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-29.
-
Cleanliness & sanitation
A caregiver used a baby wipe to clean an eight-month-olds hands after a diaper change.
HHSC 746.3421(b) — Infant Handwashing - Raised to Sink
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Nov 15, 2022 Inspection · Deficiencies cited
-
Cleanliness & sanitation
An employee did not wash their hands after changing a young child's diaper.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-29.
-
Cleanliness & sanitation
A caregiver used a baby wipe to clean an eight-month-olds hands after a diaper change.
HHSC 746.3421(b) — Infant Handwashing - Raised to Sink
HHSC risk weight: Medium High. Corrected 2022-11-15. Correction verified 2022-11-29.
-
Cleanliness & sanitation
-
Sep 26, 2022 Assessment · Deficiencies cited
-
Staff background & training
The operation has not provided CPR and first aid training for two caregivers.
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 2022-10-07. Correction verified 2022-10-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Sep 26, 2022 Assessment · Deficiencies cited
-
Staff background & training
The operation has not provided CPR and first aid training for two caregivers.
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 2022-10-07. Correction verified 2022-10-10.
-
Staff background & training
-
Aug 24, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two caregivers present and observed caring for infants during inspection did not have current first aid and CPR.
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 2022-09-09. Correction verified 2022-09-26.
-
Staff background & training
A caregiver who transports children did not have the required 2 hour annual trainings.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-09-06.
-
Safety & premises Serious
A vehicle used to transport children did not contain a fire extinguisher.
HHSC 746.5617(a)(5) — Required Equipment in Vehicles - Fire Extinguisher
HHSC risk weight: High. Corrected 2022-08-24. Correction verified 2022-09-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 24, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two caregivers present and observed caring for infants during inspection did not have current first aid and CPR.
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 2022-09-09. Correction verified 2022-09-26.
-
Staff background & training
A caregiver who transports children did not have the required 2 hour annual trainings.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-09-06.
-
Safety & premises Serious
A vehicle used to transport children did not contain a fire extinguisher.
HHSC 746.5617(a)(5) — Required Equipment in Vehicles - Fire Extinguisher
HHSC risk weight: High. Corrected 2022-08-24. Correction verified 2022-09-08.
-
Staff background & training
-
Jul 13, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two caregiver records did not have documentation of completed orientation.
HHSC 746.1301(1)(A) — Training Requirements for Employees, Caregivers, and Directors - Orientation
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-11.
-
Staff background & training
The primary infant caregiver that has been employed for over 90 days does not have the required 24 hours of pre-service.
HHSC 746.1301(2)(A) — Training Requirements for Employees and Caregivers - Pre-service Training
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-11.
-
Staff background & training
Two caregivers present and observed caring for infants during inspection did not have current first aid and CPR.
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 2022-08-03. Correction verified 2022-08-24.
-
Supervision & ratios
The operation was recited for not properly following the requirements of the corrective action.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-07-13. Correction verified 2022-08-11.
-
Supervision & ratios
Based on observations made during inspection and information gathered, a four year old child was observed separated from the group for more than four minutes.
HHSC 746.2803(4)(D) — Positive Methods of Discipline and Guidance - Brief Supervised Separation
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-08-24.
-
Illness & medication
One child's record was missing the following immunizations: 2 DTAP, 1 HepB, 1 Polio, 2 PCV, and 1 Hib.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-07-27. Correction verified 2022-08-12.
-
Staff background & training
-
Jul 13, 2022 Inspection · Deficiencies cited
-
Staff background & training
Two caregiver records did not have documentation of completed orientation.
HHSC 746.1301(1)(A) — Training Requirements for Employees, Caregivers, and Directors - Orientation
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-11.
-
Staff background & training
The primary infant caregiver that has been employed for over 90 days does not have the required 24 hours of pre-service.
HHSC 746.1301(2)(A) — Training Requirements for Employees and Caregivers - Pre-service Training
HHSC risk weight: Medium High. Corrected 2022-07-27. Correction verified 2022-08-11.
-
Staff background & training
Two caregivers present and observed caring for infants during inspection did not have current first aid and CPR.
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 2022-08-03. Correction verified 2022-08-24.
-
Supervision & ratios
The operation was recited for not properly following the requirements of the corrective action.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-07-13. Correction verified 2022-08-11.
-
Supervision & ratios
Based on observations made during inspection and information gathered, a four year old child was observed separated from the group for more than four minutes.
HHSC 746.2803(4)(D) — Positive Methods of Discipline and Guidance - Brief Supervised Separation
HHSC risk weight: Medium. Corrected 2022-07-13. Correction verified 2022-08-24.
-
Illness & medication
One child's record was missing the following immunizations: 2 DTAP, 1 HepB, 1 Polio, 2 PCV, and 1 Hib.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-07-27. Correction verified 2022-08-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jul 1, 2022 Inspection · Deficiencies cited
-
Other
The permit holder/director has failed to maintain consistent compliance with the minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Supervision & ratios
During inspection, an infant classroom was observed using wading pools during water activities. There were seven infants observed, with the youngest being ten months old, and three caregivers present.
HHSC 746.2101(a) — Child/Caregiver Ratio - Splashing/Wading Activities
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Other
A classroom with a specified age group of 12-17 months, is being used as a passageway to the outside area.
HHSC 746.2403(6) — Infant Care Area - Not Used as a Passageway
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Cleanliness & sanitation
Caregiver in the Infant A class served a child sitting at the table a snack on the bare table.
HHSC 746.3317(6) — Food Service and Preparation Requirement - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 1, 2022 Inspection · Deficiencies cited
-
Other
The permit holder/director has failed to maintain consistent compliance with the minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Supervision & ratios
During inspection, an infant classroom was observed using wading pools during water activities. There were seven infants observed, with the youngest being ten months old, and three caregivers present.
HHSC 746.2101(a) — Child/Caregiver Ratio - Splashing/Wading Activities
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Other
A classroom with a specified age group of 12-17 months, is being used as a passageway to the outside area.
HHSC 746.2403(6) — Infant Care Area - Not Used as a Passageway
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Cleanliness & sanitation
Caregiver in the Infant A class served a child sitting at the table a snack on the bare table.
HHSC 746.3317(6) — Food Service and Preparation Requirement - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected 2022-07-01. Correction verified 2022-07-13.
-
Other
-
Jun 9, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During corrective action evaluation, the operation has not met transition log requirements or observation requirements as set by CCR Inspector and Supervisor.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-06-15. Correction verified 2022-08-11.
-
Other
The permit holder/director has failed to maintain consistent compliance with the minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-06-15. Correction verified 2022-07-01.
-
Records & paperwork
Based on external documentation reviewed and information gathered during inspection, the director has not been maintaining attendance.
HHSC 746.801(5) — Required Records Maintained and Made Available - Employees' Attendance
HHSC risk weight: Medium. Corrected 2022-06-09. Correction verified 2022-07-01.
-
Supervision & ratios Serious
-
Jun 9, 2022 Inspection · Deficiencies cited
-
Supervision & ratios Serious
During corrective action evaluation, the operation has not met transition log requirements or observation requirements as set by CCR Inspector and Supervisor.
HHSC 745.8641 — Requirements during evaluation or probation
HHSC risk weight: High. Corrected 2022-06-15. Correction verified 2022-08-11.
-
Other
The permit holder/director has failed to maintain consistent compliance with the minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-06-15. Correction verified 2022-07-01.
-
Records & paperwork
Based on external documentation reviewed and information gathered during inspection, the director has not been maintaining attendance.
HHSC 746.801(5) — Required Records Maintained and Made Available - Employees' Attendance
HHSC risk weight: Medium. Corrected 2022-06-09. Correction verified 2022-07-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jun 7, 2022 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered during the investigation, the director/permit holder has been separating children from the group for more than one minute per age.
HHSC 746.2803(4)(D) — Positive Methods of Discipline and Guidance - Brief Supervised Separation
HHSC risk weight: Medium. Corrected 2022-06-30. Correction verified 2022-07-01.
-
Supervision & ratios
Based on information gathered during the investigation, the operation's staff and director have been taking children through an unlicensed space, into the director's office for separation when "acting out." The space presents a number of hazards to the children. There is broken tile through the entrance to the space and building materials.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-30. Correction verified 2022-07-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jun 7, 2022 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered during the investigation, the director/permit holder has been separating children from the group for more than one minute per age.
HHSC 746.2803(4)(D) — Positive Methods of Discipline and Guidance - Brief Supervised Separation
HHSC risk weight: Medium. Corrected 2022-06-30. Correction verified 2022-07-01.
-
Supervision & ratios
Based on information gathered during the investigation, the operation's staff and director have been taking children through an unlicensed space, into the director's office for separation when "acting out." The space presents a number of hazards to the children. There is broken tile through the entrance to the space and building materials.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-30. Correction verified 2022-07-01.
-
Supervision & ratios
-
May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2022 Inspection · Deficiencies cited
-
Staff background & training
One caregiver supervising children in the infant room does not have documentation of pre-service trainings completed
HHSC 746.1305(b) — Pre-service Training for Caregivers of Children Under 24 Months
HHSC risk weight: Medium High. Corrected 2022-04-20. Correction verified 2022-04-20.
-
Safety & premises
Infant A and Toddler classroom's were both observed to have infants in seats without using the safety straps.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2022-04-19. Correction verified 2022-05-04.
-
Other Serious
An child in the Infant B classrooms was observed in one restrictive device for more than 20 minutes.
HHSC 746.2417(2)(B) — Activities for Infants - Not in Restrictive Device for more than 15 Minutes
HHSC risk weight: High. Corrected 2022-04-19. Correction verified 2022-05-04.
-
Illness & medication
Two children at the operation do not have updated immunization records on file.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-04-26. Correction verified 2022-05-04.
-
Supervision & ratios
One child at the operation does not have hearing and vision results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-05-03. Correction verified 2022-05-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Apr 19, 2022 Inspection · Deficiencies cited
-
Staff background & training
One caregiver supervising children in the infant room does not have documentation of pre-service trainings completed
HHSC 746.1305(b) — Pre-service Training for Caregivers of Children Under 24 Months
HHSC risk weight: Medium High. Corrected 2022-04-20. Correction verified 2022-04-20.
-
Safety & premises
Infant A and Toddler classroom's were both observed to have infants in seats without using the safety straps.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2022-04-19. Correction verified 2022-05-04.
-
Other Serious
An child in the Infant B classrooms was observed in one restrictive device for more than 20 minutes.
HHSC 746.2417(2)(B) — Activities for Infants - Not in Restrictive Device for more than 15 Minutes
HHSC risk weight: High. Corrected 2022-04-19. Correction verified 2022-05-04.
-
Illness & medication
Two children at the operation do not have updated immunization records on file.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-04-26. Correction verified 2022-05-04.
-
Supervision & ratios
One child at the operation does not have hearing and vision results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-05-03. Correction verified 2022-05-03.
-
Staff background & training
-
Mar 25, 2022 Inspection · Deficiencies cited
-
Staff background & training
One caregiver is missing the following required topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication, Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2022-04-11. Correction verified 2022-04-07.
-
Supervision & ratios
The operation has three children records that do not have signed statements of policies received on file.
HHSC 746.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-07.
-
Records & paperwork
One children does not have hearing and vision results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-04-11. Correction verified 2022-04-06.
-
Staff background & training
-
Mar 25, 2022 Inspection · Deficiencies cited
-
Staff background & training
One caregiver is missing the following required topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication, Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2022-04-11. Correction verified 2022-04-07.
-
Supervision & ratios
The operation has three children records that do not have signed statements of policies received on file.
HHSC 746.503 — Provide Parents With Copy of Policies
HHSC risk weight: Medium. Corrected 2022-04-08. Correction verified 2022-04-07.
-
Records & paperwork
One children does not have hearing and vision results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-04-11. Correction verified 2022-04-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2022 Inspection · Deficiencies cited
-
Other
Two infant feeding plans have not be signed and updated as required.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-03-01. Correction verified 2022-03-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 25, 2022 Inspection · Deficiencies cited
-
Other
Two infant feeding plans have not be signed and updated as required.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-03-01. Correction verified 2022-03-16.
-
Other
-
Feb 14, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation was observed using a YouTube video with visual aid during nap time in a multiple classroom space.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected 2022-02-14. Correction verified 2022-02-25.
-
Cleanliness & sanitation
A caregiver in the Two's class was observed not washing their hands following diapering. A caregiver in the Pre-K classroom was observed not washing their hands prior to handing food.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-02-14. Correction verified 2022-02-25.
-
Supervision & ratios
An 18 month old child in the Three's classroom does not have admission information on file at the operation.
HHSC 746.603(a) — Children's Records Maintained
HHSC risk weight: Medium. Corrected 2022-02-24. Correction verified 2022-02-25.
-
Supervision & ratios
-
Feb 14, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation was observed using a YouTube video with visual aid during nap time in a multiple classroom space.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected 2022-02-14. Correction verified 2022-02-25.
-
Cleanliness & sanitation
A caregiver in the Two's class was observed not washing their hands following diapering. A caregiver in the Pre-K classroom was observed not washing their hands prior to handing food.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-02-14. Correction verified 2022-02-25.
-
Supervision & ratios
An 18 month old child in the Three's classroom does not have admission information on file at the operation.
HHSC 746.603(a) — Children's Records Maintained
HHSC risk weight: Medium. Corrected 2022-02-24. Correction verified 2022-02-25.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 28, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation did not notify regulations of changes to the infant room.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected 2022-01-28. Correction verified 2022-01-28.
-
Cleanliness & sanitation
Infants and Toddlers were observed being placed at a table to eat snack, without hand washing.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-02-14.
-
Supervision & ratios
The one has one child has been enrolled at the operation over one year without a health statement. Another child's admission packet health statement section was completed.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-02-11. Correction verified 2022-02-01.
-
Supervision & ratios
-
Jan 28, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The operation did not notify regulations of changes to the infant room.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected 2022-01-28. Correction verified 2022-01-28.
-
Cleanliness & sanitation
Infants and Toddlers were observed being placed at a table to eat snack, without hand washing.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-02-14.
-
Supervision & ratios
The one has one child has been enrolled at the operation over one year without a health statement. Another child's admission packet health statement section was completed.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-02-11. Correction verified 2022-02-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The Infant II/ Toddler classroom had a specified age group of 12-17 months with six children in care and one caregiver.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-01-06. Correction verified 2022-01-28.
-
Other
Two infant's written feeding plan have not been signed and updated by a parent/guardian.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-01-10. Correction verified 2022-01-13.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
The Infant II/ Toddler classroom had a specified age group of 12-17 months with six children in care and one caregiver.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-01-06. Correction verified 2022-01-28.
-
Other
Two infant's written feeding plan have not been signed and updated by a parent/guardian.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-01-10. Correction verified 2022-01-13.
-
Supervision & ratios
-
Dec 21, 2021 Inspection · Deficiencies cited
-
Other Serious
Caregiver in the mixed group classroom did not know how many children were in care, after transitioning from the restroom.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2021-12-21. Correction verified 2022-01-06.
-
Other
One infant's written feeding plan has not been signed by a parent/guardian.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2021-12-21. Correction verified 2022-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Dec 21, 2021 Inspection · Deficiencies cited
-
Other Serious
Caregiver in the mixed group classroom did not know how many children were in care, after transitioning from the restroom.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2021-12-21. Correction verified 2022-01-06.
-
Other
One infant's written feeding plan has not been signed by a parent/guardian.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2021-12-21. Correction verified 2022-01-06.
-
Other Serious
-
Nov 16, 2021 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation has one crib that does not have documentation showing manufacturer type.
HHSC 746.2409(a)(9) — Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules
HHSC risk weight: High. Corrected 2021-12-06. Correction verified 2021-12-14.
-
Supervision & ratios
Based on information gathered during inspection and external documentation reviewed, the operations infants have not been allowed time for outdoor play.
HHSC 746.2417(1) — Activities for Infants - Outdoor Play Daily
HHSC risk weight: Medium. Corrected 2021-11-16. Correction verified 2021-12-21.
-
Supervision & ratios
Promotion of Physical Activity, section has not been added to the operational polices.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2021-12-03. Correction verified 2021-12-14.
-
Supervision & ratios Serious
The operation has not been carrying a list of children being transported.
HHSC 746.5617(a)(1) — Required Equipment in Vehicles - List of Children
HHSC risk weight: High. Corrected 2021-11-16. Correction verified 2021-12-21.
-
Illness & medication Serious
Three children records do not have immunization records on file.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2021-12-06. Correction verified 2021-12-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Nov 16, 2021 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation has one crib that does not have documentation showing manufacturer type.
HHSC 746.2409(a)(9) — Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules
HHSC risk weight: High. Corrected 2021-12-06. Correction verified 2021-12-14.
-
Supervision & ratios
Based on information gathered during inspection and external documentation reviewed, the operations infants have not been allowed time for outdoor play.
HHSC 746.2417(1) — Activities for Infants - Outdoor Play Daily
HHSC risk weight: Medium. Corrected 2021-11-16. Correction verified 2021-12-21.
-
Supervision & ratios
Promotion of Physical Activity, section has not been added to the operational polices.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2021-12-03. Correction verified 2021-12-14.
-
Supervision & ratios Serious
The operation has not been carrying a list of children being transported.
HHSC 746.5617(a)(1) — Required Equipment in Vehicles - List of Children
HHSC risk weight: High. Corrected 2021-11-16. Correction verified 2021-12-21.
-
Illness & medication Serious
Three children records do not have immunization records on file.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2021-12-06. Correction verified 2021-12-15.
-
Supervision & ratios Serious
-
Oct 4, 2021 Inspection · Deficiencies cited
-
Supervision & ratios
The operation's one year old classroom specified age group was 12 - 17 months. There was one caregiver and seven children present. CI: The person in charge placed another caregiver in the classroom during inspection.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-04.
-
Staff background & training
Two infants in the one year old classroom were observed sleeping in their play yard with training cups in their mouth. CI: The caregiver removed both cups during inspection.
HHSC 746.2419(7) — Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-04.
-
Illness & medication
One child at the operation is missing the following immunizations: 1 PCV and 1 DTAP.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2021-10-22. Correction verified 2021-10-08.
-
Supervision & ratios
-
Oct 4, 2021 Inspection · Deficiencies cited
-
Supervision & ratios
The operation's one year old classroom specified age group was 12 - 17 months. There was one caregiver and seven children present. CI: The person in charge placed another caregiver in the classroom during inspection.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-04.
-
Staff background & training
Two infants in the one year old classroom were observed sleeping in their play yard with training cups in their mouth. CI: The caregiver removed both cups during inspection.
HHSC 746.2419(7) — Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-04.
-
Illness & medication
One child at the operation is missing the following immunizations: 1 PCV and 1 DTAP.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2021-10-22. Correction verified 2021-10-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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.