RecordWell Data

Kids R Kids Learning Academy Of Little Elm

120 NAVO RD, Little Elm, TX 75068 · Denton County

40cited violations
16serious
82inspections & investigations
0enforcement actions

Program

Type
Licensed center
Licensed capacity
276
Ages
Infant, Toddler, Pre-Kindergarten, School
Hours
06:30 AM-06:30 PM
Director / administrator
Katrina Lyles-Ingram
Phone
(469) 466-9480
Regulated since
Mar 19, 2019
HHSC IDs
Operation 1314094 · number 1679763
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
202622 Other (2)
202582 Supervision & ratios (4), Other (4)
202484 Safety & premises (6), Other (2)
2023144 Cleanliness & sanitation (2), Supervision & ratios (2), Staff background & training (6), Other (4)
202242 Supervision & ratios (2), Staff background & training (2)
202142 Illness & medication (2), Safety & premises (2)

Inspections, investigations & assessments

  1. Aug 13, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  2. Aug 13, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Aug 11, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Aug 11, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  5. Aug 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  6. Aug 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  7. Aug 6, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  8. Aug 6, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  9. Jul 16, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  10. Jul 16, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  11. Jul 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  12. Jul 15, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  13. Jan 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  14. Jan 30, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Jan 20, 2026 Inspection · Deficiencies cited
    • Other Serious

      Based on the information gathered throughout the investigation, it was concluded that the caregiver grabbed the child by the leg during naptime, which resulted in visible red marks on the child?s thigh.

      HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling

      HHSC risk weight: High. Corrected 2026-01-22. Correction verified 2026-01-30.

    HHSC inspection history · no longer published by HHSC; kept here

  16. Jan 20, 2026 Inspection · Deficiencies cited
    • Other Serious

      Based on the information gathered throughout the investigation, it was concluded that the caregiver grabbed the child by the leg during naptime, which resulted in visible red marks on the child?s thigh.

      HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling

      HHSC risk weight: High. Corrected 2026-01-22. Correction verified 2026-01-30.

    HHSC inspection history

  17. Jan 16, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  18. Jan 16, 2026 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  19. Dec 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  20. Dec 5, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. Dec 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  22. Dec 4, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  23. Nov 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  24. Nov 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Nov 15, 2025 Report · Deficiencies cited
    • Supervision & ratios

      Based on the information gathered throughout the investigation, it was concluded that the operation failed to timely report to CCR that a child was injured and required medical treatment by a health-care professional.

      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 2025-11-21. Correction verified 2025-12-03.

    HHSC inspection history · no longer published by HHSC; kept here

  26. Nov 15, 2025 Report · Deficiencies cited
    • Supervision & ratios

      Based on the information gathered throughout the investigation, it was concluded that the operation failed to timely report to CCR that a child was injured and required medical treatment by a health-care professional.

      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 2025-11-21. Correction verified 2025-12-03.

    HHSC inspection history

  27. Oct 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  28. Oct 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  29. Oct 22, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  30. Oct 22, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  31. Oct 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  32. Oct 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  33. Oct 14, 2025 Report · Deficiencies cited
    • Other

      Based on the information gathered throughout the investigation, it was concluded that the caregivers did not implement appropriate redirection or use positive guidance methods when addressing the child?s behavior during naptime.

      HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance

      HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-11-18.

    HHSC inspection history

  34. Oct 14, 2025 Report · Deficiencies cited
    • Other

      Based on the information gathered throughout the investigation, it was concluded that the caregivers did not implement appropriate redirection or use positive guidance methods when addressing the child?s behavior during naptime.

      HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance

      HHSC risk weight: Medium High. Corrected 2025-10-31. Correction verified 2025-11-18.

    HHSC inspection history · no longer published by HHSC; kept here

  35. Sep 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  36. Sep 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  37. Aug 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Aug 18, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  39. Jul 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Jul 24, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  41. Jul 22, 2025 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      According to the information collected throughout the investigation, it was concluded that a caregiver did not adequately supervise the children during a tattoo activity and failed to remain aware of the children's on going activity, compromising safety while engaged in a board game with two other children.

      HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

      HHSC risk weight: High. Corrected 2025-08-05. Correction verified 2025-08-18.

    • Other

      According to the information collected throughout the investigation, it was concluded that the center failed by allowing a child to be released to an individual not included on the approved pick-up list. Regardless of any familiarity with the person or verbal instructions provided by another family member, only the legal guardian has the authority to permit such arrangements.

      HHSC 746.4101(a) — Release of Children

      HHSC risk weight: Medium High. Corrected 2025-08-05. Correction verified 2025-08-18.

    HHSC inspection history

  42. Jul 22, 2025 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      According to the information collected throughout the investigation, it was concluded that a caregiver did not adequately supervise the children during a tattoo activity and failed to remain aware of the children's on going activity, compromising safety while engaged in a board game with two other children.

      HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

      HHSC risk weight: High. Corrected 2025-08-05. Correction verified 2025-08-18.

    • Other

      According to the information collected throughout the investigation, it was concluded that the center failed by allowing a child to be released to an individual not included on the approved pick-up list. Regardless of any familiarity with the person or verbal instructions provided by another family member, only the legal guardian has the authority to permit such arrangements.

      HHSC 746.4101(a) — Release of Children

      HHSC risk weight: Medium High. Corrected 2025-08-05. Correction verified 2025-08-18.

    HHSC inspection history · no longer published by HHSC; kept here

  43. Nov 13, 2024 Inspection · Deficiencies cited
    • Safety & premises

      A hole was noted in the hallway wall. Additionally, the turf in the playground area, specifically at the base of the slide, showed signs of damage. Photographs were captured for documentation.

      HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

      HHSC risk weight: Medium High. Corrected 2024-11-27. Correction verified 2024-11-27.

    HHSC inspection history

  44. Nov 13, 2024 Inspection · Deficiencies cited
    • Safety & premises

      A hole was noted in the hallway wall. Additionally, the turf in the playground area, specifically at the base of the slide, showed signs of damage. Photographs were captured for documentation.

      HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

      HHSC risk weight: Medium High. Corrected 2024-11-27. Correction verified 2024-11-27.

    HHSC inspection history · no longer published by HHSC; kept here

  45. Jul 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  46. Jul 15, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  47. Jun 17, 2024 Report · Deficiencies cited (self-report)
    • Other Serious

      Based on information gathered during the investigation, it was determined that the caregivers involved in the incident did not intervene to remove the victim from a dangerous situation, speak up to prevent harm, or provide additional help for the victim.

      HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety

      HHSC risk weight: High. Corrected 2024-07-01. Correction verified 2024-07-15.

    HHSC inspection history · no longer published by HHSC; kept here

  48. Jun 17, 2024 Report · Deficiencies cited (self-report)
    • Other Serious

      Based on information gathered during the investigation, it was determined that the caregivers involved in the incident did not intervene to remove the victim from a dangerous situation, speak up to prevent harm, or provide additional help for the victim.

      HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety

      HHSC risk weight: High. Corrected 2024-07-01. Correction verified 2024-07-15.

    HHSC inspection history

  49. Jan 4, 2024 Inspection · Deficiencies cited
    • Safety & premises

      Two children with food allergies did not have a complete plan on file that was signed by the parent and/or doctor.

      HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      HHSC risk weight: Medium High. Corrected 2024-01-11. Correction verified 2024-01-09.

    • Safety & premises Serious

      The emergency medical transport and treatment authorization forms for each child being transported was missing information.

      HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information

      HHSC risk weight: High. Corrected 2024-01-18. Correction verified 2024-01-17.

    HHSC inspection history

  50. Jan 4, 2024 Inspection · Deficiencies cited
    • Safety & premises

      Two children with food allergies did not have a complete plan on file that was signed by the parent and/or doctor.

      HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      HHSC risk weight: Medium High. Corrected 2024-01-11. Correction verified 2024-01-09.

    • Safety & premises Serious

      The emergency medical transport and treatment authorization forms for each child being transported was missing information.

      HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information

      HHSC risk weight: High. Corrected 2024-01-18. Correction verified 2024-01-17.

    HHSC inspection history · no longer published by HHSC; kept here

  51. Sep 14, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, it was noted that in the 18-23 months classroom, one child did not wash their hands after a diaper change. This issue was promptly addressed during the inspection when the caregiver was instructed to wash the child's hands.

      HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-14.

    HHSC inspection history · no longer published by HHSC; kept here

  52. Sep 14, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      During the inspection, it was noted that in the 18-23 months classroom, one child did not wash their hands after a diaper change. This issue was promptly addressed during the inspection when the caregiver was instructed to wash the child's hands.

      HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-14.

    HHSC inspection history

  53. Aug 24, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      The operation allowed two caregivers to be present at the operation before receiving notice from the CBCU regarding their eligibility. The operation immediately removed the caregivers from the operation.

      HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      HHSC risk weight: High. Corrected at inspection. Corrected 2023-08-24.

    HHSC inspection history · no longer published by HHSC; kept here

  54. Aug 24, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      The operation allowed two caregivers to be present at the operation before receiving notice from the CBCU regarding their eligibility. The operation immediately removed the caregivers from the operation.

      HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      HHSC risk weight: High. Corrected at inspection. Corrected 2023-08-24.

    HHSC inspection history

  55. Aug 24, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A child was left unsupervised on the playground for 10 minutes.

      HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

      HHSC risk weight: High. Corrected 2023-09-11. Correction verified 2023-09-14.

    HHSC inspection history · no longer published by HHSC; kept here

  56. Aug 24, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A child was left unsupervised on the playground for 10 minutes.

      HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

      HHSC risk weight: High. Corrected 2023-09-11. Correction verified 2023-09-14.

    HHSC inspection history

  57. Feb 9, 2023 Inspection · Deficiencies cited
    • Other

      Five children ages 18 to 23 months were observed watching a video on a tablet in the classroom during the inspection. Note: it was corrected during the inspection when the caregiver turned the tablet off.

      HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-09.

    HHSC inspection history

  58. Feb 9, 2023 Inspection · Deficiencies cited
    • Other

      Five children ages 18 to 23 months were observed watching a video on a tablet in the classroom during the inspection. Note: it was corrected during the inspection when the caregiver turned the tablet off.

      HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-09.

    HHSC inspection history · no longer published by HHSC; kept here

  59. Jan 24, 2023 Inspection · Deficiencies cited
    • Staff background & training

      One caregiver's records out of ten reviewed did not have the following training: Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials

      HHSC 746.1309(e) — Documented Annual Training- Required Content

      HHSC risk weight: Medium. Corrected 2023-02-14. Correction verified 2023-02-09.

    • Staff background & training

      A caregiver has an expired pediatric CPR/FIRST AID certification.

      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 2023-02-03. Correction verified 2023-02-09.

    • Other

      The documentation for the unitary surfacing material (turf) was not available to review during the inspection.

      HHSC 746.4913 — Required Documentation for Unitary Surfacing Materials

      HHSC risk weight: Medium. Corrected 2023-02-03. Correction verified 2023-02-09.

    HHSC inspection history · no longer published by HHSC; kept here

  60. Jan 24, 2023 Inspection · Deficiencies cited
    • Staff background & training

      One caregiver's records out of ten reviewed did not have the following training: Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials

      HHSC 746.1309(e) — Documented Annual Training- Required Content

      HHSC risk weight: Medium. Corrected 2023-02-14. Correction verified 2023-02-09.

    • Staff background & training

      A caregiver has an expired pediatric CPR/FIRST AID certification.

      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 2023-02-03. Correction verified 2023-02-09.

    • Other

      The documentation for the unitary surfacing material (turf) was not available to review during the inspection.

      HHSC 746.4913 — Required Documentation for Unitary Surfacing Materials

      HHSC risk weight: Medium. Corrected 2023-02-03. Correction verified 2023-02-09.

    HHSC inspection history

  61. Jul 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  62. Jul 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  63. Jun 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  64. Jun 27, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  65. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  66. Apr 13, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  67. Mar 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  68. Mar 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  69. Mar 18, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A 5 year old child was left unsupervised in the classroom for about 6 minutes when the class transitioned to an outdoor activity and the child was unharmed.

      HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children

      HHSC risk weight: High. Corrected 2022-04-06. Correction verified 2022-04-13.

    HHSC inspection history · no longer published by HHSC; kept here

  70. Mar 18, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A 5 year old child was left unsupervised in the classroom for about 6 minutes when the class transitioned to an outdoor activity and the child was unharmed.

      HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children

      HHSC risk weight: High. Corrected 2022-04-06. Correction verified 2022-04-13.

    HHSC inspection history

  71. Mar 17, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  72. Mar 17, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Mar 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  74. Mar 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  75. Feb 16, 2022 Inspection · Deficiencies cited
    • Staff background & training

      During inspection the designee who is also a driver did not have the required First-Aid and 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 2022-03-02. Correction verified 2022-02-23.

    HHSC inspection history

  76. Feb 16, 2022 Inspection · Deficiencies cited
    • Staff background & training

      During inspection the designee who is also a driver did not have the required First-Aid and 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 2022-03-02. Correction verified 2022-02-23.

    HHSC inspection history · no longer published by HHSC; kept here

  77. Oct 13, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. Oct 13, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  79. Oct 8, 2021 Report · Deficiencies cited
    • Illness & medication

      The operation did not report a positive COVID-19 case to Child Care Regulation within the required timeframe.

      HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness

      HHSC risk weight: Medium High. Corrected 2021-11-17. Correction verified 2021-11-17.

    HHSC inspection history

  80. Oct 8, 2021 Report · Deficiencies cited
    • Illness & medication

      The operation did not report a positive COVID-19 case to Child Care Regulation within the required timeframe.

      HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness

      HHSC risk weight: Medium High. Corrected 2021-11-17. Correction verified 2021-11-17.

    HHSC inspection history · no longer published by HHSC; kept here

  81. Sep 29, 2021 Report · Deficiencies cited (self-report)
    • Safety & premises Serious

      A caregiver did not demonstrate self control when interacting with toddlers in care that were not sleeping during naptime. The caregiver repeatedly placed one of the children on their stomach in a sleep position and then moved the rolling cribs back and forth in a firm manner.

      HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      HHSC risk weight: High. Corrected 2021-11-17. Correction verified 2021-11-17.

    HHSC inspection history

  82. Sep 29, 2021 Report · Deficiencies cited (self-report)
    • Safety & premises Serious

      A caregiver did not demonstrate self control when interacting with toddlers in care that were not sleeping during naptime. The caregiver repeatedly placed one of the children on their stomach in a sleep position and then moved the rolling cribs back and forth in a firm manner.

      HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      HHSC risk weight: High. Corrected 2021-11-17. Correction verified 2021-11-17.

    HHSC inspection history · no longer published by HHSC; kept here

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.

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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
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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.