Hart To Hart Learning Center
211 N LAMESA RD, Midland, TX 79701 · Midland County
Program
- Type
- Licensed center
- Licensed capacity
- 49
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-05:30 PM
- Director / administrator
- Lakacia Pryor
- Phone
- (432) 685-3121
- Regulated since
- Oct 20, 2011
- HHSC IDs
- Operation 704988 · number 1181186
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 16 | 6 | Illness & medication (2), Supervision & ratios (4), Discipline & child guidance (4), Staff background & training (2), Other (4) |
| 2025 | 16 | 4 | Illness & medication (2), Supervision & ratios (8), Safety & premises (2), Staff background & training (4) |
| 2024 | 14 | 2 | Cleanliness & sanitation (4), Supervision & ratios (4), Safety & premises (4), Other (2) |
| 2023 | 4 | 2 | Supervision & ratios (4) |
| 2022 | 12 | 2 | Supervision & ratios (4), Staff background & training (4), Other (4) |
| 2021 | 14 | 2 | Supervision & ratios (2), Safety & premises (2), Staff background & training (10) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Sep 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Sep 3, 2026 Inspection · Deficiencies cited
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Illness & medication
Five children did not have current immunizations. One was missing their 15 month immunizations, four children are missing their 6m - 18m immunizations.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-16.
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Illness & medication
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Sep 3, 2026 Inspection · Deficiencies cited
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Illness & medication
Five children did not have current immunizations. One was missing their 15 month immunizations, four children are missing their 6m - 18m immunizations.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-09-11. Correction verified 2026-09-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Sep 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2026 Inspection · Deficiencies cited
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Other
During an investigation inspection walk through, the television in the infant room was on. Corrected at inspection when a caregiver turned it off.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2026-07-17. Correction verified 2026-07-28.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 17, 2026 Inspection · Deficiencies cited
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Other
During an investigation inspection walk through, the television in the infant room was on. Corrected at inspection when a caregiver turned it off.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2026-07-17. Correction verified 2026-07-28.
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Other
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Jul 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jul 15, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 28, 2026 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
This standard was found to be out of compliance when children were told to do wall squats or run laps as a form of punishment.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2026-06-25. Correction verified 2026-07-10.
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Discipline & child guidance Serious
-
May 28, 2026 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
This standard was found to be out of compliance when children were told to do wall squats or run laps as a form of punishment.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2026-06-25. Correction verified 2026-07-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
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May 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 10, 2026 Inspection · Deficiencies cited
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Staff background & training
Infant caregiver has not updated her SIDS, shaken bay syndrome, and early childhood brain development training. It expired February 2026
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Supervision & ratios
An infant caregiver was alone with nine infants under 18 months.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
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Staff background & training
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Apr 10, 2026 Inspection · Deficiencies cited
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Staff background & training
Infant caregiver has not updated her SIDS, shaken bay syndrome, and early childhood brain development training. It expired February 2026
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2026-04-13. Correction verified 2026-04-22.
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Supervision & ratios
An infant caregiver was alone with nine infants under 18 months.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Apr 9, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
This standard was found to be out of compliance when a caregiver used corporal punishment to redirect a child.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2026-05-08. Correction verified 2026-05-21.
HHSC inspection history · no longer published by HHSC; kept here
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Discipline & child guidance Serious
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Apr 9, 2026 Report · Deficiencies cited
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Discipline & child guidance Serious
This standard was found to be out of compliance when a caregiver used corporal punishment to redirect a child.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2026-05-08. Correction verified 2026-05-21.
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Discipline & child guidance Serious
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Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2026 Inspection · Deficiencies cited
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Other Serious
A caregiver on conditional status was left alone with children. This was corrected at inspection when a second caregiver returned to the classroom.
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 2026-03-16. Correction verified 2026-03-26.
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Other Serious
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Mar 16, 2026 Inspection · Deficiencies cited
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Other Serious
A caregiver on conditional status was left alone with children. This was corrected at inspection when a second caregiver returned to the classroom.
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 2026-03-16. Correction verified 2026-03-26.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Jan 20, 2026 Assessment · Deficiencies cited
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Supervision & ratios
The operation failed to report the number of employees who left in 2025 by January 15, 2026.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2026-01-20. Correction verified 2026-01-26.
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Supervision & ratios
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Jan 20, 2026 Assessment · Deficiencies cited
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Supervision & ratios
The operation failed to report the number of employees who left in 2025 by January 15, 2026.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2026-01-20. Correction verified 2026-01-26.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Sep 18, 2025 Inspection · Deficiencies cited
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Staff background & training
Director has not completed transportation training.
HHSC 746.1301(a)(7)(A) — Training Requirements for Employees, Caregivers, and Directors - Transportation training
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-24.
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Staff background & training
A volunteer who provides transportation has not completed the annual transportation training.
HHSC 746.1403(a)(6)(A) — Training requirements for substitutes, volunteers, and contractors-Transportation training
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-24.
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Safety & premises Serious
Fire inspection expired in July 2025.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2025-09-25. Correction verified 2025-09-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Sep 18, 2025 Inspection · Deficiencies cited
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Staff background & training
Director has not completed transportation training.
HHSC 746.1301(a)(7)(A) — Training Requirements for Employees, Caregivers, and Directors - Transportation training
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-24.
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Staff background & training
A volunteer who provides transportation has not completed the annual transportation training.
HHSC 746.1403(a)(6)(A) — Training requirements for substitutes, volunteers, and contractors-Transportation training
HHSC risk weight: Medium High. Corrected 2025-09-19. Correction verified 2025-09-24.
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Safety & premises Serious
Fire inspection expired in July 2025.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2025-09-25. Correction verified 2025-09-29.
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Staff background & training
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Apr 16, 2025 Inspection · Deficiencies cited
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Illness & medication
Upon reviewing the operational policies, the information on immunization requirements for children was not included.
HHSC 746.501(a)(11) — Written Operational Policies - Immunizations
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for hearing and vision was not addressed.
HHSC 746.501(a)(12) — Written Operational Policies - Vision and Hearing Screening
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for transportation was not addressed.
HHSC 746.501(a)(14) — Written Operational Policies - Transportation
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for staff vaccines was not addressed.
HHSC 746.501(a)(28) — Written Operational Policies - Vaccine Preventable Diseases
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios Serious
Upon revewing the operational policies, the safe sleep policies was not included.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2025-04-23. Correction verified 2025-05-05.
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Illness & medication
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Apr 16, 2025 Inspection · Deficiencies cited
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Illness & medication
Upon reviewing the operational policies, the information on immunization requirements for children was not included.
HHSC 746.501(a)(11) — Written Operational Policies - Immunizations
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for hearing and vision was not addressed.
HHSC 746.501(a)(12) — Written Operational Policies - Vision and Hearing Screening
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for transportation was not addressed.
HHSC 746.501(a)(14) — Written Operational Policies - Transportation
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios
Upon reviewing the operational policies, the policy for staff vaccines was not addressed.
HHSC 746.501(a)(28) — Written Operational Policies - Vaccine Preventable Diseases
HHSC risk weight: Medium. Corrected 2025-04-23. Correction verified 2025-05-05.
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Supervision & ratios Serious
Upon revewing the operational policies, the safe sleep policies was not included.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2025-04-23. Correction verified 2025-05-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2024 Inspection · Deficiencies cited
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Supervision & ratios
I observed a caregiver by herself with children between the ages of 0-11 months of age. There were 5 children present. This was corrected when another caregiver went to help.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-12-17.
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Supervision & ratios
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Dec 6, 2024 Inspection · Deficiencies cited
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Supervision & ratios
I observed a caregiver by herself with children between the ages of 0-11 months of age. There were 5 children present. This was corrected when another caregiver went to help.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-12-06. Correction verified 2024-12-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Oct 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Oct 21, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Caregiver in the room with children that are 0-12 months of age had 5 children present. This was corrected when another caregiver went into the room.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-10-21. Correction verified 2024-10-29.
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Cleanliness & sanitation
The cabinet under the bathroom sink had cleaning products. These were accessible to children as the safety lock in the cabinet was not working properly. The cabinet could easily be opened.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2024-10-21. Correction verified 2024-10-29.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Oct 21, 2024 Inspection · Deficiencies cited
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Supervision & ratios
Caregiver in the room with children that are 0-12 months of age had 5 children present. This was corrected when another caregiver went into the room.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-10-21. Correction verified 2024-10-29.
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Cleanliness & sanitation
The cabinet under the bathroom sink had cleaning products. These were accessible to children as the safety lock in the cabinet was not working properly. The cabinet could easily be opened.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2024-10-21. Correction verified 2024-10-29.
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Supervision & ratios
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May 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 19, 2024 Inspection · Deficiencies cited
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Other
I observed a group of children that consists of some 2 year olds, watching an animated show on TV/monitor.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2024-04-19. Correction verified 2024-05-01.
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Cleanliness & sanitation
A group of children ate their lunch without washing their hands prior.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2024-04-19. Correction verified 2024-05-01.
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Safety & premises
A piece of outdoor play equipment was broken and had sharp edges. This was corrected at inspection when it was removed from the outdoor area.
HHSC 746.3701(5) — Safety - Play Materials and Equipment Safe
HHSC risk weight: Medium High. Corrected 2024-04-19. Correction verified 2024-05-01.
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Safety & premises Serious
Upon reviewing children's records, two children's files did not have the Emergency Care Authorization signed by parent/guardian.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2024-04-19. Correction verified 2024-05-01.
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Other
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Apr 19, 2024 Inspection · Deficiencies cited
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Other
I observed a group of children that consists of some 2 year olds, watching an animated show on TV/monitor.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2024-04-19. Correction verified 2024-05-01.
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Cleanliness & sanitation
A group of children ate their lunch without washing their hands prior.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2024-04-19. Correction verified 2024-05-01.
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Safety & premises
A piece of outdoor play equipment was broken and had sharp edges. This was corrected at inspection when it was removed from the outdoor area.
HHSC 746.3701(5) — Safety - Play Materials and Equipment Safe
HHSC risk weight: Medium High. Corrected 2024-04-19. Correction verified 2024-05-01.
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Safety & premises Serious
Upon reviewing children's records, two children's files did not have the Emergency Care Authorization signed by parent/guardian.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2024-04-19. Correction verified 2024-05-01.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Oct 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 26, 2023 Inspection · Deficiencies cited
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Supervision & ratios Serious
I observed the infant room caregiver walk out of the room, leaving the child in the room unsupervised.
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 2023-05-26. Correction verified 2023-06-06.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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May 26, 2023 Inspection · Deficiencies cited
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Supervision & ratios Serious
I observed the infant room caregiver walk out of the room, leaving the child in the room unsupervised.
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 2023-05-26. Correction verified 2023-06-06.
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Supervision & ratios Serious
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Mar 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 27, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During my inspection, the caregiver that was with the children that are between the ages of 5 months to 13 months had 6 children present and was intially by herself. This caregiver had 6 children present by herself before her co-worker arrived.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2023-02-27. Correction verified 2023-03-08.
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Supervision & ratios
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Feb 27, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During my inspection, the caregiver that was with the children that are between the ages of 5 months to 13 months had 6 children present and was intially by herself. This caregiver had 6 children present by herself before her co-worker arrived.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2023-02-27. Correction verified 2023-03-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 23, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 9, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
Upon my arrival to the operation, I observed a caregiver walking out of a room and going into another classroom where 18 children were present. There was not a teacher in the room that the children were in.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Supervision & ratios
Infant room classroom was out of ratio by 3. Caregiver had 7 children present that were between the ages of 0 through 11 months. Another caregiver had 18 children total. There were 7 children that were 2 years old, 3 children that were 3 years old and 6 children that were 4 years old.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Other
I observed a sheet in a play yard that was an oversized sheet and did not fit snuggley. This was corrected when the sheet was removed.
HHSC 746.2411(2)(B) — Safety Requirements for Play Yards - Snug Fitting Sheets
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Other
Cots that are used are not labeled.
HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-20.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Dec 9, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
Upon my arrival to the operation, I observed a caregiver walking out of a room and going into another classroom where 18 children were present. There was not a teacher in the room that the children were in.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Supervision & ratios
Infant room classroom was out of ratio by 3. Caregiver had 7 children present that were between the ages of 0 through 11 months. Another caregiver had 18 children total. There were 7 children that were 2 years old, 3 children that were 3 years old and 6 children that were 4 years old.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Other
I observed a sheet in a play yard that was an oversized sheet and did not fit snuggley. This was corrected when the sheet was removed.
HHSC 746.2411(2)(B) — Safety Requirements for Play Yards - Snug Fitting Sheets
HHSC risk weight: Medium High. Corrected 2022-12-09. Correction verified 2022-12-20.
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Other
Cots that are used are not labeled.
HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name
HHSC risk weight: Medium. Corrected 2022-12-16. Correction verified 2022-12-20.
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Supervision & ratios Serious
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Jan 5, 2022 Inspection · Deficiencies cited
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Staff background & training
One staff did not complete required training.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2022-01-06. Correction verified 2022-01-06.
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Staff background & training
One employee did not complete required training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2022-01-07. Correction verified 2022-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 5, 2022 Inspection · Deficiencies cited
-
Staff background & training
One staff did not complete required training.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2022-01-06. Correction verified 2022-01-06.
-
Staff background & training
One employee did not complete required training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2022-01-07. Correction verified 2022-01-06.
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Staff background & training
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Dec 22, 2021 Inspection · Deficiencies cited
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Staff background & training Serious
An individual that has been present at the operation does not have a background check.
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 2021-12-22. Correction verified 2022-01-05.
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Staff background & training
Upon reviewing personnel records, it was observed that caregivers did not complete the required 24 hours of annual training.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-22. Correction verified 2022-01-05.
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Staff background & training
Upon reviewing personnel records, one staff did not have current training in SIDS, Shaken Baby Syndrome and Early Childhood Brain Development.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2021-12-22. Correction verified 2022-01-05.
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Staff background & training
Upon reviewing personnel records, it was observed that director has not completed the required annual training hours.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-22. Correction verified 2022-01-05.
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Staff background & training
Upon reviewing personnel records, it was observed that two staff that provide transportation have not completed the 2 annual training hours in transportation.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2021-12-29. Correction verified 2022-01-05.
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Supervision & ratios
One caregiver had 23 children present in her classroom. The children ranged in age from 18 months to 12 years of age. Caregiver was over ratio by 4 children. This changed when another worker arrived.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2021-12-22. Correction verified 2022-01-05.
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Safety & premises
While conducting my walk through, I observed that the surfacing around the climbing equipment is low.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-05.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Dec 22, 2021 Inspection · Deficiencies cited
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Staff background & training Serious
An individual that has been present at the operation does not have a background check.
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 2021-12-22. Correction verified 2022-01-05.
-
Staff background & training
Upon reviewing personnel records, it was observed that caregivers did not complete the required 24 hours of annual training.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-22. Correction verified 2022-01-05.
-
Staff background & training
Upon reviewing personnel records, one staff did not have current training in SIDS, Shaken Baby Syndrome and Early Childhood Brain Development.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2021-12-22. Correction verified 2022-01-05.
-
Staff background & training
Upon reviewing personnel records, it was observed that director has not completed the required annual training hours.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-22. Correction verified 2022-01-05.
-
Staff background & training
Upon reviewing personnel records, it was observed that two staff that provide transportation have not completed the 2 annual training hours in transportation.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2021-12-29. Correction verified 2022-01-05.
-
Supervision & ratios
One caregiver had 23 children present in her classroom. The children ranged in age from 18 months to 12 years of age. Caregiver was over ratio by 4 children. This changed when another worker arrived.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2021-12-22. Correction verified 2022-01-05.
-
Safety & premises
While conducting my walk through, I observed that the surfacing around the climbing equipment is low.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2022-01-05. Correction verified 2022-01-05.
-
Staff background & training Serious
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.