RecordWell Data

Little Hugs Childcare LLC Dba Milestones

2015 LITTLE ELM TRL STE 100, Cedar Park, TX 78613 · Williamson County

66cited violations
12serious
36inspections & investigations
0enforcement actions

Program

Type
Licensed center
Licensed capacity
63
Ages
Infant, Toddler, Pre-Kindergarten, School
Hours
06:30 AM-06:00 PM
Director / administrator
Marci Ferguson
Phone
(737) 268-1916
Regulated since
Aug 8, 2013
HHSC IDs
Operation 951650 · number 1384487
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026204 Illness & medication (2), Supervision & ratios (10), Safety & premises (2), Staff background & training (4), Other (2)
2025202 Illness & medication (2), Supervision & ratios (10), Safety & premises (2), Staff background & training (6)
2024102 Supervision & ratios (4), Staff background & training (2), Records & paperwork (2), Other (2)
2023102 Staff background & training (4), Records & paperwork (2), Other (4)
202240 Staff background & training (4)
202122 Other (2)

Inspections, investigations & assessments

  1. Sep 23, 2026 Inspection

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 23, 2026 Inspection

    No violations cited on this visit.

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

  3. Jun 30, 2026 Assessment · Deficiencies cited
    • Supervision & ratios

      The operational policies did not include the parent's rights information.

      HHSC 746.501(a)(20) — Written Operational Policies - Parent Rights

      HHSC risk weight: Medium. Corrected 2026-07-06. Correction verified 2026-06-30.

    • Staff background & training

      The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.

      HHSC 746.801(3) — Required Records Maintained and Made Available - Personnel and Training Records

      HHSC risk weight: Medium. Corrected 2026-07-06. Correction verified 2026-07-02.

    HHSC inspection history

  4. Jun 30, 2026 Assessment · Deficiencies cited
    • Supervision & ratios

      The operational policies did not include the parent's rights information.

      HHSC 746.501(a)(20) — Written Operational Policies - Parent Rights

      HHSC risk weight: Medium. Corrected 2026-07-06. Correction verified 2026-06-30.

    • Staff background & training

      The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.

      HHSC 746.801(3) — Required Records Maintained and Made Available - Personnel and Training Records

      HHSC risk weight: Medium. Corrected 2026-07-06. Correction verified 2026-07-02.

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

  5. Jun 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. Jun 3, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  7. May 18, 2026 Inspection · Deficiencies cited
    • Safety & premises Serious

      A 6 month old was sleeping in a crib with a toy in the crib. This was corrected when the toys was removed from the crib.

      HHSC 746.2415(b) — AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

      HHSC risk weight: High. Corrected 2026-05-18. Correction verified 2026-06-03.

    • Other

      Four infants do not have infant feeding instructions.

      HHSC 746.2421(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

      HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-19.

    • Supervision & ratios

      The operation does not have a current sanitation inspection.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-05-29.

    • Supervision & ratios

      The operational policies did not include the parent's rights information.

      HHSC 746.501(a)(20) — Written Operational Policies - Parent Rights

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-30.

    • Supervision & ratios Serious

      The operation does not have a current fire inspection.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-05-21.

    • Illness & medication

      Four children did not have current immunization records. Two children did not have health statements. One child was missing emergency contact and authorized pick up information.

      HHSC 746.603(a) — Children's Records Maintained

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-23.

    • Supervision & ratios

      The operation does not currently have system to sign children in and out.

      HHSC 746.631(a) — Sign-in and Sign-out Tracking System

      HHSC risk weight: Medium High. Corrected 2026-05-20. Correction verified 2026-05-19.

    • Staff background & training

      The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.

      HHSC 746.801(3) — Required Records Maintained and Made Available - Personnel and Training Records

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-30.

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

  8. May 18, 2026 Inspection · Deficiencies cited
    • Safety & premises Serious

      A 6 month old was sleeping in a crib with a toy in the crib. This was corrected when the toys was removed from the crib.

      HHSC 746.2415(b) — AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

      HHSC risk weight: High. Corrected 2026-05-18. Correction verified 2026-06-03.

    • Other

      Four infants do not have infant feeding instructions.

      HHSC 746.2421(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

      HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-19.

    • Supervision & ratios

      The operation does not have a current sanitation inspection.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2026-06-05. Correction verified 2026-05-29.

    • Supervision & ratios

      The operational policies did not include the parent's rights information.

      HHSC 746.501(a)(20) — Written Operational Policies - Parent Rights

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-30.

    • Supervision & ratios Serious

      The operation does not have a current fire inspection.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2026-06-05. Correction verified 2026-05-21.

    • Illness & medication

      Four children did not have current immunization records. Two children did not have health statements. One child was missing emergency contact and authorized pick up information.

      HHSC 746.603(a) — Children's Records Maintained

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-23.

    • Supervision & ratios

      The operation does not currently have system to sign children in and out.

      HHSC 746.631(a) — Sign-in and Sign-out Tracking System

      HHSC risk weight: Medium High. Corrected 2026-05-20. Correction verified 2026-05-19.

    • Staff background & training

      The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.

      HHSC 746.801(3) — Required Records Maintained and Made Available - Personnel and Training Records

      HHSC risk weight: Medium. Corrected 2026-06-05. Correction verified 2026-06-30.

    HHSC inspection history

  9. Dec 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  10. Dec 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  11. Dec 5, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.

      HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age

      HHSC risk weight: Medium High. Corrected 2025-12-05. Correction verified 2025-12-16.

    • Supervision & ratios

      The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

      HHSC 746.801(10) — Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-11.

    • Supervision & ratios

      The operation did not have a playground maintenance checklist available for review.

      HHSC 746.801(8) — Required Records Maintained and Made Available - Playground Maintenance Records

      HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-11.

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

  12. Dec 5, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.

      HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age

      HHSC risk weight: Medium High. Corrected 2025-12-05. Correction verified 2025-12-16.

    • Supervision & ratios

      The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

      HHSC 746.801(10) — Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-11.

    • Supervision & ratios

      The operation did not have a playground maintenance checklist available for review.

      HHSC 746.801(8) — Required Records Maintained and Made Available - Playground Maintenance Records

      HHSC risk weight: Medium. Corrected 2025-12-12. Correction verified 2025-12-11.

    HHSC inspection history

  13. Nov 18, 2025 Inspection · Deficiencies cited
    • Staff background & training

      Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.

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

      HHSC risk weight: Medium. Corrected 2025-11-28. Correction verified 2025-12-05.

    • Staff background & training

      Two caregivers did not have current training in pediatric first aid.

      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 2025-12-17. Correction verified 2025-12-19.

    • Staff background & training

      Two caregivers did not have current training in pediatric CPR.

      HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR

      HHSC risk weight: Medium High. Corrected 2025-12-17. Correction verified 2025-12-19.

    • Safety & premises Serious

      One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.

      HHSC 746.2401(6) — Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

      HHSC risk weight: High. Corrected 2025-11-18. Correction verified 2025-12-05.

    • Illness & medication

      One child did not have immunization records available for review.

      HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current

      HHSC risk weight: Medium High. Corrected 2025-11-28. Correction verified 2025-12-05.

    • Supervision & ratios

      The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

      HHSC 746.801(10) — Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-12-05.

    • Supervision & ratios

      The operation did not have a playground maintenance checklist available for review.

      HHSC 746.801(8) — Required Records Maintained and Made Available - Playground Maintenance Records

      HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-12-05.

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

  14. Nov 18, 2025 Inspection · Deficiencies cited
    • Staff background & training

      Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.

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

      HHSC risk weight: Medium. Corrected 2025-11-28. Correction verified 2025-12-05.

    • Staff background & training

      Two caregivers did not have current training in pediatric first aid.

      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 2025-12-17. Correction verified 2025-12-19.

    • Staff background & training

      Two caregivers did not have current training in pediatric CPR.

      HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR

      HHSC risk weight: Medium High. Corrected 2025-12-17. Correction verified 2025-12-19.

    • Safety & premises Serious

      One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.

      HHSC 746.2401(6) — Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

      HHSC risk weight: High. Corrected 2025-11-18. Correction verified 2025-12-05.

    • Illness & medication

      One child did not have immunization records available for review.

      HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current

      HHSC risk weight: Medium High. Corrected 2025-11-28. Correction verified 2025-12-05.

    • Supervision & ratios

      The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.

      HHSC 746.801(10) — Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-12-05.

    • Supervision & ratios

      The operation did not have a playground maintenance checklist available for review.

      HHSC 746.801(8) — Required Records Maintained and Made Available - Playground Maintenance Records

      HHSC risk weight: Medium. Corrected 2025-11-21. Correction verified 2025-12-05.

    HHSC inspection history

  15. Mar 28, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  16. Mar 28, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Dec 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Dec 19, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  19. Dec 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Dec 18, 2024 Report · No deficiencies cited

    No violations cited on this visit.

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

  21. Dec 13, 2024 Inspection · Deficiencies cited
    • Staff background & training

      Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.

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

      HHSC risk weight: Medium. Corrected 2025-01-03. Correction verified 2025-01-02.

    • Other

      Three infants do not have updated feeding instructions.

      HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days

      HHSC risk weight: Medium. Corrected 2025-01-03. Correction verified 2025-01-08.

    • Supervision & ratios

      The operation does not have a current sanitation inspection on file.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2025-01-03. Correction verified 2025-01-06.

    • Supervision & ratios Serious

      The operation does not have a current fire inspection on file.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2025-01-03. Correction verified 2025-01-02.

    • Records & paperwork

      Two staff hired after 9/1/2023 do not have the preemployment affidavit.

      HHSC 746.901(5) — Required Personnel Records - Required Affidavit (Form 2912)

      HHSC risk weight: Medium Low. Corrected 2024-12-20. Correction verified 2024-12-17.

    HHSC inspection history

  22. Dec 13, 2024 Inspection · Deficiencies cited
    • Staff background & training

      Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.

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

      HHSC risk weight: Medium. Corrected 2025-01-03. Correction verified 2025-01-02.

    • Other

      Three infants do not have updated feeding instructions.

      HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days

      HHSC risk weight: Medium. Corrected 2025-01-03. Correction verified 2025-01-08.

    • Supervision & ratios

      The operation does not have a current sanitation inspection on file.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2025-01-03. Correction verified 2025-01-06.

    • Supervision & ratios Serious

      The operation does not have a current fire inspection on file.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2025-01-03. Correction verified 2025-01-02.

    • Records & paperwork

      Two staff hired after 9/1/2023 do not have the preemployment affidavit.

      HHSC 746.901(5) — Required Personnel Records - Required Affidavit (Form 2912)

      HHSC risk weight: Medium Low. Corrected 2024-12-20. Correction verified 2024-12-17.

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

  23. Jan 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  24. Jan 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Nov 30, 2023 Inspection · Deficiencies cited
    • Other

      A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.

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

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-11-30.

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

  26. Nov 30, 2023 Inspection · Deficiencies cited
    • Other

      A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.

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

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-11-30.

    HHSC inspection history

  27. Nov 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

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

  28. Nov 28, 2023 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Mar 15, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      One caregiver was present without an active background check status. This was corrected at inspection when the director had the caregiver leave.

      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 2023-03-15. Correction verified 2023-03-23.

    • Other

      There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2023-05-17. Correction verified 2023-05-03.

    • Records & paperwork

      Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.

      HHSC 746.801(1) — Required Records Maintained and Made Available - Children's Records

      HHSC risk weight: Medium. Corrected 2023-04-07. Correction verified 2023-03-27.

    • Staff background & training

      Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center's operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation

      HHSC 746.901 — Required Personnel Records

      HHSC risk weight: Medium. Corrected 2023-03-31. Correction verified 2023-04-19.

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

  30. Mar 15, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      One caregiver was present without an active background check status. This was corrected at inspection when the director had the caregiver leave.

      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 2023-03-15. Correction verified 2023-03-23.

    • Other

      There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.

      HHSC 746.3401(a) — Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2023-05-17. Correction verified 2023-05-03.

    • Records & paperwork

      Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.

      HHSC 746.801(1) — Required Records Maintained and Made Available - Children's Records

      HHSC risk weight: Medium. Corrected 2023-04-07. Correction verified 2023-03-27.

    • Staff background & training

      Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center's operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation

      HHSC 746.901 — Required Personnel Records

      HHSC risk weight: Medium. Corrected 2023-03-31. Correction verified 2023-04-19.

    HHSC inspection history

  31. Apr 27, 2022 Inspection · Deficiencies cited
    • Staff background & training

      Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training

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

      HHSC risk weight: Medium. Corrected 2022-05-09. Correction verified 2022-06-03.

    • Staff background & training

      The Director was missing the required Building and Physical and Premises Safety training.

      HHSC 746.1311(e) — Director Annual Training - Additional required topics

      HHSC risk weight: Medium. Corrected 2022-05-09. Correction verified 2022-06-03.

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

  32. Apr 27, 2022 Inspection · Deficiencies cited
    • Staff background & training

      Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training

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

      HHSC risk weight: Medium. Corrected 2022-05-09. Correction verified 2022-06-03.

    • Staff background & training

      The Director was missing the required Building and Physical and Premises Safety training.

      HHSC 746.1311(e) — Director Annual Training - Additional required topics

      HHSC risk weight: Medium. Corrected 2022-05-09. Correction verified 2022-06-03.

    HHSC inspection history

  33. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Dec 10, 2021 Inspection · No deficiencies cited

    No violations cited on this visit.

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

  35. Dec 1, 2021 Report · Deficiencies cited
    • Other Serious

      It was found during an investigation that good judgment was not used when ankle weights were used on an infant's ankles without parental or physician consent.

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

      HHSC risk weight: High. Corrected 2022-01-28. Correction verified 2022-02-04.

    HHSC inspection history

  36. Dec 1, 2021 Report · Deficiencies cited
    • Other Serious

      It was found during an investigation that good judgment was not used when ankle weights were used on an infant's ankles without parental or physician consent.

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

      HHSC risk weight: High. Corrected 2022-01-28. Correction verified 2022-02-04.

    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.

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.