First Start Childcare Learning Center LLC
3621 E VETERANS MEMORIAL BLVD STE 5, Killeen, TX 76543 · Bell County
Program
- Type
- Licensed center
- Licensed capacity
- 49
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 05:30 AM-06:00 PM
- Director / administrator
- Sanaa Smith
- Phone
- (254) 245-8488
- Regulated since
- Nov 9, 2020
- HHSC IDs
- Operation 1339324 · number 1697216
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 3 | 0 | Cleanliness & sanitation (2), Safety & premises (1) |
| 2025 | 2 | 0 | Cleanliness & sanitation (2) |
| 2024 | 3 | 0 | Cleanliness & sanitation (1), Safety & premises (1), Staff background & training (1) |
| 2023 | 2 | 0 | Supervision & ratios (1), Records & paperwork (1) |
| 2022 | 8 | 2 | Cleanliness & sanitation (2), Supervision & ratios (3), Staff background & training (2), Other (1) |
| 2021 | 7 | 0 | Cleanliness & sanitation (3), Supervision & ratios (3), Other (1) |
Inspections, investigations & assessments
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May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection, a floor board was observed seperated from the wall with nails exposed. There were some ceiling panels observed with cracks and missing pieces. A hole was observed in the wall of the bathroom in the toddler classroom.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2026-04-29. Correction verified 2026-05-27.
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Cleanliness & sanitation
The children were observed using the restroom without washing their hands afterwards.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-05-27.
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Safety & premises
Three pieces of playground equipment were observed with cracks and rough edges.
HHSC 746.3701(5) — Safety - Play Materials and Equipment Safe
HHSC risk weight: Medium High. Corrected 2026-04-24. Correction verified 2026-05-27.
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Cleanliness & sanitation
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Nov 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation
The handwashing sinks were observed with soiled clothes and bottle washers in them.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2025-04-30. Correction verified 2025-06-13.
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Cleanliness & sanitation
During the inspection, peeling paint was observed in 3 of the classrooms.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2025-05-07. Correction verified 2025-06-13.
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Cleanliness & sanitation
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Apr 24, 2024 Inspection · Deficiencies cited
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Staff background & training
One of the caregiver files reviewed only contained 1 of the 24 annual hours of training.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2024-05-08. Correction verified 2024-05-13.
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Cleanliness & sanitation
The diaper changing mat in the infant room contained a hole in the center. This was corrected at the inspection when the director changed out the changing pad.
HHSC 746.3503(a) — Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-04-24.
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Safety & premises
A fire inspection has not been conducted since June of 2022.
HHSC 746.5101(b) — Annual Fire Inspection - Conducted by Fire Marshal
HHSC risk weight: Medium High. Corrected 2024-05-08. Correction verified 2024-05-21.
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Staff background & training
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Aug 3, 2023 Inspection · Deficiencies cited
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Records & paperwork
During the inspection it was found that 5 children records were missing health statements.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2023-08-17. Correction verified 2023-08-15.
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Records & paperwork
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Aug 2, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Apr 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 4, 2023 Inspection · Deficiencies cited
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Supervision & ratios
During the investigation inspection it was found that ratios were out of compliance in two of the classrooms. The 18-23 month old class was over ratio by one child and the 2 year old class was over ratio by one child.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2023-04-04. Correction verified 2023-04-18.
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Supervision & ratios
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Mar 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 3, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was found that a form of prohibited punishment was used as a way to correct misbehavior in a classroom at the operation.
HHSC 746.2805(4) — Prohibited Punishments - Hitting with Hand or Instrument
HHSC risk weight: High. Corrected 2023-01-17. Correction verified 2023-01-18.
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Supervision & ratios Serious
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Dec 22, 2022 Inspection · Deficiencies cited
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Supervision & ratios
During the investigation inspection it was observed that there was 1 caregiver for 5 infants ranging in age from 5 months - 15 months. Caregiver was over ratio by 1 infant.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-12-22. Correction verified 2023-01-06.
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Supervision & ratios
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Dec 22, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 28, 2022 Inspection · Deficiencies cited
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Supervision & ratios
During the monitoring inspection it was found that 1 out of the 5 files reviewed did not have a health statement on file for the child. THis child had been enrolled for more than 12 months.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2022-10-12. Correction verified 2022-10-14.
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Supervision & ratios
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Sep 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2022 Inspection · Deficiencies cited
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Other Serious
During the inspection an infant was observed sleeping in a bouncer.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-08-26. Correction verified 2022-09-13.
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Other Serious
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Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection hand washing did not occur with every child when the children transitioned from outside to inside. This was corrected at inspection.
HHSC 746.3417(4) — Children Handwashing After Outdoor Activities
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-07.
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Cleanliness & sanitation
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May 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2022 Inspection · Deficiencies cited
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Staff background & training
During the monitoring inspection it was found that a caregiver, whom had been employed greater than 90 days, did not have a CPR or First Aid training certification available for review.
HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-01-19. Correction verified 2022-01-19.
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Staff background & training
During the monitoring inspection it was found that many of the trainings for the staff were being provided by the director. Trainings hours for staff at this operation must not be through the director.
HHSC 746.1317(a) — Training Criteria - Provided By
HHSC risk weight: Low. Corrected 2022-01-19. Correction verified 2022-01-18.
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Cleanliness & sanitation
During the monitoring inspection it was observed that the dirty diapers in the toddler bathroom were being stored in an uncovered container.
HHSC 746.3505(f) — Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
HHSC risk weight: Medium High. Corrected 2022-01-13. Correction verified 2022-01-14.
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Staff background & training
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Nov 10, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 3, 2021 Inspection · Deficiencies cited
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Supervision & ratios
During the monitoring inspection it was observed that there was one caregiver with 25 children in a ratio that should have been 1/15. This classroom was over ratio by 10 children.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2021-11-03. Correction verified 2021-11-09.
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Supervision & ratios
Upon arrival 23 children were observed to be present at the operation, combined as one group. The age difference between the youngest and the oldest was greater than 18 months, with infants combined with pre k children.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2021-11-03. Correction verified 2021-11-09.
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Other
During the inspection it was observed that the children were asked to stay seated at the tables for over 30 min, without any activities, while waiting for breakfast.
HHSC 746.2205(a)(4) — Written Activity Plan - No Long Waiting Periods
HHSC risk weight: Medium. Corrected 2021-11-03. Correction verified 2021-11-09.
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Supervision & ratios
Upon arrival at the operation the children were observed to be watching TV. Four of these children were under the age of two years old,
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2021-11-03. Correction verified 2021-11-09.
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Cleanliness & sanitation
During the inspection it was observed the operation had a toilet that was not usable and it was taped off. Child care regulation had not been notified of this prior to the inspection.
HHSC 746.301(3) — Notification of Reduction of Toilets/Sinks
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-03.
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Cleanliness & sanitation
During the monitoring inspection it was observed that the floors and carpets were not being maintained in a clean manner.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2021-11-03. Correction verified 2021-11-09.
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Cleanliness & sanitation
During the inspection it was observed that there was no soap available in the infant room for hand washing.
HHSC 746.4405 — Location of Handwashing Sink
HHSC risk weight: Medium. Corrected 2021-11-03. Correction verified 2021-11-09.
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Supervision & ratios
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Sep 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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.