Itty Bitty Tots In Training
12019 MISTY VALLEY DR, Houston, TX 77066 · Harris County
Program
- Type
- Licensed center
- Licensed capacity
- 47
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:30 PM
- Director / administrator
- Myette Brown
- Phone
- (281) 836-5096
- Regulated since
- Jan 15, 2015
- HHSC IDs
- Operation 1150323 · number 1543207
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 10 | 1 | Cleanliness & sanitation (2), Supervision & ratios (3), Staff background & training (3), Other (2) |
| 2025 | 28 | 11 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (11), Staff background & training (9), Records & paperwork (2), Other (4) |
| 2024 | 11 | 3 | Cleanliness & sanitation (1), Illness & medication (3), Supervision & ratios (2), Discipline & child guidance (1), Safety & premises (1), Staff background & training (1), Records & paperwork (2) |
| 2023 | 1 | 0 | Supervision & ratios (1) |
| 2022 | 58 | 19 | Supervision & ratios (23), Safety & premises (11), Staff background & training (4), Other (20) |
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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Jul 28, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 2, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 1, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Jun 23, 2026 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the investigation inspection, it was revealed that the director/owner exercised poor judgment by allowing children to play on the sidewalk in front of the operation, where they had access to an open parking lot. This area is not an appropriate or safe play space for children to play.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-06-23. Correction verified 2026-07-02.
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Supervision & ratios Serious
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Jun 19, 2026 Report · Deficiencies cited
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Supervision & ratios
The owner/director exercised poor judgment by failing to follow minimum standards when notifying parents about where their children would be while away from the operation.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-28.
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Other
It was revealed that the children witnessed the owner/director disciplining a relative child during operating hours.
HHSC 746.2807 — Employees Discipline Own Children
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-28.
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Other
It was revealed that the owner/director did not provide the children with shirts or name tags to help identify them during the field trip.
HHSC 746.3001(6) — Field Trips - Children Identified with Center
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-28.
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Supervision & ratios
The children were taken to the owner/director's home without the parents' knowledge, and the parents were not provided with the specific time or address where their children would be while away from the operation.
HHSC 746.3003 — Field Trips - Notification to Parents
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-28.
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Supervision & ratios
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Jun 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
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May 27, 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.
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Mar 26, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation
During the inspection, CCR observed no running water in the operation building. CCR also observed that the toilet handle broken
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2026-03-26. Correction verified 2026-04-22.
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Cleanliness & sanitation
During the inspection, CCR observed multiple gnats and flies throughout the operation building.
HHSC 746.3427 — Pest Extermination
HHSC risk weight: Medium High. Corrected 2026-04-09. Correction verified 2026-04-22.
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Cleanliness & sanitation
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 8, 2026 Assessment · Deficiencies cited
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Staff background & training
The lead caregiver completed six hours of training for the annual training period from 3/26/2024 to 3/26/2025 and needs to complete a total of 18 hours of training.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2026-01-20. Correction verified 2026-01-20.
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Staff background & training
The director training certificate for caring for children under 24 months is missing.
HHSC 746.1311(d) — Director Annual Training - Caring for children under 24 months
HHSC risk weight: Medium High. Corrected 2026-01-20. Correction verified 2026-01-09.
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Staff background & training
The director is missing training on the following topics: Emergency preparedness, Preventing and responding to emergencies due to food or allergies, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2026-01-20. Correction verified 2026-01-20.
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Staff background & training
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Dec 9, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
A caregiver inside the operation did not open the door for CCR to conduct an inspection. As a result, CCR had to wait until a parent picked up a child in order for the caregiver to open the door.
HHSC 745.8411(b)(4) — Responsibilities - Not delay or prevent inspection or investigation
HHSC risk weight: High. Corrected 2026-01-05. Correction verified 2026-01-09.
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Staff background & training
The lead caregiver completed six hours of training for the annual training period from 3/26/2024 to 3/26/2025 and needs to complete a total of 18 hours of training.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2026-01-06. Correction verified 2026-01-08.
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Staff background & training
The director training certificate for caring for children under 24 months is missing.
HHSC 746.1311(d) — Director Annual Training - Caring for children under 24 months
HHSC risk weight: Medium High. Corrected 2026-01-06. Correction verified 2026-01-08.
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Staff background & training
The director is missing training on the following topics: Emergency preparedness, Preventing and responding to emergencies due to food or allergies, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2026-01-06. Correction verified 2026-01-08.
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Supervision & ratios Serious
The operation did not have a updated fire inspection, the last fire inspection was on 4/10/2024.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2026-02-24. Correction verified 2026-02-12.
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Supervision & ratios Serious
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Oct 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 9, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the departure, a caregiver inside the operation did not open the door for CCR to conduct an inspection. As a result, CCR had to call the director in order for the caregiver to open the door.
HHSC 745.8411(b)(4) — Responsibilities - Not delay or prevent inspection or investigation
HHSC risk weight: High. Corrected 2025-10-10. Correction verified 2025-10-15.
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Other
A caregiver was performing clerical duties while assisting CCR, which took their full attention away from the children.
HHSC 746.1203(3)(A) — Administrative and clerical duties that take caregiver's attention away from children
HHSC risk weight: Medium High. Corrected 2025-10-09. Correction verified 2025-10-15.
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Supervision & ratios Serious
During the inspection, a caregiver was in the office assisting CCR with documentation, which made it possible for the caregiver to supervise the children in the multi-play area.
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 2025-10-10. Correction verified 2025-10-15.
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Other
During the inspection, CCR received inaccurate sign-in and sign-out sheet documentation from the directors/owner, and a caregiver.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2025-10-10. Correction verified 2025-10-15.
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Supervision & ratios Serious
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Oct 6, 2025 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the follow-up inspection, the director reported that the operation was closed to prevent CCR from entering the building while children were in care.
HHSC 745.8411(a) — Responsibilities - Not interfere with an inspection or investigation
HHSC risk weight: High. Corrected 2025-10-10. Correction verified 2025-10-15.
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Supervision & ratios Serious
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Sep 22, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
A 15-year-old child was observed during naptime at the operation without a background check.
HHSC 745.621(a)(5) — AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-10-09.
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Staff background & training
The operation have not validated the people since 04/02/2025.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected 2025-10-06. Correction verified 2025-09-30.
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Supervision & ratios Serious
During departure, a caregiver inside the operation did not open the door for CCR to conduct an inspection. Correction: The director arrived at the operation to let CCR into the building.
HHSC 745.8411(b)(4) — Responsibilities - Not delay or prevent inspection or investigation
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-10-09.
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Supervision & ratios Serious
The operation did not have a updated fire inspection, the last fire inspection was on 4/10/2024.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2025-12-10. Correction verified 2025-11-21.
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Supervision & ratios Serious
The operation has a pending fee that have not been paid in three months.
HHSC HRC42.054 - Required Fees — HRC42.054 - Required Fees
HHSC risk weight: High. Corrected 2025-09-22. Correction verified 2025-09-30.
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Staff background & training Serious
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2025 Inspection · Deficiencies cited
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Staff background & training
The operation have not validated the people since Dec 2024. Correction: The director validated the people list during the inspection.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-04-02.
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Cleanliness & sanitation Serious
During the walkthrough of the multi-play area, I observed several bottles of cleaning products in an unlocked sink cabinet accessible to children.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2025-04-09. Correction verified 2025-04-08.
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Other
CCR observed the children's cot has wear and tear, and is no longer waterproof.
HHSC 746.4503(a) — Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
HHSC risk weight: Medium. Corrected 2025-04-16. Correction verified 2025-04-09.
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Illness & medication
Four children's files were evaluated, and two of the files were missing immunization records.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2025-04-30. Correction verified 2025-04-23.
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Staff background & training Serious
The operation has a background check fee that have not been paid in a months. Correction: The director paid the fee during the inspection.
HHSC HRC42.054 - Required Fees — HRC42.054 - Required Fees
HHSC risk weight: High. Corrected at inspection. Corrected 2025-04-02.
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Staff background & training
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Feb 11, 2025 Inspection · Deficiencies cited
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Supervision & ratios
The operation was out of ratio; a 4-month-old infant was in a mixed-age group, with the oldest child being 13-years-old. Corrected: A caregiver arrived at the operation and removed the infant from the older children to take the infant in the infant's room.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-02-11.
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Supervision & ratios
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Feb 7, 2025 Inspection · Deficiencies cited
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Supervision & ratios
During the walk-through, CCR observed a four-year-old child in the infant room with a three-month-old infant during naptime.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2025-02-07. Correction verified 2025-02-11.
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Supervision & ratios
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Feb 4, 2025 Assessment · Deficiencies cited
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Records & paperwork
CCR requested to review six children's files, but the files were unavailable during the inspection.
HHSC 746.601(c) — Provide Access to Children's Records - Licensing
HHSC risk weight: Medium. Corrected 2025-02-07. Correction verified 2025-02-04.
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Records & paperwork
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Jan 27, 2025 Inspection · Deficiencies cited
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Records & paperwork
CCR requested to review six children's files, but the files were unavailable during the inspection.
HHSC 746.601(c) — Provide Access to Children's Records - Licensing
HHSC risk weight: Medium. Corrected 2025-01-28. Correction verified 2025-02-04.
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Records & paperwork
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Jan 7, 2025 Inspection · Deficiencies cited
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Staff background & training
The flow caregiver is missing four hours, and the following training hours can be covered under the topics of Guidance and discipline, age-appropriate curriculum, or Teacher-child interaction. The infant caregiver is missing two hours, and the following training hours can be covered under the topic of Age-appropriate curriculum or Teacher-child interaction.
HHSC 746.1309(b) — Documented Annual Training - 6 Hours of annual training required
HHSC risk weight: Medium. Corrected 2025-02-14. Correction verified 2025-02-24.
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Staff background & training
The flow caregiver is missing training topics on administering medication and understanding building. The infant caregiver is missing training topics on Preventing and controlling the spread of communicable diseases, Administering medication, food, or an allergic reaction and Understanding building and physical premises safety. The owner/caregiver is missing training on Preventing and controlling the spread of communicable diseases and allergic reactions.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2025-02-14. Correction verified 2025-02-24.
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Other
The first aid kit contains three ointments and antiseptic solution that have expired.
HHSC 746.4003(b) — First Aid Kit - Supplies Not Expired
HHSC risk weight: Medium. Corrected 2025-01-21. Correction verified 2025-01-27.
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Supervision & ratios
A caregiver is missing the following documents in their file: the hire date, the Affidavit, the Pre-Employment Affidavit, and the Operational Policies.
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2025-02-14. Correction verified 2025-02-25.
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Staff background & training
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Dec 19, 2024 Inspection · Deficiencies cited
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Supervision & ratios
During naptime the operation was found to not have adequate space for caregivers to walk between nap time mats.
HHSC 746.2909(3) — Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
HHSC risk weight: Medium High. Corrected 2025-01-02. Correction verified 2025-01-07.
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Supervision & ratios
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Dec 18, 2024 Report · Deficiencies cited
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Discipline & child guidance Serious
Based on the information found during the investigation, there was sufficient evidence to support that a caregiver and the director popping the children when attempting to redirect them as a form of guidance.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2025-02-06. Correction verified 2025-02-07.
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Records & paperwork Serious
An incident in which a child was placed at risk for injury was not reported to CCR as required.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2025-02-06. Correction verified 2025-02-07.
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Discipline & child guidance Serious
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Dec 6, 2024 Inspection · Deficiencies cited
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Staff background & training
The operation have not validated the people since Dec 2023 . Correction: The owner validated the people list during the inspection.
HHSC 745.651(2)(A) — Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-06.
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Records & paperwork
The director attendance records were not available.
HHSC 746.801(5) — Required Records Maintained and Made Available - Employees' Attendance
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-19.
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Supervision & ratios Serious
The operation has a pending fee that have not been paid in eight months. Correction: The owner paid the fee during the inspection.
HHSC HRC42.054 - Required Fees — HRC42.054 - Required Fees
HHSC risk weight: High. Corrected at inspection. Corrected 2024-12-06.
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Staff background & training
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Aug 23, 2024 Assessment · Deficiencies cited
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Illness & medication
Operation did not provide proof of corrections with children's immunization record and updated immunization waiver by 8/21/24.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-08-28. Correction verified 2024-08-23.
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Illness & medication
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Aug 14, 2024 Inspection · Deficiencies cited
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Safety & premises
Multiple places in the fence of the outdoor space were broken, bent or severly damaged, exposing children to nails that could impale and holes that could be a cut, pinch or entrapment hazard.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2024-08-28. Correction verified 2024-08-23.
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Illness & medication
Two children did not either an immunization or immunization waiver on file at the operation.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-08-21. Correction verified 2024-08-23.
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Safety & premises
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
Full garbage bags were seen in plain view near the front door leading to the outdoor space and accessible to children. NOTE: The deficiency was corrected with a caregiver placing the full garbage bags in the trash bin outside the facility.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-03-01.
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Cleanliness & sanitation
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Feb 5, 2024 Inspection · Deficiencies cited
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Illness & medication
Four children's records were reviewed. One child's immunization is missing two doses of the PCV13 vaccine. They should have four doses based on their current age.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-02-12. Correction verified 2024-02-05.
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Illness & medication
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Jan 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 13, 2023 Report · Deficiencies cited
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Supervision & ratios
Based on a DFPS investigation, the operation failed to notify a parent of a less serious injury sustained while a child was in care.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2023-08-01. Correction verified 2023-08-10.
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Supervision & ratios
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Jun 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 28, 2022 Inspection · Deficiencies cited
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Other
Scissors and tweezers were missing from the first aid kit. NOTE: The deficiency was corrected at inspection.
HHSC 746.4003(a) — First Aid Kit - Incomplete Kit
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-11-28.
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Other
There are broken planks within the fenced in space that increase risk to children.
HHSC 746.4305 — Fenced Outdoor Activity Space
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-12-29.
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Other
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Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
The Director was observed coming out of the kitchen which left the group of children she was caring for unsupervised during naptime.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-06-28. Correction verified 2022-07-14.
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Staff background & training
Three staff members did not have all the required trainings for their orientation training.
HHSC 746.1301(1)(A) — Training Requirements for Employees, Caregivers, and Directors - Orientation
HHSC risk weight: Medium High. Corrected 2022-07-08. Correction verified 2022-06-30.
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Staff background & training
The infant caregiver with a hire date of 4/26/22 was observed caring for infants alone without current First Aid training.
HHSC 746.1301(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
HHSC risk weight: Medium High. Corrected 2022-07-11. Correction verified 2022-06-30.
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Safety & premises
Two of the 6 children records did not have an address for the emergency contact. This was corrected at the inspection when the owner called the parent and was able to get the address for both students.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-28.
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Supervision & ratios Serious
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May 11, 2022 Inspection · Deficiencies cited
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Other
A director still has not been designated.
HHSC 746.201(4) — Designating Director
HHSC risk weight: Medium High. Corrected 2022-05-18. Correction verified 2022-06-09.
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Other
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Apr 28, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the follw up inspection, a two year old child was observed sleep on a cot in the classroom alone while the other children were in a different room. The caregiver walked to the front lobby area of the center and was caring for the mixed age group of childrenn while leaving the 2 year old alone.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-04-28. Correction verified 2022-05-11.
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Other
A director has not been designated since February 2022.
HHSC 746.201(4) — Designating Director
HHSC risk weight: Medium High. Corrected 2022-05-05. Correction verified 2022-05-11.
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Supervision & ratios Serious
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Apr 22, 2022 Inspection · Deficiencies cited
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Staff background & training
A 17 year old child who has not graduated high school was left alone to care for the infants.
HHSC 746.1109(b)(1) — Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group
HHSC risk weight: Medium. Corrected 2022-04-22. Correction verified 2022-04-28.
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Staff background & training
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Apr 12, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
During the follow up inspection, the caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver was observed in the kitchen preparing lunch.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-04-12. Correction verified 2022-04-22.
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Supervision & ratios
During the follow up inspection, there was a 16 month old in the same class with a 4 year old.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-04-22.
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Other
During the follow up inspection, there were several repeated citations, in which the permit holder has not mitigated the risk to the children.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-04-12. Correction verified 2022-04-22.
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Supervision & ratios Serious
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Mar 29, 2022 Report · Deficiencies cited
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Supervision & ratios
Based on the information obtained during the inspection, it was observed that the infant classroom was out of ratio. There were 5 infants with one caregiver.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Supervision & ratios
Based on the information obtained during the inspection, the caregiver stated the infants are with the other caregiver prior to her arriving to work. There is only one additional caregiver and all children are placed in the same room until the other caregiver arrives.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Supervision & ratios
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Mar 29, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
The caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver would also go in the infant room to assist with the infants leaving the other children alone.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Supervision & ratios
There were 5 infants with one caregiver in the infant room. The specified age was 11 months old.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Supervision & ratios
During the follow up inspection, the caregivers were overwhelmed and there was chaos at the operation. There have been several repeated citations, in which the permit holder has not mitigated the risk to the children.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Safety & premises
During the follow up inspection, there were 5 infants laying in the cribs screaming annd crying. The infants did not receive any comfort and remained in the crib crying and fussing during the entire inspection.
HHSC 746.2401(3) — Basic Requirements for Infants - Holding and Comforting
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Other Serious
A 6 month old was observed sleeping in a bouncer.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Safety & premises
During the follow up, the person in charge was unable to locate the file to provde the food allergy information.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-12.
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Supervision & ratios
During the follow up inspection, the operational policies were not available for review. The person in charge did not know where the documents were located.
HHSC 746.501(b)(1) — Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
HHSC risk weight: Medium Low. Corrected 2022-04-05. Correction verified 2022-04-12.
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Supervision & ratios Serious
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Mar 23, 2022 Inspection · Deficiencies cited
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Supervision & ratios
During the follow up inspection, a 15 month old and a 17 month old was in the same room eating snack with a group of 8 older children. The oldest child in the same room with the infants was a 4 year old.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-03-23. Correction verified 2022-03-29.
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Other
During the follow up inspection, there was a repeated citation in which there have been several discussions about. The permit holder has not maintained compliance with minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-03-23. Correction verified 2022-03-29.
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Supervision & ratios
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Mar 10, 2022 Inspection · Deficiencies cited
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Other Serious
A caregiver in the mixed age room, did not know how many children she was caring for. The caregiver could not locate the list of the children she was responsible for. The caregiver also miscounted how many children was in her care.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-03-10. Correction verified 2022-03-23.
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Other
The caregiver in the infant room did not know the correct ages of the infants. The caregiver had to ask another caregiverr for their ages.
HHSC 746.1203(3) — Responsibilities of Caregivers - Know Children's Names and Ages
HHSC risk weight: Medium High. Corrected 2022-03-10. Correction verified 2022-03-23.
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Other
During the follow up inspections, the permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-03-10. Correction verified 2022-03-23.
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Other Serious
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Mar 8, 2022 Inspection · Deficiencies cited
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Other
The permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2022-03-08. Correction verified 2022-03-10.
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Other Serious
There were 4 infants, aged 6-12 months old, left alone in the classroom with the doors closed, while the only caregiver available was caring for the other children.
HHSC 746.2401(7) — Basic Requirements for Infants - Never Unsupervised
HHSC risk weight: High. Corrected 2022-03-08. Correction verified 2022-03-10.
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Other
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Mar 4, 2022 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
Based on the evidence obtained during the investigation, there is suifficent information to suggest that supervision is not being properly maintained. There were instances where there is one caregiver providing care to all groups at the center.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-04-13. Correction verified 2022-04-22.
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Supervision & ratios
I observed the director caring for 26 children aged 6 months through 7 years old. The children were split up in three classrooms: 4 infants, 9 (2-7 year olds), and 13 toddlers were taking a nap.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2022-03-08. Correction verified 2022-03-10.
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Supervision & ratios Serious
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Feb 24, 2022 Inspection · Deficiencies cited
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Other Serious
During the previous inspectionsm there have been some repeat citations and violations with minimum standards.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2022-02-24. Correction verified 2022-03-08.
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Supervision & ratios Serious
A six month old was left alone laying in the crib which was placed in the toddler room while the caregiver watched the toddlers in a separate room during snacktime.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-02-24. Correction verified 2022-03-08.
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Supervision & ratios
During the follow up inspection, an 8 month old, was in the same classroom as a 7 year old.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-02-24. Correction verified 2022-03-09.
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Safety & premises Serious
A 6 month old was laying in a crib with a clip on pacifier with dangling beads on it.
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 2022-02-24. Correction verified 2022-03-08.
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Safety & premises Serious
During the follow up inspection, there was a 6 month old infant laying in the crib with a blanket.
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 2022-02-24. Correction verified 2022-03-08.
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Other Serious
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Feb 11, 2022 Inspection · Deficiencies cited
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Supervision & ratios
Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-02-11. Correction verified 2022-02-24.
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Supervision & ratios
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Feb 1, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver was in the presence of children prior to having a completed inital background check. This was corrected when she left the center.
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 2022-02-01.
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Supervision & ratios
Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-02-01. Correction verified 2022-02-11.
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Other Serious
An 8 month old was observed laying in a criib with a hanging pacifier. The pacifier was snapped and hanging from the infants shirt.
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 2022-02-01. Correction verified 2022-02-11.
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Safety & premises
During the followup inspection, there is still a sewer cover in the middle of the playground exposed to the children.
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2022-02-08. Correction verified 2022-02-11.
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Other
The admisison showing the child's special care needs was not available for review.
HHSC 746.605(13) — Required Admission Information - Special Needs Statement
HHSC risk weight: Medium High. Corrected 2022-02-08. Correction verified 2022-02-10.
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Staff background & training Serious
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Jan 27, 2022 Report · Deficiencies cited
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Safety & premises
Based on the information obtained, the permit holder was unable to provide the information regarding a food allergy.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2022-03-09. Correction verified 2022-03-29.
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Supervision & ratios
Based on the information obtained during the investigation, the operational policy was not available to determine if the information to allow parents was included. The parent stated she was not allowed to tour the center after she admitted her child.
HHSC 746.501(b)(1) — Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
HHSC risk weight: Medium Low. Corrected 2022-03-09. Correction verified 2022-03-29.
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Safety & premises
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Jan 20, 2022 Inspection · Deficiencies cited
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Other
The caregiver in the infant room did not have a list of the infants and did not know their ages.
HHSC 746.1203(3) — Responsibilities of Caregivers - Know Children's Names and Ages
HHSC risk weight: Medium High. Corrected 2022-01-20. Correction verified 2022-02-01.
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Supervision & ratios Serious
During the follow-up inspection, a three year old was left alone in the infant classroom roaming by himself. A two year old was left in the front office sitting on the floor alone.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-01-20. Correction verified 2022-02-01.
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Other
During the follow-up inspection, the proof of liability insurance was not available for review.
HHSC 746.203(2) — Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
HHSC risk weight: Medium. Corrected 2022-01-27. Correction verified 2022-02-01.
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Supervision & ratios Serious
The caregiver in the infant room repeatedly walked out of the infant room to other areas of the daycare, leaving 4 infants alone in the classroom without proper supervision.
HHSC 746.2401(7) — Basic Requirements for Infants - Never Unsupervised
HHSC risk weight: High. Corrected 2022-01-20. Correction verified 2022-02-01.
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Safety & premises
There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2022-01-27. Correction verified 2022-02-01.
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Safety & premises
During the follow-up inspection, the fire inspection report was not available for review.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2022-01-27. Correction verified 2022-02-01.
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Other
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Jan 4, 2022 Inspection · Deficiencies cited
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Other Serious
The caregivers in the infant room and mixed group did not know how many children they were caring for.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-01-04. Correction verified 2022-01-20.
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Other
The caregiver in the infant room did not have a list of the infants and did not know their ages.
HHSC 746.1203(3) — Responsibilities of Caregivers - Know Children's Names and Ages
HHSC risk weight: Medium High. Corrected 2022-01-04. Correction verified 2022-01-20.
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Supervision & ratios Serious
The caregiver in the mixed age group class left the children unattended for 10 minutes while looking for files in the operation's office.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-01-04. Correction verified 2022-01-20.
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Supervision & ratios
A 6 month old infant was in the same classroom with an 11 year old child.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-01-04. Correction verified 2022-01-20.
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Other
The proof of liability insurance was not available for review.
HHSC 746.203(2) — Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
HHSC risk weight: Medium. Corrected 2022-01-18. Correction verified 2022-01-20.
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Supervision & ratios Serious
The caregiver in the infant room repeatedly walked out of the infant room to other area of the daycare, leaving 4 infants alone in the classroom without proper supervision.
HHSC 746.2401(7) — Basic Requirements for Infants - Never Unsupervised
HHSC risk weight: High. Corrected 2022-01-04. Correction verified 2022-01-20.
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Safety & premises
There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2022-01-18. Correction verified 2022-01-20.
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Safety & premises
The fire inspection report was not available for review.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2022-01-18. Correction verified 2022-01-20.
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Other 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.