Tesia's Tiny Tots Day Care Center, INC
524 N HIGHWAY 67, Cedar Hill, TX 75104 · Dallas County
Program
- Type
- Licensed center
- Licensed capacity
- 37
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 PM
- Director / administrator
- Tesia Runnels
- Phone
- (972) 293-1477
- Regulated since
- Apr 9, 2008
- HHSC IDs
- Operation 318222 · number 874768
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2023 | 4 | 0 | Records & paperwork (2), Other (2) |
| 2022 | 4 | 4 | Safety & premises (4) |
| 2021 | 26 | 14 | Illness & medication (2), Supervision & ratios (4), Discipline & child guidance (2), Safety & premises (14), Staff background & training (2), Records & paperwork (2) |
Inspections, investigations & assessments
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 31, 2023 Inspection · Deficiencies cited
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Other
Current written documentation of drills was not available for review during the inspection.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2023-08-31. Correction verified 2023-09-06.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Aug 31, 2023 Inspection · Deficiencies cited
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Other
Current written documentation of drills was not available for review during the inspection.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2023-08-31. Correction verified 2023-09-06.
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Other
-
Mar 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 24, 2023 Assessment · Deficiencies cited
-
Records & paperwork
Number of employees left in 2022 has not been reported.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2023-01-26. Correction verified 2023-01-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
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Jan 24, 2023 Assessment · Deficiencies cited
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Records & paperwork
Number of employees left in 2022 has not been reported.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2023-01-26. Correction verified 2023-01-27.
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Records & paperwork
-
Jan 23, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 23, 2023 Inspection · 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.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 26, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 8, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
Transportation vehicled used for transportation during the inspection was missing a fire extinguisher. This was corrected during the inspection. Fire extingusher was added to the veihicle.
HHSC 746.5617(a)(5) — Required Equipment in Vehicles - Fire Extinguisher
HHSC risk weight: High. Corrected at inspection. Corrected 2022-03-08.
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Safety & premises Serious
Transportation vehicle used during the inspection did not have a first aid kit. This was corrected during the inspection. A complete first aid kit was added to the vehicle.
HHSC 746.5617(a)(6) — Required Equipment in Vehicles - First-aid Kit
HHSC risk weight: High. Corrected at inspection. Corrected 2022-03-08.
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Safety & premises Serious
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Mar 8, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
Transportation vehicled used for transportation during the inspection was missing a fire extinguisher. This was corrected during the inspection. Fire extingusher was added to the veihicle.
HHSC 746.5617(a)(5) — Required Equipment in Vehicles - Fire Extinguisher
HHSC risk weight: High. Corrected at inspection. Corrected 2022-03-08.
-
Safety & premises Serious
Transportation vehicle used during the inspection did not have a first aid kit. This was corrected during the inspection. A complete first aid kit was added to the vehicle.
HHSC 746.5617(a)(6) — Required Equipment in Vehicles - First-aid Kit
HHSC risk weight: High. Corrected at inspection. Corrected 2022-03-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
Jan 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2021 Inspection · Deficiencies cited
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Supervision & ratios
Upon arrival the operation was out of ratio with one caregiver to four infants and 6 toddler, preK school age children.
HHSC 746.1701 — Child/Caregiver Ratio - 12 or Fewer Children
HHSC risk weight: Medium. Corrected 2021-12-17. Correction verified 2022-01-04.
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Records & paperwork
Substitution was documented during the inspection. This was corrected during the inspection. Substitution noted.
HHSC 746.3313(1) — Daily Menus - Record Comparable Substitutions
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-12-16.
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Safety & premises
Exposed screw from a slide piece not in use was observed in the outdoor play area. Picture taken
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2021-12-16. Correction verified 2022-01-04.
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Safety & premises
During the inspection a piece of equipment requiring use zone, was observed without use zone.
HHSC 746.4803 — Measurement of Use Zone for Stationary Equipment
HHSC risk weight: Medium. Corrected 2022-01-14. Correction verified 2022-01-04.
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Safety & premises
A piece of equipment was observed without surfacing around it. Picture taken
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2021-12-16. Correction verified 2022-01-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 16, 2021 Inspection · Deficiencies cited
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Supervision & ratios
Upon arrival the operation was out of ratio with one caregiver to four infants and 6 toddler, preK school age children.
HHSC 746.1701 — Child/Caregiver Ratio - 12 or Fewer Children
HHSC risk weight: Medium. Corrected 2021-12-17. Correction verified 2022-01-04.
-
Records & paperwork
Substitution was documented during the inspection. This was corrected during the inspection. Substitution noted.
HHSC 746.3313(1) — Daily Menus - Record Comparable Substitutions
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-12-16.
-
Safety & premises
Exposed screw from a slide piece not in use was observed in the outdoor play area. Picture taken
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2021-12-16. Correction verified 2022-01-04.
-
Safety & premises
During the inspection a piece of equipment requiring use zone, was observed without use zone.
HHSC 746.4803 — Measurement of Use Zone for Stationary Equipment
HHSC risk weight: Medium. Corrected 2022-01-14. Correction verified 2022-01-04.
-
Safety & premises
A piece of equipment was observed without surfacing around it. Picture taken
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2021-12-16. Correction verified 2022-01-04.
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Supervision & ratios
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Oct 4, 2021 Inspection · Deficiencies cited
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Safety & premises Serious
Emergency medical authorization was not signed for a child enrolled.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2021-10-04. Correction verified 2021-10-06.
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Illness & medication Serious
Current documentation for a child enrolled was not available for review during the inspection.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2021-10-04. Correction verified 2021-10-15.
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Safety & premises Serious
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Oct 4, 2021 Inspection · Deficiencies cited
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Safety & premises Serious
Emergency medical authorization was not signed for a child enrolled.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2021-10-04. Correction verified 2021-10-06.
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Illness & medication Serious
Current documentation for a child enrolled was not available for review during the inspection.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2021-10-04. Correction verified 2021-10-15.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
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Sep 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 21, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 8, 2021 Report · Deficiencies cited
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Staff background & training Serious
Employee with a volunteer background check was observed alone with children. Volunteer background check does not allow a care giver to be alone with children or counted in ratio.
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 2022-02-28.
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Safety & premises Serious
The director did not use good judgment when dealing with a potential exposure to COVID, by leaving children alone in a transportation vehicle.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
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Discipline & child guidance Serious
During the investigation it was found that the director was found reason to believe for neglectful supervision when she left children unattended in the transportation vehicle after school pickup.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
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Supervision & ratios Serious
During investigation it was found that the operation did not report a situation that placed children at risk. Two children were left unsupervised in a transportation vehicle.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
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Safety & premises
During an investigation it was found that the parent was not notified when children were left in the transportation vehicle alone in the center parking lot.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-08.
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Safety & premises Serious
During the investigation it was found that two children were left unattended in a transportation vehicle.
HHSC 746.5605(4) — AP Safety Precautions for Loading and Unloading Children - No Child Unattended
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Sep 8, 2021 Report · Deficiencies cited
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Staff background & training Serious
Employee with a volunteer background check was observed alone with children. Volunteer background check does not allow a care giver to be alone with children or counted in ratio.
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 2022-02-28.
-
Safety & premises Serious
The director did not use good judgment when dealing with a potential exposure to COVID, by leaving children alone in a transportation vehicle.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
-
Discipline & child guidance Serious
During the investigation it was found that the director was found reason to believe for neglectful supervision when she left children unattended in the transportation vehicle after school pickup.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
-
Supervision & ratios Serious
During investigation it was found that the operation did not report a situation that placed children at risk. Two children were left unsupervised in a transportation vehicle.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-08.
-
Safety & premises
During an investigation it was found that the parent was not notified when children were left in the transportation vehicle alone in the center parking lot.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: Medium High. Corrected 2022-02-28. Correction verified 2022-03-08.
-
Safety & premises Serious
During the investigation it was found that two children were left unattended in a transportation vehicle.
HHSC 746.5605(4) — AP Safety Precautions for Loading and Unloading Children - No Child Unattended
HHSC risk weight: High. Corrected 2022-02-28. Correction verified 2022-03-04.
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Staff background & training Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.