Cookies N Cream Day Care Center

Violations by category

• Supervision & ratios 21
• Safety & premises 25
• Food & allergies 1
• Staff background & training 7
• Records & paperwork 1
• Other 21

Year by year

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

1. Jul 28, 2026 Inspection · Deficiencies cited
   • Safety & premises Serious

     Refrigerator in toddler room observed rusted with sharp edges.

     HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

     HHSC risk weight: Medium High. Corrected 2026-08-04. Correction verified 2026-07-31.

   HHSC inspection history

2. Jul 15, 2026 Inspection · Deficiencies cited
   • Safety & premises Serious

     Infant age five months was observed sleeping in crib with a bib and pacifier attached to the bib.

     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 2026-07-15. Correction verified 2026-07-28.

   • Other Serious

     The sanitation inspection was observed expired and not conducted within twelve months as required.

     HHSC 746.3401(b) — Annual Sanitation Inspection - Conducted Local Sanitation Official

     HHSC risk weight: Medium High. Corrected 2026-08-08. Correction verified 2026-07-28.

   • Safety & premises Serious

     Refrigerator in toddler room observed rusted with sharp edges.

     HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

     HHSC risk weight: Medium High. Corrected 2026-07-15. Correction verified 2026-07-28.

   • Safety & premises Serious

     Loose fill was observed low with grass growing up in the mulch and in need of maintenance on playgrounds 1 & 2.

     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 2026-07-30. Correction verified 2026-07-28.

   HHSC inspection history

3. Jul 7, 2026 Assessment · Deficiencies cited
   • Other Serious

     Caregiver was observed having a provisional background caring for children in the role of a caregiver alone in the pre-k classroom.

     HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

     HHSC risk weight: High. Corrected 2026-07-07. Correction verified 2026-07-15.

   HHSC inspection history

4. Jul 1, 2026 Inspection · Deficiencies cited
   • Staff background & training Serious

     Infant room teacher was observed to not have pre-service training available for review within caregiver record. The hire date was observed as 10/7/25.

     HHSC 746.1305(b) — Pre-service Training for Caregivers of Children Under 24 Months

     HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Supervision & ratios Serious

     Caregiver was observed out of ratio. There were twenty-five children in care and one caregiver. The SAG is three years.

     HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

     HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Other

     Caregivers were observed not following the written/daily schedule.

     HHSC 746.2203(b) — Written Activity Plans - Plan Followed by Caregiver

     HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Other

     Children were observed sitting for a total of 15 minutes after having breakfast before transitioning to next activity.

     HHSC 746.2205(a)(4) — Written Activity Plan - No Long Waiting Periods

     HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Other Serious

     Ten children ages two,two, two, seventeen months, two, months, and nineteen months were observed in a restrictive device for twenty-seven minuets. The time observed was from 8:50am-9:17am.

     HHSC 746.2417(2)(B) — Activities for Infants - Not in Restrictive Device for more than 15 Minutes

     HHSC risk weight: High. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Staff background & training

     A 2 year old was observed sleeping on a mat with a bottle in mouth.

     HHSC 746.2505(4)(C) — Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

     HHSC risk weight: Medium. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Safety & premises Serious

     The playgrounds 1 & 2 were observed to have active ant beds, grass growing up inside the mulch, large screw sticking up from the surround, and foam open/exposed on the pole.

     HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

     HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Supervision & ratios Serious

     The operation was observed to have a daily tracking system to account for children in care. However the sign in/out sheets did not account for all children in care. There were 35 children in care only 19 children signed in as of 7/1/26.

     HHSC 746.603(a)(8) — Tracking System or Sign-in and Sign-out Logs

     HHSC risk weight: Medium High. Corrected 2026-07-01. Correction verified 2026-07-15.

   • Supervision & ratios

     Three out of six children records were observed not to have a health statement signed by a medical professional.

     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 2026-07-22. Correction verified 2026-07-15.

   HHSC inspection history

5. Jun 18, 2026 Inspection · Deficiencies cited
   • Supervision & ratios Serious

     There were four children age four, eight, eight, and nine years observed in an classroom without supervision during nap time. There was no caregiver physically present at the time of inspection. Note: The infant room teacher was observed with the top of the door cracked.

     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 2026-06-18. Correction verified 2026-07-01.

   • Staff background & training Serious

     Infant room teacher was observed to not have pre-service training available for review within caregiver record. The hire date was observed as 10/7/25.

     HHSC 746.1305(b) — Pre-service Training for Caregivers of Children Under 24 Months

     HHSC risk weight: Medium High. Corrected 2026-06-25. Correction verified 2026-07-01.

   • Supervision & ratios Serious

     There was one caregiver observed caring for 29 children with a specified age group of two years during nap time.

     HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

     HHSC risk weight: Medium High. Corrected 2026-06-18. Correction verified 2026-07-01.

   • Other

     Caregivers were observed not following the written/daily schedule. Children did not engage in outside play at the designated time 4:00-4:30.

     HHSC 746.2203(b) — Written Activity Plans - Plan Followed by Caregiver

     HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-07-01.

   • Other Serious

     Seven children ages two,two, two, seventeen months, two, months, and nineteen months were observed in a restrictive device for more than thirty minuets. The time observed was from 2:15pm-3:15pm.

     HHSC 746.2417(2)(B) — Activities for Infants - Not in Restrictive Device for more than 15 Minutes

     HHSC risk weight: High. Corrected 2026-06-18. Correction verified 2026-07-01.

   • Safety & premises Serious

     The playgrounds 1 & 2 were observed to have active ant beds, standing water at the end of the slide, and grass growing up inside the mulch.

     HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

     HHSC risk weight: Medium High. Corrected 2026-06-18. Correction verified 2026-07-01.

   • Supervision & ratios Serious

     The operation was observed to not have a daily tracking system to account for children in care for the months of April, May, and current month of June as of 6/18/26.

     HHSC 746.603(a)(8) — Tracking System or Sign-in and Sign-out Logs

     HHSC risk weight: Medium High. Corrected 2026-06-18. Correction verified 2026-07-01.

   • Supervision & ratios

     Three out of six children records were observed not to have a health statement signed by a medical professional.

     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 2026-06-30. Correction verified 2026-07-01.

   • Staff background & training

     One out of six staff was observed to not have the required operational policies training within the staff records. The staff hire date is 10/7/25.

     HHSC 746.901(6) — Required Personnel Records -Training Hours

     HHSC risk weight: Medium. Corrected 2026-06-18. Correction verified 2026-07-01.

   HHSC inspection history

6. Jun 11, 2026 Inspection · Deficiencies cited
   • Staff background & training Serious

     Infant room teacher was observed to not have pre-service training available for review within caregiver record. The hire date was observed as 10/7/25.

     HHSC 746.1305(b) — Pre-service Training for Caregivers of Children Under 24 Months

     HHSC risk weight: Medium High. Corrected 2026-06-25. Correction verified 2026-06-18.

   • Supervision & ratios Serious

     Infant room teacher was observed out of ratio caring for five infants ages six months, six months, eight months, nine months, and twelve months without assistance. Note: Another Caregiver entered the room at 8:45am.

     HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

     HHSC risk weight: Medium High. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Supervision & ratios Serious

     Two caregivers were observed caring for 25 children with a specified age group of two years.

     HHSC 746.1609 — Maximum Group Size 13 or More Children

     HHSC risk weight: Medium High. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Other

     Caregivers were observed not following the written/daily schedule. Children did not engage in outside play at the designated time 11:00-11:30.

     HHSC 746.2203(b) — Written Activity Plans - Plan Followed by Caregiver

     HHSC risk weight: Medium. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Safety & premises Serious

     Infant age six months was observed sleep and being placed on their stomach in the crib.

     HHSC 746.2427(a) — AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

     HHSC risk weight: High. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Safety & premises Serious

     The playgrounds 1 & 2 were observed to have active ant beds, standing water at the end of the slide, and grass growing up inside the mulch.

     HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

     HHSC risk weight: Medium High. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Supervision & ratios Serious

     The operation was observed to not have a daily tracking system to account for children in care for the months of April, May, and current month of June as of 6/11/26.

     HHSC 746.603(a)(8) — Tracking System or Sign-in and Sign-out Logs

     HHSC risk weight: Medium High. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Supervision & ratios

     Three out of six children records were observed not to have a health statement signed by a medical professional.

     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 2026-06-30. Correction verified 2026-06-18.

   • Supervision & ratios

     The operation was observed to not have a playground maintenance checklist available for review for the months of April, May, and current month of June as of 6/11/26.

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

     HHSC risk weight: Medium. Corrected 2026-06-11. Correction verified 2026-06-18.

   • Staff background & training

     One out of six staff was observed to not have the required operational policies training within the staff records. The staff hire date is 10/7/25.

     HHSC 746.901(6) — Required Personnel Records -Training Hours

     HHSC risk weight: Medium. Corrected 2026-06-12. Correction verified 2026-06-18.

   HHSC inspection history

7. Aug 19, 2025 Inspection · Deficiencies cited
   • Safety & premises Serious

     There was no current fire inspection report available for review during the inspection. Fire inspection report was observed dated 10/19/2023.

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

     HHSC risk weight: High. Corrected 2025-09-05. Correction verified 2025-09-05.

   HHSC inspection history

8. Aug 5, 2025 Inspection · Deficiencies cited
   • Supervision & ratios Serious

     One caregiver was observed caring for 9 infants ages 6, 8, 10, 12,12,12,14,17, and 17 months old during the inspection.

     HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

     HHSC risk weight: Medium High. Corrected 2025-08-05. Correction verified 2025-08-19.

   • Supervision & ratios Serious

     The operation was observed having a total of 51 children present during the inspection exceeding it's licensing capacity of 45 children. Six children were observed leaving the operation during the inspection bringing the total number of children in care to 45.

     HHSC 746.201(11) — AP Ensure total number of children both at & away from center within capacity

     HHSC risk weight: High. Corrected 2025-08-05. Correction verified 2025-08-19.

   • Safety & premises Serious

     There was no current fire inspection report available for review during the inspection. Fire inspection report was observed dated 10/19/2023.

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

     HHSC risk weight: High. Corrected 2025-08-28. Correction verified 2025-08-19.

   HHSC inspection history

9. Jul 24, 2025 Inspection · Deficiencies cited
   • Supervision & ratios Serious

     Thirteen children were observed unsupervised during naptime, when caregiver was observed leaving the room during the inspection.

     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 2025-07-24. Correction verified 2025-08-05.

   • Safety & premises Serious

     Two children were observed blocking an entrance/exit during naptime during the inspection. This was corrected during the inspection when the children were observed being moved to another area.

     HHSC 746.2909(1) — Arrangement of Napping Equipment - Not Blocking Entrances or Exits

     HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-07-24.

   • Records & paperwork Serious

     There was no current health inspection report available for review during the inspection. The health inspection report was dated 7/17/23.

     HHSC 746.3401(a) — Annual Sanitation Inspection

     HHSC risk weight: Medium High. Corrected 2025-08-14. Correction verified 2025-08-05.

   • Other

     Mats were observed torn and unwashable during the inspection.

     HHSC 746.4503(a) — Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

     HHSC risk weight: Medium. Corrected 2025-07-31. Correction verified 2025-08-05.

   • Safety & premises Serious

     There was no current fire inspection report available for review during the inspection. Fire inspection report was observed dated 10/19/2023.

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

     HHSC risk weight: High. Corrected 2025-08-14. Correction verified 2025-08-05.

   • Safety & premises

     There was no documentation of fire drills for the month of June during the inspection.

     HHSC 746.5205(4) — Documentation of Drills

     HHSC risk weight: Medium. Corrected 2025-07-31. Correction verified 2025-08-05.

   • Safety & premises Serious

     There was no documentation of fire extinguishers checks available for review for the month of June during the inspection.

     HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly

     HHSC risk weight: Medium High. Corrected 2025-07-31. Correction verified 2025-08-05.

   • Safety & premises Serious

     There was no documentation of date of testing of smoke detector for the month of June available for review during the inspection

     HHSC 746.5319 — Smoke Detectors Testing

     HHSC risk weight: High. Corrected 2025-07-31. Correction verified 2025-08-05.

   • Other Serious

     There was no documentation of date of test for carbon monoxide detector for the month of june during the inspection.

     HHSC 746.5537(a)(3) — Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation

     HHSC risk weight: Medium High. Corrected 2025-07-31. Correction verified 2025-08-05.

   HHSC inspection history

10. Aug 29, 2024 Inspection · Deficiencies cited
    • Other

      Written activity plans were observed missing dates the plan covers. This was corrected during the inspection when caregiver dated the activity plan.

      HHSC 746.2205(a)(1) — Written Activity Plan - Group Name and Dates

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-08-29.

    • Safety & premises Serious

      A bag of potting soil, a bottle of lighter fluid, and a barbecue pit was observed during the inspection accessible to children in the outdoor play area. This was corrected during the inspection when all the items were observed being removed and inaccessible to the children.

      HHSC 746.3701 — Safety - Areas Free From Hazards

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-08-29.

    • Safety & premises Serious

      The Emergency evacuation and relocation diagram was observed missing designated location outside of the center where all caregivers and children meet to ensure everyone has exited safely.

      HHSC 746.5207(a)(3) — Emergency Evacuation and Relocation Diagram - Designated Location

      HHSC risk weight: Medium High. Corrected 2024-09-05. Correction verified 2024-09-03.

    • Safety & premises Serious

      The Emergency evacuation and relocation diagram was observed missing the designated location inside the center where all caregivers and children take shelter from threatening weather.

      HHSC 746.5207(a)(4) — Emergency Evacuation and Relocation Diagram - Designated Location Inside

      HHSC risk weight: Medium High. Corrected 2024-09-05. Correction verified 2024-09-03.

    HHSC inspection history

11. Sep 5, 2023 Inspection · Deficiencies cited
    • Safety & premises Serious

      Two infants 6 months and 11 months of age were observed in crib with toys inside of the crib. Caregivers were advised to remove all toys from the cribs.

      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 at inspection. Corrected 2023-09-05.

    • Food & allergies Serious

      Multiple bottles and sippy cups were observed in the infant room not properly labeled with infants fist names and initials of last name. This was corrected during the inspection when the bottles and sippy cups were observed properly labeled.

      HHSC 746.2419(6) — Requirements for Feeding Infants - Label Bottles/Cups

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-05.

    • Other

      There was no written feeding instruction sheet available for review for 7 month old infant.

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

      HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-10-09.

    • Other

      There were no current ,updated, nor signed by parents written feeding instruction sheets available for review for 2 infants ages 6 months old.

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

      HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-10-09.

    • Other

      First aid kit was observed missing adhesive tape during the inspection.

      HHSC 746.4003(a)(2) — First Aid Kit Incomplete Kit - Adhesive Tape

      HHSC risk weight: Medium. Corrected 2023-09-12. Correction verified 2023-10-09.

    • Safety & premises Serious

      There was no copy of most recent fire inspection report available for review during the inspection.

      HHSC 746.5103 — Documentation of Fire Inspection

      HHSC risk weight: Medium High. Corrected 2023-09-12. Correction verified 2023-10-09.

    • Safety & premises Serious

      Fire extinguishers check was not recorded for the months of June, July, and August during the inspection.

      HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly

      HHSC risk weight: Medium High. Corrected 2023-09-12. Correction verified 2023-10-09.

    • Other Serious

      Carbon monoxide testing was not documented for months June, July, and August during the inspection.

      HHSC 746.5537(a)(3) — Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation

      HHSC risk weight: Medium High. Corrected 2023-09-12. Correction verified 2023-10-09.

    HHSC inspection history

12. Nov 16, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

13. Nov 2, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

14. Oct 19, 2022 Inspection · Deficiencies cited
    • Staff background & training Serious

      One caregiver with a pending background was observed caring for children in the 0-11 month classroom.

      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 2022-10-24. Correction verified 2022-11-02.

    • Supervision & ratios Serious

      There was 1 caregiver caring for 12 children with a SAG of 18-23 months, which put the class out of ratio by 3 children.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2022-10-19. Correction verified 2022-11-02.

    • Other Serious

      Two infants were observed sleeping in rockers. This was corrected at inspection when the caregiver removed the two infants from the rockers.

      HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-10-19.

    • Safety & premises Serious

      The was one infant age 6 weeks that was swaddled while sleeping in the crib. This was corrected at inspection when the caregiver removed the blanket from the child.

      HHSC 746.2428 — No Swaddling of Infant Unless Completed Sleep Exception Form on File

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-10-19.

    HHSC inspection history

15. Oct 4, 2022 Inspection · Deficiencies cited
    • Other Serious

      The caregiver in the 5 year old classroom did not know the correct ages of the children in her care and did not have documentation to show the children information. The caregiver in the 12-17 month class did not know the correct number of children in her care and did not have documentation to show the children information.

      HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For

      HHSC risk weight: High. Corrected 2022-10-04. Correction verified 2022-10-19.

    • Other Serious

      The caregiver in the 5 year old old classroom did not have control over the children in her care.

      HHSC 746.1203(5) — Responsibilities of Caregivers - Children in Control

      HHSC risk weight: Medium High. Corrected 2022-10-04. Correction verified 2022-10-19.

    • Supervision & ratios Serious

      There was 1 caregiver caring for 6 infants with a SAG of 0-11 months. One caregiver was caring for7 children ages 12m-3y with a SAG of 12-17 months, which put the class out of ratio by 2 children.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2022-10-04. Correction verified 2022-10-19.

    • Other

      Children were observed sitting in table chairs for over 30 minutes without being able to get down. I observed two children trying to climb out of the chairs.

      HHSC 746.2507(3) — Activities for Toddlers - Provide Small Muscle Development

      HHSC risk weight: Medium. Corrected 2022-10-04. Correction verified 2022-10-19.

    • Other Serious

      There were 4 infants age 12-17 months in the same classroom with children 3 years and older.

      HHSC 746.4203 — Space Requirements - Under 18 Months of Age Separate from Older Children

      HHSC risk weight: Medium High. Corrected 2022-10-04. Correction verified 2022-10-19.

    HHSC inspection history

16. Sep 14, 2022 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      There was 1 caregiver caring for 7 infants with a SAG of 0-11 months. This was corrected at inspection when another caregiver was placed in the classroom to assist.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2022-09-14. Correction verified 2022-10-04.

    • Supervision & ratios Serious

      There were 25 children in a classroom with 2 caregivers with a SAG of 2 years old. The class was out of ratio by 3 children. This was corrected when 3 younger children were moved over to infant class.

      HHSC 746.1609 — Maximum Group Size 13 or More Children

      HHSC risk weight: Medium High. Corrected 2022-09-14. Correction verified 2022-10-04.

    • Other Serious

      In classroom 3 there were 2 16 month old children in the classroom with a child of 4, 5, and 7 years old. This was corrected at inspection when 16 month olds were moved over to the infant classroom.

      HHSC 746.2403(3) — Infant Care Area - Separate from Older Children

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-09-14.

    • Safety & premises Serious

      There were 2 infants age 11 months that do not walk and do not have their own cribs for napping.

      HHSC 746.2405(2) — Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

      HHSC risk weight: Medium High. Corrected 2022-09-21. Correction verified 2022-09-22.

    • Safety & premises

      Cribs are labeled with numbers but there was not a sleep chart to indicate which crib belongs to which infant.

      HHSC 746.2409(a)(10) — Safety Requirements for Cribs - Label for Each Infant

      HHSC risk weight: Medium. Corrected 2022-09-21. Correction verified 2022-09-22.

    • Supervision & ratios Serious

      The operation does not have an updated sanitiation report. The sanitation report on file is from 5.17.2021.

      HHSC 746.3403 — Documentation of Annual Sanitation Inspection

      HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-09-22.

    • Supervision & ratios Serious

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

      HHSC 746.5103 — Documentation of Fire Inspection

      HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-10-19.

    • Safety & premises Serious

      Fire drill was not completed in August 2022.

      HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes

      HHSC risk weight: Medium High. Corrected 2022-09-21. Correction verified 2022-09-22.

    HHSC inspection history