Childrens Corner First Presbyterian
800 JEFFERSON ST, Kerrville, TX 78028 · Kerr County
Program
- Type
- Licensed center
- Licensed capacity
- 163
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-05:30 PM
- Director / administrator
- Megan Elmore
- Phone
- (830) 257-2088
- Regulated since
- Jan 20, 1986
- HHSC IDs
- Operation 97488 · number 150950
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 7 | 1 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (1), Safety & premises (1), Staff background & training (2), Other (1) |
| 2025 | 2 | 0 | Illness & medication (2) |
| 2024 | 8 | 0 | Supervision & ratios (3), Safety & premises (2), Staff background & training (1), Other (2) |
| 2023 | 15 | 3 | Cleanliness & sanitation (1), Illness & medication (2), Supervision & ratios (3), Safety & premises (1), Staff background & training (4), Other (4) |
| 2022 | 7 | 4 | Illness & medication (1), Supervision & ratios (1), Safety & premises (2), Staff background & training (2), Other (1) |
| 2021 | 1 | 0 | Supervision & ratios (1) |
Inspections, investigations & assessments
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Sep 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 9, 2026 Assessment · Deficiencies cited
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Staff background & training
The training certificate that was provided did not meet the requirements for first aid certification.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2026-09-18. Correction verified 2026-09-11.
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Staff background & training
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Sep 3, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 26, 2026 Report · Deficiencies cited (self-report)
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Staff background & training
During the investigation, it was found that a staff member did not have a current first aid certification.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
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Staff background & training
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Jul 31, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2026 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
During the course of the investigation, it was observed that a child wearing an oversized tshirt had the shirt pulled over the back of the chair they were sitting on to keep them secured in the seat.
HHSC 746.4501(a) — Tables and Chairs Safe, Easy to Clean and Appropriate in Size
HHSC risk weight: Medium. Corrected 2026-09-01. Correction verified 2026-09-17.
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Illness & medication
The operation failed to complete an incident report after a child received an injury while in care that required medical attention.
HHSC 746.701(1) — Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
HHSC risk weight: Medium. Corrected 2026-09-01. Correction verified 2026-09-17.
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Cleanliness & sanitation
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May 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 31, 2026 Inspection · Deficiencies cited
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Other
There was a black storage container on the larger playground with a lid that was not secured to prevent accidental closure.
HHSC 746.3701(8) — Safety-Hinged Lid Storage Containers Safe
HHSC risk weight: Medium High. Corrected 2026-04-03. Correction verified 2026-04-15.
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Supervision & ratios Serious
Upon review of the operation's emergency preparedness plan it was missing information on how children who were non-mobile will be evacuated, the evacuation location if children and staff can not return to the operation, and how continuity of care will be maintained at the relocation site.
HHSC 746.501(a)(24) — Written Operational Policies - Emergency Preparedness Plans
HHSC risk weight: High. Corrected 2026-04-03. Correction verified 2026-04-16.
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Safety & premises
Emergency drills have not been documented for 2026.
HHSC 746.801(10) — Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
HHSC risk weight: Medium. Corrected 2026-04-10. Correction verified 2026-04-14.
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Other
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Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2025 Inspection · Deficiencies cited
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Illness & medication
Two medictions stored at the operation did not contain the original prescription for the medication.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-08-06. Correction verified 2025-09-03.
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Illness & medication
An over the counter medication kept at the operation for a child enrolled expired 11/2024.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected 2025-08-04. Correction verified 2025-09-03.
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Illness & medication
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Feb 26, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 14, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 21, 2024 Inspection · Deficiencies cited
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Staff background & training
One out of ten staff training files evaluated did not have documentation that a caregiver without 2 yrs prior work experience completed the first 8 hours of pre-service training.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2024-08-30. Correction verified 2024-09-10.
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Other
Two classrooms did not have current activity plans posted. The last posted plan was dated 8/5.
HHSC 746.2209 — Posting of Activity Plan
HHSC risk weight: Medium. Corrected 2024-08-23. Correction verified 2024-09-10.
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Safety & premises
The most recent fire inspection report was not available for inspection. The last recorded inspection was held 8/15/23.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2024-09-06. Correction verified 2024-09-10.
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Staff background & training
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Jul 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2024 Report · Deficiencies cited
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Supervision & ratios
The operation failed to provide a incident report or information regarding an injury a child received while in care.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2024-09-10. Correction verified 2024-09-13.
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Supervision & ratios
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Mar 8, 2024 Inspection · Deficiencies cited
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Supervision & ratios
The slide on the climbing unit continues to be roped off and has not been repaired or replaced. Exposed tree roots have not been removed or covered from the playground. NOTE: This is a recite. Documentation was provided that the operation is in the process of purchasing a replacement slide with the playground vendor.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-05-01. Correction verified 2024-05-24.
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Supervision & ratios
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Feb 28, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Feb 1, 2024 Inspection · Deficiencies cited
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Supervision & ratios
The operation did not have a current sanitation inspection available for review. The last recorded inspection was conducted on 1/10/23.
HHSC 746.3403 — Documentation of Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-02-02.
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Safety & premises
The slide on the climbing unit is currently taped off at the top and bottom of the slide. The bottom of the slide has two broken areas where children can be injured or clothing could potentially get caught on. There are also numerous tree roots exposed on the larger playground that can cause a tripping hazard.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-02-16. Correction verified 2024-03-08.
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Other
A television in the dramatic play area was at the children's level and not anchored to avoid possibly being pulled down off the shelf.
HHSC 746.3701(10) — Safety - Televisions Anchored to Prevent Tip Over
HHSC risk weight: Medium High. Corrected 2024-02-01. Correction verified 2024-03-08.
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Supervision & ratios
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Sep 5, 2023 Inspection · Deficiencies cited
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Other
A caregiver was observed using their personal tablet while supervising children during nap time. NOTE: Caregiver put tablet away during the inspection.
HHSC 746.1203(3)(D) — Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-05.
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Staff background & training
7 out of 10 caregivers had not completed training in the following topics for the anniversary years evaluated: emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations (this requirement was previously an optional topic); administering medication; preventing and responding to emergencies due to food or an allergic reaction; building and physical premises safety; and handling, storing, and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2023-09-15. Correction verified 2023-10-10.
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Staff background & training
2 out of 10 staff did not have a current 1st Aid certificate on file.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2023-09-15. Correction verified 2023-09-22.
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Staff background & training
2 out of 10 caregivers did not have a current CPR certificate on file.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2023-09-15. Correction verified 2023-09-22.
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Safety & premises
A caregivers purse was out on the floor next to a sleeping child. NOTE: The caregiver placed their purse in a cabinet during the inspection.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-05.
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Other
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Jun 7, 2023 Inspection · Deficiencies cited
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Other
1 out of 2 missing health statements had not been obtained containing a doctor signature after the child had been in attendance for 12 months. Note: This is a recite.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2023-06-16. Correction verified 2023-06-15.
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Other
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May 2, 2023 Inspection · Deficiencies cited
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Other
2 out of 10 child files evaluated did not have a health statement signed by a doctor after being in attendance for 12 months. Note: This is a recite.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2023-05-12. Correction verified 2023-06-07.
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Other
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Apr 28, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2023 Report · Deficiencies cited
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Supervision & ratios
The operation ordered takeout food to serve the children for lunch when the cook was absent and did not include additional food components in order to follow the USDA meal patterns.
HHSC 746.3301(b) — Nutrition and Food Service - Follow Meal Patterns
HHSC risk weight: Medium High. Corrected 2023-05-12. Correction verified 2023-06-07.
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Supervision & ratios
The operation did not keep record of food substitutions to their weekly planned menus.
HHSC 746.3313(1) — Daily Menus - Record Comparable Substitutions
HHSC risk weight: Medium. Corrected 2023-05-12. Correction verified 2023-06-07.
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Supervision & ratios
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Mar 21, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
A church member had direct access to children ages 13-16 months of age without an eligibility letter on file. NOTE: A background check was submitted through the operation's portal during the inspection.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-03-21. Correction verified 2023-04-06.
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Other
2 out of 10 child files evaluated did not have a health statement signed by a doctor after being in attendance for 12 months.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2023-04-07. Correction verified 2023-05-02.
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Illness & medication
1 out of 10 child files evaluated was missing updated vaccination records for a child who was 16 mos of age. The child was missing their MMR & Varicella vaccinations.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2023-04-07. Correction verified 2023-05-02.
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Staff background & training Serious
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Mar 15, 2023 Report · Deficiencies cited
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Supervision & ratios Serious
The operation failed to notify Licensing that a child was potentially placed at risk of injury when bleach water was accidentally sprayed on the child's hair.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2023-05-01. Correction verified 2023-05-02.
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Cleanliness & sanitation Serious
Cleaning bottles were not properly labeled with the contents contained and as a result, bleach water was sprayed on a child's hair.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2023-05-01. Correction verified 2023-05-02.
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Supervision & ratios Serious
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Feb 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 15, 2023 Report · Deficiencies cited (self-report)
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Illness & medication
The incident report was not signed by a management person at the operation until 7 days after the incident report was completed.
HHSC 746.705 — Incident/Illness Report Form Signed
HHSC risk weight: Low. Corrected 2023-04-12. Correction verified 2023-05-05.
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Illness & medication
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Oct 19, 2022 Inspection · Deficiencies cited
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Illness & medication
3 out 10 child files reviewed for immunization records were missing updated immunizations.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-12-09. Correction verified 2022-11-30.
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Illness & medication
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Jul 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 27, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver in the infant room was present and in direct care of the children without an eligibility letter on file. NOTE: The caregiver was removed from the operation and a background check will be submitted by the director.
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 2022-06-27. Correction verified 2022-07-11.
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Safety & premises Serious
An infant, 8 months of age, was observed sleeping in their 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 2022-06-27. Correction verified 2022-07-11.
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Staff background & training Serious
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Jun 15, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver in the infant room was present and in direct care of the children without an eligibility letter on file. NOTE: The caregiver was removed from the operation and a background check will be submitted by the director.
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 2022-06-15. Correction verified 2022-06-27.
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Safety & premises Serious
Two infants were observed sleeping in a swing. When caregivers were asked how long the infants had been sleeping in the swings, it was said to be 10 minutes. NOTE: Caregivers moved the children to their assigned cribs.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-06-15. Correction verified 2022-06-27.
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Other
Two Prek classrooms were observed not having adequate lighting to allow caregivers to see the children while sleeping from the opposite side of the room. NOTE: Caregivers opened a window blind to allow natural light to come into the room.
HHSC 746.2911 — Adequate Lighting During Naptime
HHSC risk weight: Medium High. Corrected 2022-06-15. Correction verified 2022-06-27.
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Staff background & training Serious
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Jun 14, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 2, 2022 Report · Deficiencies cited
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Supervision & ratios
The operation did not notify a parent that their child received a minor injury received while in care during naptime.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2022-04-29. Correction verified 2022-05-05.
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Supervision & ratios
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Nov 18, 2021 Inspection · Deficiencies cited
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Supervision & ratios
Two out of ten child files evaluated were missing a health statement from a physician after being in attendance for 12 months.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2022-01-14. Correction verified 2022-01-05.
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Supervision & ratios
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.