A To Z Preschool/daycare Center

Violations by category

• Cleanliness & sanitation 6
• Illness & medication 2
• Supervision & ratios 10
• Safety & premises 6
• Staff background & training 12
• Records & paperwork 8
• Other 8

Year by year

Inspections, investigations & assessments

1. Nov 19, 2025 Inspection · Deficiencies cited
   • Staff background & training

     Director and employees were missing the following annual trainings:Director did not have the certificates for Health and Safety audit trainings as follows: Director and 7 caregivers missing a) (1)Emergency preparedness b) (2)Preventing and controlling the spread of communicable diseases, including immunizations c) (3)Administering medication, if applicable, including compliance with ?746.3803 of this chapter (4)Preventing and responding to emergencies due to food or an allergic reaction (5)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic (6)Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?)

     HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required

     HHSC risk weight: Medium. Corrected 2025-12-03. Correction verified 2025-11-25.

   HHSC inspection history · no longer published by HHSC; kept here

2. Nov 19, 2025 Inspection · Deficiencies cited
   • Staff background & training

     Director and employees were missing the following annual trainings:Director did not have the certificates for Health and Safety audit trainings as follows: Director and 7 caregivers missing a) (1)Emergency preparedness b) (2)Preventing and controlling the spread of communicable diseases, including immunizations c) (3)Administering medication, if applicable, including compliance with ?746.3803 of this chapter (4)Preventing and responding to emergencies due to food or an allergic reaction (5)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic (6)Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?)

     HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required

     HHSC risk weight: Medium. Corrected 2025-12-03. Correction verified 2025-11-25.

   HHSC inspection history

3. Feb 27, 2025 Inspection · No deficiencies cited

   No violations cited on this visit.

   HHSC inspection history · no longer published by HHSC; kept here

4. Feb 27, 2025 Inspection · No deficiencies cited

   No violations cited on this visit.

   HHSC inspection history

5. Feb 17, 2025 Report · No deficiencies cited

   No violations cited on this visit.

   HHSC inspection history

6. Feb 17, 2025 Report · No deficiencies cited

   No violations cited on this visit.

   HHSC inspection history · no longer published by HHSC; kept here

7. Jan 28, 2025 Assessment · Deficiencies cited
   • Supervision & ratios

     Operation has not reported their staffing changes for the year 2024 by the due date of 1/15/2025. NOTE: Director provided proof of compliance same day.

     HHSC 746.303(b) — Report Number of Employees

     HHSC risk weight: Medium Low. Corrected 2025-01-30. Correction verified 2025-01-28.

   HHSC inspection history

8. Jan 28, 2025 Assessment · Deficiencies cited
   • Supervision & ratios

     Operation has not reported their staffing changes for the year 2024 by the due date of 1/15/2025. NOTE: Director provided proof of compliance same day.

     HHSC 746.303(b) — Report Number of Employees

     HHSC risk weight: Medium Low. Corrected 2025-01-30. Correction verified 2025-01-28.

   HHSC inspection history · no longer published by HHSC; kept here

9. Dec 12, 2024 Assessment · Deficiencies cited
   • Records & paperwork

     Regarding employee records, 2 employees did not have translated education requirements and have yet to be submitted.

     HHSC 746.901 — Required Personnel Records

     HHSC risk weight: Medium. Corrected 2024-12-27. Correction verified 2024-12-24.

   HHSC inspection history · no longer published by HHSC; kept here

10. Dec 12, 2024 Assessment · Deficiencies cited
    • Records & paperwork

      Regarding employee records, 2 employees did not have translated education requirements and have yet to be submitted.

      HHSC 746.901 — Required Personnel Records

      HHSC risk weight: Medium. Corrected 2024-12-27. Correction verified 2024-12-24.

    HHSC inspection history

11. Nov 20, 2024 Inspection · Deficiencies cited
    • Safety & premises

      The underliner for the loose fill in the outdoor play area is sticking out near some of the play structure, creating a tripping hazard.

      HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired

      HHSC risk weight: Medium High. Corrected 2024-12-04. Correction verified 2024-12-04.

    • Safety & premises Serious

      Fire Marshal inspection report was not current. Last available Inspection was 6/6/2023.

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

      HHSC risk weight: High. Corrected 2024-12-04. Correction verified 2024-12-04.

    • Records & paperwork

      Regarding employee records, 6 Employees were reviewed. The following items were missing: 6 employees were missing a notarized affidavit of employment form2985, 6 employees were missing the pre-employment affidavit, 5 employees were missing their background eligibility, 2 employees have no copy of IDs, 2 employee did not have translated education requirements.

      HHSC 746.901 — Required Personnel Records

      HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2024-12-12.

    HHSC inspection history · no longer published by HHSC; kept here

12. Nov 20, 2024 Inspection · Deficiencies cited
    • Safety & premises

      The underliner for the loose fill in the outdoor play area is sticking out near some of the play structure, creating a tripping hazard.

      HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired

      HHSC risk weight: Medium High. Corrected 2024-12-04. Correction verified 2024-12-04.

    • Safety & premises Serious

      Fire Marshal inspection report was not current. Last available Inspection was 6/6/2023.

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

      HHSC risk weight: High. Corrected 2024-12-04. Correction verified 2024-12-04.

    • Records & paperwork

      Regarding employee records, 6 Employees were reviewed. The following items were missing: 6 employees were missing a notarized affidavit of employment form2985, 6 employees were missing the pre-employment affidavit, 5 employees were missing their background eligibility, 2 employees have no copy of IDs, 2 employee did not have translated education requirements.

      HHSC 746.901 — Required Personnel Records

      HHSC risk weight: Medium. Corrected 2024-12-04. Correction verified 2024-12-12.

    HHSC inspection history

13. Nov 27, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      A caregiver was observed alone with children in the infant room during the inspection and has an ineligible background check status.

      HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

      HHSC risk weight: High. Corrected 2023-11-27. Correction verified 2023-11-28.

    • Staff background & training

      2 out of 4 staff files evaluated did not contain proof of education documentation.

      HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

      HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-09.

    • Staff background & training

      A caregiver was observed during the inspection who was counted in ratio. The caregiver has not completed the full 24 hours of pre-service training. An additional 16 hours is needed.

      HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-11-28.

    • Staff background & training

      1 out of 4 caregivers files evaluated did not contain Pediatric CPR training.

      HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

      HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-11-28.

    • Cleanliness & sanitation

      Bottles were stored on the hand washing sink in the infant room. Note: The provider removed the bottles during the inspection.

      HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-11-27.

    • Other

      Children could not be seen upon entering the infant room due to inadequate lighting duirng naptime.

      HHSC 746.2911 — Adequate Lighting During Naptime

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-12-06.

    • Cleanliness & sanitation

      The ceiling in the boys restroom contains a leak and is beginning to cave in posing a risk to children. The door to the infant room is missing screws and cannot be opened properly.

      HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean

      HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-08.

    • Other

      The nap mat list is not updated in the Pre-K classroom. Children were observed sleeping on the incorrect nap mats labeled with a different cild's name.

      HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name

      HHSC risk weight: Medium. Corrected 2023-12-07. Correction verified 2023-12-06.

    • Supervision & ratios

      The operation has not been conducting monthly maintenance checklists.

      HHSC 746.4751(b) — Maintenance Procedures for Active Play - Monthly Maintenance Checklist

      HHSC risk weight: Medium. Corrected 2023-12-07. Correction verified 2023-12-08.

    • Other

      3 out of 4 children's files did not contain a completed health statement as they were not signed by parents and the health care professionals name and address were missing. It has been over 12 months for 2 out of 3 children's files evaluated and a signed health statement from a health care professional is needed.

      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 2023-12-11. Correction verified 2023-12-08.

    • Other

      18 out of 21 children present during the inspection were signed in. 3 children had not been signed in for the day.

      HHSC 746.631(a) — Sign-in and Sign-out Tracking System

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-12-08.

    • Records & paperwork

      Documentation of the annual sanitation inspection report was not available for review upon request.

      HHSC 746.801(12) — Required Records Maintained and Made Available - Sanitation Inspection Report

      HHSC risk weight: Medium. Corrected 2023-12-11. Correction verified 2023-12-06.

    HHSC inspection history · no longer published by HHSC; kept here

14. Nov 27, 2023 Inspection · Deficiencies cited
    • Staff background & training Serious

      A caregiver was observed alone with children in the infant room during the inspection and has an ineligible background check status.

      HHSC 745.635(2) — AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

      HHSC risk weight: High. Corrected 2023-11-27. Correction verified 2023-11-28.

    • Staff background & training

      2 out of 4 staff files evaluated did not contain proof of education documentation.

      HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

      HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-09.

    • Staff background & training

      A caregiver was observed during the inspection who was counted in ratio. The caregiver has not completed the full 24 hours of pre-service training. An additional 16 hours is needed.

      HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-11-28.

    • Staff background & training

      1 out of 4 caregivers files evaluated did not contain Pediatric CPR training.

      HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

      HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-11-28.

    • Cleanliness & sanitation

      Bottles were stored on the hand washing sink in the infant room. Note: The provider removed the bottles during the inspection.

      HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-11-27.

    • Other

      Children could not be seen upon entering the infant room due to inadequate lighting duirng naptime.

      HHSC 746.2911 — Adequate Lighting During Naptime

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-12-06.

    • Cleanliness & sanitation

      The ceiling in the boys restroom contains a leak and is beginning to cave in posing a risk to children. The door to the infant room is missing screws and cannot be opened properly.

      HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean

      HHSC risk weight: Medium High. Corrected 2023-12-22. Correction verified 2023-12-08.

    • Other

      The nap mat list is not updated in the Pre-K classroom. Children were observed sleeping on the incorrect nap mats labeled with a different cild's name.

      HHSC 746.4503(b) — Cots, Beds, Mats Labeled With Child's Name

      HHSC risk weight: Medium. Corrected 2023-12-07. Correction verified 2023-12-06.

    • Supervision & ratios

      The operation has not been conducting monthly maintenance checklists.

      HHSC 746.4751(b) — Maintenance Procedures for Active Play - Monthly Maintenance Checklist

      HHSC risk weight: Medium. Corrected 2023-12-07. Correction verified 2023-12-08.

    • Other

      3 out of 4 children's files did not contain a completed health statement as they were not signed by parents and the health care professionals name and address were missing. It has been over 12 months for 2 out of 3 children's files evaluated and a signed health statement from a health care professional is needed.

      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 2023-12-11. Correction verified 2023-12-08.

    • Other

      18 out of 21 children present during the inspection were signed in. 3 children had not been signed in for the day.

      HHSC 746.631(a) — Sign-in and Sign-out Tracking System

      HHSC risk weight: Medium High. Corrected 2023-12-11. Correction verified 2023-12-08.

    • Records & paperwork

      Documentation of the annual sanitation inspection report was not available for review upon request.

      HHSC 746.801(12) — Required Records Maintained and Made Available - Sanitation Inspection Report

      HHSC risk weight: Medium. Corrected 2023-12-11. Correction verified 2023-12-06.

    HHSC inspection history

15. Nov 29, 2022 Inspection · Deficiencies cited
    • Staff background & training

      Six caregivers need Pediatric CPR training.

      HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

      HHSC risk weight: Medium High. Corrected 2022-12-13. Correction verified 2022-12-26.

    • Supervision & ratios Serious

      The operation is in need of an annual fire inspection.

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

      HHSC risk weight: High. Corrected 2022-12-13. Correction verified 2022-12-08.

    • Safety & premises

      The emergency preparedness plan did not include procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency.

      HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

      HHSC risk weight: Medium High. Corrected 2022-12-13. Correction verified 2022-12-07.

    • Illness & medication

      Records were evaluated for six children enrolled and the following was determined: Five children needed a special needs statement. Five children needed emergency contact information such as name, address, and phone number. Five children needed a health statement. Three children needed immunization records. One child needed emergency care information such as physician name, address, and phone number. One child needed school information such as name and phone number of school.

      HHSC 746.603(a) — Children's Records Maintained

      HHSC risk weight: Medium. Corrected 2022-12-13. Correction verified 2022-12-27.

    HHSC inspection history

16. Nov 29, 2022 Inspection · Deficiencies cited
    • Staff background & training

      Six caregivers need Pediatric CPR training.

      HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

      HHSC risk weight: Medium High. Corrected 2022-12-13. Correction verified 2022-12-26.

    • Supervision & ratios Serious

      The operation is in need of an annual fire inspection.

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

      HHSC risk weight: High. Corrected 2022-12-13. Correction verified 2022-12-08.

    • Safety & premises

      The emergency preparedness plan did not include procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency.

      HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

      HHSC risk weight: Medium High. Corrected 2022-12-13. Correction verified 2022-12-07.

    • Illness & medication

      Records were evaluated for six children enrolled and the following was determined: Five children needed a special needs statement. Five children needed emergency contact information such as name, address, and phone number. Five children needed a health statement. Three children needed immunization records. One child needed emergency care information such as physician name, address, and phone number. One child needed school information such as name and phone number of school.

      HHSC 746.603(a) — Children's Records Maintained

      HHSC risk weight: Medium. Corrected 2022-12-13. Correction verified 2022-12-27.

    HHSC inspection history · no longer published by HHSC; kept here

17. Mar 1, 2022 Assessment · Deficiencies cited
    • Records & paperwork

      A review of the Employees Who Left Employment in 2021 data from February 23,2022, revealed that the center had not reported the number of employees who eft employment in 2021 by February 22, 2022, as required.

      HHSC 746.303(b) — Report Number of Employees

      HHSC risk weight: Medium Low. Corrected 2022-03-04. Correction verified 2022-03-11.

    HHSC inspection history · no longer published by HHSC; kept here

18. Mar 1, 2022 Assessment · Deficiencies cited
    • Records & paperwork

      A review of the Employees Who Left Employment in 2021 data from February 23,2022, revealed that the center had not reported the number of employees who eft employment in 2021 by February 22, 2022, as required.

      HHSC 746.303(b) — Report Number of Employees

      HHSC risk weight: Medium Low. Corrected 2022-03-04. Correction verified 2022-03-11.

    HHSC inspection history

19. Dec 1, 2021 Inspection · Deficiencies cited
    • Supervision & ratios

      Operation did not provide proof of insurance at the time of inspection.

      HHSC 746.203(1) — Liability Insurance Requirements - Have Coverage of at Least $300,000 For Each Occurrence of Negligence

      HHSC risk weight: Medium. Corrected 2021-12-15. Correction verified 2021-12-06.

    • Cleanliness & sanitation

      Operation had numerous mosquitoes in the building and in classrooms with children.

      HHSC 746.3427 — Pest Extermination

      HHSC risk weight: Medium High. Corrected 2021-12-15. Correction verified 2021-12-13.

    • Supervision & ratios

      Operation did not have the most recent fire inspection report available upon request.

      HHSC 746.5103 — Documentation of Fire Inspection

      HHSC risk weight: Medium High. Corrected 2021-12-15. Correction verified 2021-12-06.

    HHSC inspection history · no longer published by HHSC; kept here

20. Dec 1, 2021 Inspection · Deficiencies cited
    • Supervision & ratios

      Operation did not provide proof of insurance at the time of inspection.

      HHSC 746.203(1) — Liability Insurance Requirements - Have Coverage of at Least $300,000 For Each Occurrence of Negligence

      HHSC risk weight: Medium. Corrected 2021-12-15. Correction verified 2021-12-06.

    • Cleanliness & sanitation

      Operation had numerous mosquitoes in the building and in classrooms with children.

      HHSC 746.3427 — Pest Extermination

      HHSC risk weight: Medium High. Corrected 2021-12-15. Correction verified 2021-12-13.

    • Supervision & ratios

      Operation did not have the most recent fire inspection report available upon request.

      HHSC 746.5103 — Documentation of Fire Inspection

      HHSC risk weight: Medium High. Corrected 2021-12-15. Correction verified 2021-12-06.

    HHSC inspection history