Little Hands Learning Center
1602 AVENUE D STE 800, Katy, TX 77493 · Harris County
Program
- Type
- Licensed center
- Licensed capacity
- 140
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:30 PM
- Director / administrator
- Cynthia Graves
- Phone
- (281) 394-3443
- Regulated since
- Jan 27, 2020
- HHSC IDs
- Operation 1336132 · number 1694966
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 8 | 0 | Illness & medication (2), Safety & premises (2), Staff background & training (4) |
| 2024 | 6 | 2 | Supervision & ratios (2), Safety & premises (2), Records & paperwork (2) |
| 2023 | 14 | 6 | Illness & medication (2), Supervision & ratios (4), Safety & premises (2), Other (6) |
| 2022 | 26 | 14 | Cleanliness & sanitation (2), Supervision & ratios (4), Safety & premises (6), Staff background & training (10), Other (4) |
Inspections, investigations & assessments
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Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2025 Inspection · Deficiencies cited
-
Staff background & training
The required annual training on the following topics were not available for review on 2 caregivers. The required training topics are 3. administering medication 4.preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-30.
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Staff background & training
The required annual training on the following topics were not available for reveiw for the director; 6. handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-23.
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Safety & premises
Two children's records indicated by the parent their child had a food allergy. Ther was no emergency care plan on file.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2025-12-23.
-
Illness & medication
One child's record lacked the updated immunization record for the child's age.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-23.
-
Staff background & training
-
Dec 17, 2025 Inspection · Deficiencies cited
-
Staff background & training
The required annual training on the following topics were not available for review on 2 caregivers. The required training topics are 3. administering medication 4.preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-30.
-
Staff background & training
The required annual training on the following topics were not available for reveiw for the director; 6. handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-23.
-
Safety & premises
Two children's records indicated by the parent their child had a food allergy. Ther was no emergency care plan on file.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2025-12-23.
-
Illness & medication
One child's record lacked the updated immunization record for the child's age.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2025-12-31. Correction verified 2025-12-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 5, 2024 Inspection · Deficiencies cited
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Safety & premises Serious
One child enrolled in care did not have authorization for emergency medical care and consent to transport.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2024-01-09. Correction verified 2024-01-09.
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Supervision & ratios
Two children enrolled in care did not have the required physician health statement.
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 2024-01-12. Correction verified 2024-01-10.
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Records & paperwork
Three staff did not have proof of education in the file for review.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2024-01-24. Correction verified 2024-01-24.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
-
Jan 5, 2024 Inspection · Deficiencies cited
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Safety & premises Serious
One child enrolled in care did not have authorization for emergency medical care and consent to transport.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2024-01-09. Correction verified 2024-01-09.
-
Supervision & ratios
Two children enrolled in care did not have the required physician health statement.
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 2024-01-12. Correction verified 2024-01-10.
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Records & paperwork
Three staff did not have proof of education in the file for review.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2024-01-24. Correction verified 2024-01-24.
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Safety & premises Serious
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Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 18, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2023 Inspection · Deficiencies cited
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Other
In the schoolers classroom, 2 out of 12 children were observed sleeping, 5 were observed on electronic devices and the other children were observed watching a movie during naptime/rest time.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 5, 2023 Inspection · Deficiencies cited
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Other
In the schoolers classroom, 2 out of 12 children were observed sleeping, 5 were observed on electronic devices and the other children were observed watching a movie during naptime/rest time.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-05.
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Other
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Jul 5, 2023 Report · Deficiencies cited
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Other Serious
A caregiver failed to demonstrate the use of good judgment when she threatened to call law enforcement on a small child who would not listen.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-07-28. Correction verified 2023-08-22.
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Supervision & ratios Serious
Two caregivers were observed laying down in the dark during naptime and not supervising children.
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 2023-07-28. Correction verified 2023-08-22.
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Other
Multiple children were observed engaged in screen time during nap/rest time. Some children were watching television, some were on tablets and one child was observed on a cell phone device.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-28.
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Other Serious
-
Jul 5, 2023 Report · Deficiencies cited
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Other Serious
A caregiver failed to demonstrate the use of good judgment when she threatened to call law enforcement on a small child who would not listen.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-07-28. Correction verified 2023-08-22.
-
Supervision & ratios Serious
Two caregivers were observed laying down in the dark during naptime and not supervising children.
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 2023-07-28. Correction verified 2023-08-22.
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Other
Multiple children were observed engaged in screen time during nap/rest time. Some children were watching television, some were on tablets and one child was observed on a cell phone device.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-07-28.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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Mar 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Inspection · Deficiencies cited
-
Illness & medication
Medication for a child in care was not in the original container labeled with the child s full name and the date it was brought into the operation.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-13.
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Safety & premises
The food allergy emergency plan form was not signed and dated by the parent.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2023-01-11. Correction verified 2023-01-13.
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Supervision & ratios Serious
The operation did not have medical treatment authorization forms for each child in being transported.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2023-01-13. Correction verified 2023-01-13.
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Illness & medication
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Jan 6, 2023 Inspection · Deficiencies cited
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Illness & medication
Medication for a child in care was not in the original container labeled with the child s full name and the date it was brought into the operation.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-13.
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Safety & premises
The food allergy emergency plan form was not signed and dated by the parent.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2023-01-11. Correction verified 2023-01-13.
-
Supervision & ratios Serious
The operation did not have medical treatment authorization forms for each child in being transported.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2023-01-13. Correction verified 2023-01-13.
HHSC inspection history · no longer published by HHSC; kept here
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Illness & medication
-
Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 20, 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 14, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Based on the preponderance of evidence there is sufficient evidence to prove that supervision of a child in care was not being adequately maintained. The child has been observed by staff and parent(s) outside of the classroom (roaming the building) without adult supervision.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-09-07. Correction verified 2022-09-16.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Jul 14, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Based on the preponderance of evidence there is sufficient evidence to prove that supervision of a child in care was not being adequately maintained. The child has been observed by staff and parent(s) outside of the classroom (roaming the building) without adult supervision.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-09-07. Correction verified 2022-09-16.
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Supervision & ratios Serious
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May 24, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 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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May 12, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
An 11 month old infant was observed sleeping on the boucer during the investigation inspection walkthough. The infant was removed from the bouncer and was placed in the crib for napping
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-05-12. Correction verified 2022-05-24.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
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May 12, 2022 Inspection · Deficiencies cited
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Safety & premises Serious
An 11 month old infant was observed sleeping on the boucer during the investigation inspection walkthough. The infant was removed from the bouncer and was placed in the crib for napping
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-05-12. Correction verified 2022-05-24.
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Safety & premises Serious
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May 9, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Based on the information obtained from the investigation, it was confirmed that children were left unsupervised when a caregiver had to leave their classroom to retrieve a child from running outside of the classroom.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 9, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Based on the information obtained from the investigation, it was confirmed that children were left unsupervised when a caregiver had to leave their classroom to retrieve a child from running outside of the classroom.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-05-13. Correction verified 2022-05-24.
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Supervision & ratios Serious
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Feb 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 7, 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 21, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
The director failed to ensure that training requirements and safe sleep practices were being met at the operation.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-07.
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Staff background & training
Two caregivers supervising infants at the time of inspection did not have CPR/First aid training. A caregiver supervising infants did not have current CPR or First Aid training. The certification expired in May of 2021.
HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
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Staff background & training
The director had completed 15 hours of 30 hours of annual training (August 2020-August 2021) at the time of inspection.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
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Staff background & training
An infant caregiver did not have annual training in the following topics: Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and Understanding early childhood brain development.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
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Staff background & training
An employee hired on or around July 2019 did not have a signed/dated proof of orientation and preservice at the time of inspection.
HHSC 746.1329(d) — Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
HHSC risk weight: Low. Corrected 2022-01-28. Correction verified 2022-02-07.
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Other
A group of children under the age of 2 years old were observed watching Baby Shark at the time of inspection.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2022-01-24. Correction verified 2022-02-07.
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Other Serious
An infant was observed sleeping with a pacifier attachment with a clip that was attached to the infant. This was removed at the time of inspection.
HHSC 746.2401(6) — Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
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Safety & premises Serious
A 3 month old infant was swaddled in a crib while sleeping. The swaddle was removed at the time of inspection.
HHSC 746.2428 — No Swaddling of Infant Unless Completed Sleep Exception Form on File
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
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Cleanliness & sanitation
A restroom used by children in care had diaper changing supplies (Caldesene Baby poweder, Honest soothing bottom wash, 2 Boogie Bottom Diaper Rash Spray) that were within reach of children.
HHSC 746.3501(6) — Diaper Changing Steps-Supplies Kept Out of Child's Reach
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-02-07.
-
Safety & premises Serious
Emergency medical authorization information was not located in the vehicle used to transport children.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Jan 21, 2022 Inspection · Deficiencies cited
-
Staff background & training Serious
The director failed to ensure that training requirements and safe sleep practices were being met at the operation.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2022-02-04. Correction verified 2022-02-07.
-
Staff background & training
Two caregivers supervising infants at the time of inspection did not have CPR/First aid training. A caregiver supervising infants did not have current CPR or First Aid training. The certification expired in May of 2021.
HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
-
Staff background & training
The director had completed 15 hours of 30 hours of annual training (August 2020-August 2021) at the time of inspection.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
-
Staff background & training
An infant caregiver did not have annual training in the following topics: Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and Understanding early childhood brain development.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2022-02-04. Correction verified 2022-02-03.
-
Staff background & training
An employee hired on or around July 2019 did not have a signed/dated proof of orientation and preservice at the time of inspection.
HHSC 746.1329(d) — Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
HHSC risk weight: Low. Corrected 2022-01-28. Correction verified 2022-02-07.
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Other
A group of children under the age of 2 years old were observed watching Baby Shark at the time of inspection.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2022-01-24. Correction verified 2022-02-07.
-
Other Serious
An infant was observed sleeping with a pacifier attachment with a clip that was attached to the infant. This was removed at the time of inspection.
HHSC 746.2401(6) — Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
-
Safety & premises Serious
A 3 month old infant was swaddled in a crib while sleeping. The swaddle was removed at the time of inspection.
HHSC 746.2428 — No Swaddling of Infant Unless Completed Sleep Exception Form on File
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
-
Cleanliness & sanitation
A restroom used by children in care had diaper changing supplies (Caldesene Baby poweder, Honest soothing bottom wash, 2 Boogie Bottom Diaper Rash Spray) that were within reach of children.
HHSC 746.3501(6) — Diaper Changing Steps-Supplies Kept Out of Child's Reach
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-02-07.
-
Safety & premises Serious
Emergency medical authorization information was not located in the vehicle used to transport children.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2022-01-24. Correction verified 2022-02-07.
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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.