Twila Wade
2221 CASTLE CREEK DR, Little Elm, TX 75068 · Denton County
Program
- Type
- Registered child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-05:00 PM
- Phone
- (972) 346-2312
- Regulated since
- Nov 15, 1996
- HHSC IDs
- Operation 148125 · number 524738
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 4 | 0 | Supervision & ratios (1), Safety & premises (1), Staff background & training (1), Other (1) |
| 2024 | 1 | 1 | Staff background & training (1) |
| 2023 | 12 | 2 | Illness & medication (2), Safety & premises (4), Staff background & training (3), Records & paperwork (2), Other (1) |
Inspections, investigations & assessments
-
Jan 15, 2025 Inspection · Deficiencies cited
-
Staff background & training
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
HHSC 747.1309(d) — Primary Caregiver Annual Training - Required Special Topics without specific hours
HHSC risk weight: Medium. Corrected 2025-01-27. Correction verified 2025-01-17.
-
Safety & premises
A child with food allergies lacked a food allergy plan.
HHSC 747.3619 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2025-01-27. Correction verified 2025-01-30.
-
Other
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2025-01-20. Correction verified 2025-01-30.
-
Supervision & ratios
The operational policies lacked details regarding "parents' rights".
HHSC 747.501(9) — Written Operational Policies - Parent Rights
HHSC risk weight: Medium. Corrected 2025-01-20. Correction verified 2025-01-30.
-
Staff background & training
-
Mar 4, 2024 Inspection · Deficiencies cited
-
Staff background & training Serious
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
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 2024-03-05. Correction verified 2024-03-05.
-
Staff background & training Serious
-
Feb 16, 2023 Inspection · Deficiencies cited
-
Staff background & training
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
HHSC 747.1309(d) — Primary Caregiver Annual Training - Required Special Topics without specific hours
HHSC risk weight: Medium. Corrected 2023-03-03. Correction verified 2023-02-23.
-
Safety & premises Serious
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
HHSC 747.3505(a) — Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
HHSC risk weight: High. Corrected 2023-02-20. Correction verified 2023-02-21.
-
Safety & premises
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
HHSC 747.5003(2) — Emergency Preparedness Plan - Communication Procedures
HHSC risk weight: Medium High. Corrected 2023-02-24. Correction verified 2023-02-21.
-
Records & paperwork
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-24.
-
Illness & medication
One child did not have updated immunization available during the inspection.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2023-03-03. Correction verified 2023-02-21.
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Staff background & training
-
Feb 3, 2023 Inspection · Deficiencies cited
-
Staff background & training
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
HHSC 747.1309(d) — Primary Caregiver Annual Training - Required Special Topics without specific hours
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-16.
-
Staff background & training
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
HHSC 747.1401(a)(2) — Household Members Qualifications - Orientation
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-03.
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Other
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-02-03.
-
Safety & premises Serious
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
HHSC 747.3505(a) — Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
HHSC risk weight: High. Corrected 2023-02-14. Correction verified 2023-02-16.
-
Safety & premises
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
HHSC 747.5003(2) — Emergency Preparedness Plan - Communication Procedures
HHSC risk weight: Medium High. Corrected 2023-02-17. Correction verified 2023-02-16.
-
Records & paperwork
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2023-02-24. Correction verified 2023-02-16.
-
Illness & medication
One child did not have updated immunization available during the inspection.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2023-03-03. Correction verified 2023-02-16.
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Staff background & training
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.