Doris Gardner Ratliff Ctr For Child Development
13033 LANDMARK ST, Houston, TX 77045 · Harris County
Program
- Type
- Licensed center
- Licensed capacity
- 55
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Cheryl Kimbrel
- Phone
- (713) 852-1470
- Regulated since
- Apr 1, 2004
- HHSC IDs
- Operation 240513 · number 834778
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 10 | 4 | Safety & premises (2), Staff background & training (4), Records & paperwork (4) |
| 2024 | 20 | 4 | Safety & premises (6), Food & allergies (4), Staff background & training (6), Records & paperwork (4) |
| 2023 | 26 | 12 | Cleanliness & sanitation (2), Illness & medication (2), Supervision & ratios (4), Safety & premises (10), Records & paperwork (2), Other (6) |
| 2022 | 4 | 0 | Records & paperwork (2), Other (2) |
Inspections, investigations & assessments
-
Dec 3, 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 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 19, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
An individual who is apart of maintenance was observed in a toddler classroom having a conversation with another caregiver while children were present. The individual does not have an active background check in the system. This was corrected during the inspection when I observed the individual leave.
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 2025-11-19. Correction verified 2025-12-03.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Nov 19, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
An individual who is apart of maintenance was observed in a toddler classroom having a conversation with another caregiver while children were present. The individual does not have an active background check in the system. This was corrected during the inspection when I observed the individual leave.
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 2025-11-19. Correction verified 2025-12-03.
-
Staff background & training Serious
-
Nov 12, 2025 Inspection · Deficiencies cited
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Staff background & training
One out of ten caregiver did not have a high school diploma or equivalent on file
HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
HHSC risk weight: Medium High. Corrected 2025-11-19. Correction verified 2025-11-19.
-
Safety & premises Serious
A six month infant was observed sleeping in a swing for over ten minutes. This was corrected during the inspection when I informed the two caregivers to remove the child from the swing and place the child in the crib
HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2025-11-12. Correction verified 2025-11-19.
-
Records & paperwork
one out of six children did not have an admission form available for review
HHSC 746.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-11-19. Correction verified 2025-11-19.
-
Records & paperwork
One out of six children did not have a health statement available for review
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2025-11-19. Correction verified 2025-11-19.
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Staff background & training
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Nov 12, 2025 Inspection · Deficiencies cited
-
Staff background & training
One out of ten caregiver did not have a high school diploma or equivalent on file
HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
HHSC risk weight: Medium High. Corrected 2025-11-19. Correction verified 2025-11-19.
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Safety & premises Serious
A six month infant was observed sleeping in a swing for over ten minutes. This was corrected during the inspection when I informed the two caregivers to remove the child from the swing and place the child in the crib
HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2025-11-12. Correction verified 2025-11-19.
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Records & paperwork
one out of six children did not have an admission form available for review
HHSC 746.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-11-19. Correction verified 2025-11-19.
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Records & paperwork
One out of six children did not have a health statement available for review
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2025-11-19. Correction verified 2025-11-19.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Dec 17, 2024 Inspection · Deficiencies cited
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Food & allergies
Children under the age of two were observed watching mickey mouse on a tablet while eating snack. This was corrected during the inspection when I observed the caregiver turing the tablet off and closing it.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-17.
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Food & allergies
Children were observed watching mickey mouse during snack time This was corrected during the inspection when I observed the caregiver turn off the tablet and closed it.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-17.
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Records & paperwork
The gas leak test report is not available for review
HHSC 746.5405 — Documentation of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2025-01-02. Correction verified 2025-01-06.
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Food & allergies
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Dec 17, 2024 Inspection · Deficiencies cited
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Food & allergies
Children under the age of two were observed watching mickey mouse on a tablet while eating snack. This was corrected during the inspection when I observed the caregiver turing the tablet off and closing it.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-17.
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Food & allergies
Children were observed watching mickey mouse during snack time This was corrected during the inspection when I observed the caregiver turn off the tablet and closed it.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-12-17.
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Records & paperwork
The gas leak test report is not available for review
HHSC 746.5405 — Documentation of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2025-01-02. Correction verified 2025-01-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Food & allergies
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Dec 6, 2024 Inspection · Deficiencies cited
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Staff background & training
Six out of Six caregivers are missing the required health and safety Audit trainings. (1) Emergency preparedness (2) Preventing and responding to emergencies due to food or an allergic reaction; (3) 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; and (4) Handling, storing, and disposing of hazardous materials i).
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2024-12-20. Correction verified 2024-12-12.
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Staff background & training
Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.
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 2024-12-20. Correction verified 2024-12-12.
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Staff background & training
Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2024-12-12.
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Safety & premises Serious
While in the crib, a five month old infant was observed sleeping with a blanket. This was corrected during the inspection when I observed the caregiver remove the 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 2024-12-06. Correction verified 2024-12-17.
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Records & paperwork
The health inspection report was not available for review.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2024-12-06.
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Safety & premises Serious
The playground structure had grey nail bolts sticking out of the black barrier. This was corrected during the inspection when I observed maintenance hammering the bolts back into place.
HHSC 746.4601(4) — Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
HHSC risk weight: High. Corrected at inspection. Corrected 2024-12-06.
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Safety & premises
The fire inspection report was not available for review.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2025-02-04. Correction verified 2025-02-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 6, 2024 Inspection · Deficiencies cited
-
Staff background & training
Six out of Six caregivers are missing the required health and safety Audit trainings. (1) Emergency preparedness (2) Preventing and responding to emergencies due to food or an allergic reaction; (3) 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; and (4) Handling, storing, and disposing of hazardous materials i).
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2024-12-20. Correction verified 2024-12-12.
-
Staff background & training
Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.
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 2024-12-20. Correction verified 2024-12-12.
-
Staff background & training
Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2024-12-12.
-
Safety & premises Serious
While in the crib, a five month old infant was observed sleeping with a blanket. This was corrected during the inspection when I observed the caregiver remove the 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 2024-12-06. Correction verified 2024-12-17.
-
Records & paperwork
The health inspection report was not available for review.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-12-27. Correction verified 2024-12-06.
-
Safety & premises Serious
The playground structure had grey nail bolts sticking out of the black barrier. This was corrected during the inspection when I observed maintenance hammering the bolts back into place.
HHSC 746.4601(4) — Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
HHSC risk weight: High. Corrected at inspection. Corrected 2024-12-06.
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Safety & premises
The fire inspection report was not available for review.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2025-02-04. Correction verified 2025-02-06.
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Staff background & training
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Dec 27, 2023 Inspection · Deficiencies cited
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Supervision & ratios Serious
The infant safe sleep policy was not written in the operational policies.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-04.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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Dec 27, 2023 Inspection · Deficiencies cited
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Supervision & ratios Serious
The infant safe sleep policy was not written in the operational policies.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-04.
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Supervision & ratios Serious
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Jan 20, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
1 child's file still does not contain the complete emergenct contact information.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2023-01-27. Correction verified 2023-01-23.
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Safety & premises Serious
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Jan 20, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
1 child's file still does not contain the complete emergenct contact information.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2023-01-27. Correction verified 2023-01-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises Serious
-
Jan 6, 2023 Inspection · Deficiencies cited
-
Safety & premises Serious
A 6 week old infant was observed in a crib with blankets and a boppy pillow during the inspection. Note: It was discussed with the provider that infants under 12 months must not have anything in their cribs but the tight fitting sheet due to the risk of SIDS. The provider removed the items from the crib during the inspection.
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 2023-01-06. Correction verified 2023-01-20.
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Cleanliness & sanitation
Bottles, spoons and bowls were observed on the hand washing sink in the infant room.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-20.
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Other
The feeding instructions for 3 infants have not been updated within the last 30 days.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
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Safety & premises Serious
During the inspection infants were observed sleeping in baby swings. Note: The caregivers removed the infants from the swing to their crib.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2023-01-06. Correction verified 2023-01-20.
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Other
A television was not mounted or anchored during the inspection.
HHSC 746.3701(9) — Safety - Televisions Anchored to Prevent Tip Over
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-20.
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Other
The annual children's product certification expired last month and has not been completed.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
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Supervision & ratios
Documentation showing the promotion of physical activities was missing from the operational policies and the following information must be included: (A) The benefits of physical activity and outdoor play (B) The duration of physical activity at your operation, both indoor and outdoor (C) The type of physical activity (structured and unstructured) that children may engage in at your operatio (D) Each setting in which your physical activity program will take place (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
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Safety & premises Serious
An annual fire inspection has not been conducted within the past 12 months.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2023-01-25. Correction verified 2023-01-20.
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Illness & medication
1 out of 5 children's records evaluated did not contain documentation of immunizations.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
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Safety & premises Serious
2 out of 5 children's records evaluated did not contain the authorization for emergency medical treatment.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2023-01-13. Correction verified 2023-01-20.
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Records & paperwork
Documentation of current liability insurance was not available during the inspection.
HHSC 746.801(6) — Required Records Maintained and Made Available - Liability Insurance
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
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Safety & premises Serious
-
Jan 6, 2023 Inspection · Deficiencies cited
-
Safety & premises Serious
A 6 week old infant was observed in a crib with blankets and a boppy pillow during the inspection. Note: It was discussed with the provider that infants under 12 months must not have anything in their cribs but the tight fitting sheet due to the risk of SIDS. The provider removed the items from the crib during the inspection.
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 2023-01-06. Correction verified 2023-01-20.
-
Cleanliness & sanitation
Bottles, spoons and bowls were observed on the hand washing sink in the infant room.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Other
The feeding instructions for 3 infants have not been updated within the last 30 days.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Safety & premises Serious
During the inspection infants were observed sleeping in baby swings. Note: The caregivers removed the infants from the swing to their crib.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2023-01-06. Correction verified 2023-01-20.
-
Other
A television was not mounted or anchored during the inspection.
HHSC 746.3701(9) — Safety - Televisions Anchored to Prevent Tip Over
HHSC risk weight: Medium High. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Other
The annual children's product certification expired last month and has not been completed.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Supervision & ratios
Documentation showing the promotion of physical activities was missing from the operational policies and the following information must be included: (A) The benefits of physical activity and outdoor play (B) The duration of physical activity at your operation, both indoor and outdoor (C) The type of physical activity (structured and unstructured) that children may engage in at your operatio (D) Each setting in which your physical activity program will take place (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Safety & premises Serious
An annual fire inspection has not been conducted within the past 12 months.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2023-01-25. Correction verified 2023-01-20.
-
Illness & medication
1 out of 5 children's records evaluated did not contain documentation of immunizations.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Safety & premises Serious
2 out of 5 children's records evaluated did not contain the authorization for emergency medical treatment.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2023-01-13. Correction verified 2023-01-20.
-
Records & paperwork
Documentation of current liability insurance was not available during the inspection.
HHSC 746.801(6) — Required Records Maintained and Made Available - Liability Insurance
HHSC risk weight: Medium. Corrected 2023-01-13. Correction verified 2023-01-20.
HHSC inspection history · no longer published by HHSC; kept here
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Safety & premises Serious
-
Jan 18, 2022 Inspection · Deficiencies cited
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Other
Current gas inspection was not available duirng inspection.
HHSC 746.5401 — Requirement of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-01-21.
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Records & paperwork
Health statement was missing on one out of four files checked.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-01-28. Correction verified 2022-01-20.
HHSC inspection history · no longer published by HHSC; kept here
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Other
-
Jan 18, 2022 Inspection · Deficiencies cited
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Other
Current gas inspection was not available duirng inspection.
HHSC 746.5401 — Requirement of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-01-21.
-
Records & paperwork
Health statement was missing on one out of four files checked.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-01-28. Correction verified 2022-01-20.
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Other
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.