Alphabest @ Cox -northwest

1100 LITSEY RD, Roanoke, TX 76262 · Denton County

44cited violations

12serious

36inspections & investigations

0enforcement actions

Program

Type: Licensed center
Licensed capacity: 120
Ages: Pre-Kindergarten, School
Hours: 02:30 PM-06:30 PM
Phone: (979) 571-1665
Regulated since: Feb 14, 2018
HHSC IDs: Operation 1283399 · number 1657474
Official record: HHSC Child Care Search

Violations by category

Illness & medication 8
Supervision & ratios 14
Safety & premises 2
Staff background & training 10
Other 10

Year by year

Year	Violations	Serious	Main categories
2026	10	4	Illness & medication (2), Supervision & ratios (2), Staff background & training (4), Other (2)
2025	18	6	Illness & medication (2), Supervision & ratios (8), Staff background & training (4), Other (4)
2024	4	2	Supervision & ratios (2), Staff background & training (2)
2023	8	0	Illness & medication (4), Supervision & ratios (2), Other (2)
2022	4	0	Safety & premises (2), Other (2)

Inspections, investigations & assessments

Mar 6, 2026 Inspection · Deficiencies cited
- Staff background & training
  One caregiver has not taken a CPR training course and it's past the 90 days.
  
  HHSC 744.1315(b) — Each caregiver, operation director, program director, and site director Pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2026-03-20. Correction verified 2026-03-20.
HHSC inspection history
Mar 6, 2026 Inspection · Deficiencies cited
- Staff background & training
  One caregiver has not taken a CPR training course and it's past the 90 days.
  
  HHSC 744.1315(b) — Each caregiver, operation director, program director, and site director Pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2026-03-20. Correction verified 2026-03-20.
HHSC inspection history · no longer published by HHSC; kept here
Feb 24, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Feb 24, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Feb 5, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Feb 5, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Feb 4, 2026 Report · Deficiencies cited (self-report)
- Staff background & training
  The caregiver in charge of the group CPR is online only.
  
  HHSC 744.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines
  
  HHSC risk weight: Medium High. Corrected 2026-02-25. Correction verified 2026-03-26.
- Illness & medication
  
  HHSC 744.707 — Incident/Illness Report Form Shared with Parent
  
  HHSC risk weight: Medium High. Corrected 2026-02-25. Correction verified 2026-03-03.
HHSC inspection history
Feb 4, 2026 Report · Deficiencies cited (self-report)
- Staff background & training
  The caregiver in charge of the group CPR is online only.
  
  HHSC 744.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines
  
  HHSC risk weight: Medium High. Corrected 2026-02-25. Correction verified 2026-03-26.
- Illness & medication
  
  HHSC 744.707 — Incident/Illness Report Form Shared with Parent
  
  HHSC risk weight: Medium High. Corrected 2026-02-25. Correction verified 2026-03-03.
HHSC inspection history · no longer published by HHSC; kept here
Jan 15, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jan 15, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Jan 13, 2026 Report · Deficiencies cited
- Supervision & ratios Serious
  The operation did not demonstrate appropriate competency in the attendance verification and child identification process when the wrong child was signed in.
  
  HHSC 744.1201(1) — Responsibilities of Employees and Caregivers - Demonstrate Competency, Good Judgment, Self-control
  
  HHSC risk weight: High. Corrected 2026-02-05. Correction verified 2026-02-05.
- Other Serious
  It was determined that staff were unaware of which child was in care when during attendance the wrong child was signed in.
  
  HHSC 744.1205(a)(1) — Responsibilities of Caregivers - Know Group Responsible For
  
  HHSC risk weight: High. Corrected 2026-02-05. Correction verified 2026-02-05.
HHSC inspection history
Jan 13, 2026 Report · Deficiencies cited
- Supervision & ratios Serious
  The operation did not demonstrate appropriate competency in the attendance verification and child identification process when the wrong child was signed in.
  
  HHSC 744.1201(1) — Responsibilities of Employees and Caregivers - Demonstrate Competency, Good Judgment, Self-control
  
  HHSC risk weight: High. Corrected 2026-02-05. Correction verified 2026-02-05.
- Other Serious
  It was determined that staff were unaware of which child was in care when during attendance the wrong child was signed in.
  
  HHSC 744.1205(a)(1) — Responsibilities of Caregivers - Know Group Responsible For
  
  HHSC risk weight: High. Corrected 2026-02-05. Correction verified 2026-02-05.
HHSC inspection history · no longer published by HHSC; kept here
May 9, 2025 Assessment · Deficiencies cited
- Supervision & ratios Serious
  Management and the site director have not followed the conditions CCR outlined for a waiver issued 11/22/2024. The operation has not completed weekly site observation forms and documented observations of the site director and overall program performance.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-22.
HHSC inspection history
May 9, 2025 Assessment · Deficiencies cited
- Supervision & ratios Serious
  Management and the site director have not followed the conditions CCR outlined for a waiver issued 11/22/2024. The operation has not completed weekly site observation forms and documented observations of the site director and overall program performance.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-22.
HHSC inspection history · no longer published by HHSC; kept here
Apr 8, 2025 Inspection · Deficiencies cited
- Other Serious
  Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-04-22. Correction verified 2025-05-09.
HHSC inspection history
Apr 8, 2025 Inspection · Deficiencies cited
- Other Serious
  Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-04-22. Correction verified 2025-05-09.
HHSC inspection history · no longer published by HHSC; kept here
Mar 26, 2025 Inspection · Deficiencies cited
- Staff background & training
  Two caregivers that have been employed for over a year do not have 15 hours of training and do not have the required topics.
  
  HHSC 744.1301(a)(5)(A) — Training Requirements for Employees - 15 clock hours Annual Training for Caregivers & Site Directors
  
  HHSC risk weight: Medium High. Corrected 2025-04-18. Correction verified 2025-04-08.
- Supervision & ratios
  One caregiver that has been employed for over 90 days does not have a CPR/First Aid card on file.
  
  HHSC 744.1315(b) — Each caregiver, operation director, program director, and site director Pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-03-27. Correction verified 2025-04-08.
- Illness & medication
  The operation has expired medication on file that is required to treat children in care with food allergies.
  
  HHSC 744.2659 — Medication No Longer Used
  
  HHSC risk weight: Medium. Corrected 2025-03-27. Correction verified 2025-04-08.
- Supervision & ratios
  The operation does not have an emergency evacuation and relocation diagram in the binder or posted at the operation.
  
  HHSC 744.401(4) — Posting Requirements-Emergency Evacuation and Relocation Diagram
  
  HHSC risk weight: Medium High. Corrected 2025-04-11. Correction verified 2025-04-08.
- Supervision & ratios
  The operation has three children with allergies that are not posted nor in the licensing binder.
  
  HHSC 744.403(b) — Posting Requirements-List of Child's Food Allergies
  
  HHSC risk weight: Medium High. Corrected 2025-03-27. Correction verified 2025-04-08.
- Staff background & training
  One caregiver does not have the required staff records on file.
  
  HHSC 744.901 — Required Personnel Records
  
  HHSC risk weight: Medium. Corrected 2025-03-27. Correction verified 2025-04-08.
- Other Serious
  Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-03-27. Correction verified 2025-04-08.
HHSC inspection history · no longer published by HHSC; kept here
Mar 26, 2025 Inspection · Deficiencies cited
- Staff background & training
  Two caregivers that have been employed for over a year do not have 15 hours of training and do not have the required topics.
  
  HHSC 744.1301(a)(5)(A) — Training Requirements for Employees - 15 clock hours Annual Training for Caregivers & Site Directors
  
  HHSC risk weight: Medium High. Corrected 2025-04-18. Correction verified 2025-04-08.
- Supervision & ratios
  One caregiver that has been employed for over 90 days does not have a CPR/First Aid card on file.
  
  HHSC 744.1315(b) — Each caregiver, operation director, program director, and site director Pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-03-27. Correction verified 2025-04-08.
- Illness & medication
  The operation has expired medication on file that is required to treat children in care with food allergies.
  
  HHSC 744.2659 — Medication No Longer Used
  
  HHSC risk weight: Medium. Corrected 2025-03-27. Correction verified 2025-04-08.
- Supervision & ratios
  The operation does not have an emergency evacuation and relocation diagram in the binder or posted at the operation.
  
  HHSC 744.401(4) — Posting Requirements-Emergency Evacuation and Relocation Diagram
  
  HHSC risk weight: Medium High. Corrected 2025-04-11. Correction verified 2025-04-08.
- Supervision & ratios
  The operation has three children with allergies that are not posted nor in the licensing binder.
  
  HHSC 744.403(b) — Posting Requirements-List of Child's Food Allergies
  
  HHSC risk weight: Medium High. Corrected 2025-03-27. Correction verified 2025-04-08.
- Staff background & training
  One caregiver does not have the required staff records on file.
  
  HHSC 744.901 — Required Personnel Records
  
  HHSC risk weight: Medium. Corrected 2025-03-27. Correction verified 2025-04-08.
- Other Serious
  Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2025-03-27. Correction verified 2025-04-08.
HHSC inspection history
Oct 17, 2024 Inspection · Deficiencies cited
- Supervision & ratios Serious
  Based on external documentation and information obtained during follow-up inspection the operation has not met the conditions outlined by CCR for a variance on file.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2024-10-21. Correction verified 2024-11-08.
HHSC inspection history
Oct 17, 2024 Inspection · Deficiencies cited
- Supervision & ratios Serious
  Based on external documentation and information obtained during follow-up inspection the operation has not met the conditions outlined by CCR for a variance on file.
  
  HHSC 745.8311(b) — Waiver/Variance - Comply w/ each condition while in effect
  
  HHSC risk weight: High. Corrected 2024-10-21. Correction verified 2024-11-08.
HHSC inspection history · no longer published by HHSC; kept here
Sep 6, 2024 Report · Deficiencies cited (self-report)
- Staff background & training
  The operation allowed a caregiver to be alone with a group before completing the First Aid.
  
  HHSC 744.1301(a)(3)(A) — Training Requirements for Employees - Pediatric First Aid with Rescue Breathing
  
  HHSC risk weight: Medium High. Corrected 2024-09-30. Correction verified 2024-10-17.
HHSC inspection history
Sep 6, 2024 Report · Deficiencies cited (self-report)
- Staff background & training
  The operation allowed a caregiver to be alone with a group before completing the First Aid.
  
  HHSC 744.1301(a)(3)(A) — Training Requirements for Employees - Pediatric First Aid with Rescue Breathing
  
  HHSC risk weight: Medium High. Corrected 2024-09-30. Correction verified 2024-10-17.
HHSC inspection history · no longer published by HHSC; kept here
May 8, 2024 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
May 8, 2024 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Oct 11, 2023 Assessment · Deficiencies cited
- Other
  A qualified site director has not been designated since the start of school in August.
  
  HHSC 744.201(4) — Designating Director
  
  HHSC risk weight: Medium High. Corrected 2023-11-11. Correction verified 2023-10-24.
HHSC inspection history
Oct 11, 2023 Assessment · Deficiencies cited
- Other
  A qualified site director has not been designated since the start of school in August.
  
  HHSC 744.201(4) — Designating Director
  
  HHSC risk weight: Medium High. Corrected 2023-11-11. Correction verified 2023-10-24.
HHSC inspection history · no longer published by HHSC; kept here
May 24, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
May 24, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
May 17, 2023 Inspection · Deficiencies cited
- Illness & medication
  3 children have present medication that is no longer needed or used. 2 children have been unenrolled and 1 child no longer has an allergy.
  
  HHSC 744.2659 — Medication No Longer Used
  
  HHSC risk weight: Medium. Corrected 2023-05-19. Correction verified 2023-05-22.
- Illness & medication
  3 children who have allergies indicated on their enrollment paperwork do not have emergency food allergy plans available for review at the time of the inspection. 2 children have medication present for the allergy and 1 does not.
  
  HHSC 744.2669 — Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent
  
  HHSC risk weight: Medium High. Corrected 2023-05-19. Correction verified 2023-05-22.
HHSC inspection history
May 17, 2023 Inspection · Deficiencies cited
- Illness & medication
  3 children have present medication that is no longer needed or used. 2 children have been unenrolled and 1 child no longer has an allergy.
  
  HHSC 744.2659 — Medication No Longer Used
  
  HHSC risk weight: Medium. Corrected 2023-05-19. Correction verified 2023-05-22.
- Illness & medication
  3 children who have allergies indicated on their enrollment paperwork do not have emergency food allergy plans available for review at the time of the inspection. 2 children have medication present for the allergy and 1 does not.
  
  HHSC 744.2669 — Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent
  
  HHSC risk weight: Medium High. Corrected 2023-05-19. Correction verified 2023-05-22.
HHSC inspection history · no longer published by HHSC; kept here
Jan 24, 2023 Assessment · Deficiencies cited
- Supervision & ratios
  The old site director was no longer employed as a site director for this operation as of January 2nd, 2023. A new site director was hired by January 9th. Licensing was not notified of either change within 5 days as required.
  
  HHSC 744.303(4) — Report Change in Director
  
  HHSC risk weight: Medium High. Corrected 2023-01-24. Correction verified 2023-01-26.
HHSC inspection history
Jan 24, 2023 Assessment · Deficiencies cited
- Supervision & ratios
  The old site director was no longer employed as a site director for this operation as of January 2nd, 2023. A new site director was hired by January 9th. Licensing was not notified of either change within 5 days as required.
  
  HHSC 744.303(4) — Report Change in Director
  
  HHSC risk weight: Medium High. Corrected 2023-01-24. Correction verified 2023-01-26.
HHSC inspection history · no longer published by HHSC; kept here
Aug 25, 2022 Inspection · Deficiencies cited
- Other
  The governing body has failed to designate a qualified site director since director since June of 2022.
  
  HHSC 744.201(4) — Designating Director
  
  HHSC risk weight: Medium High. Corrected 2022-09-26. Correction verified 2022-09-21.
- Safety & premises
  4 of 10 children's files reviewed have indicated food allergies with no emergency food allergy plan.
  
  HHSC 744.605(16) — Required Admission Information-Food Allergy Emergency Plan
  
  HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-21.
HHSC inspection history
Aug 25, 2022 Inspection · Deficiencies cited
- Other
  The governing body has failed to designate a qualified site director since director since June of 2022.
  
  HHSC 744.201(4) — Designating Director
  
  HHSC risk weight: Medium High. Corrected 2022-09-26. Correction verified 2022-09-21.
- Safety & premises
  4 of 10 children's files reviewed have indicated food allergies with no emergency food allergy plan.
  
  HHSC 744.605(16) — Required Admission Information-Food Allergy Emergency Plan
  
  HHSC risk weight: Medium High. Corrected 2022-09-01. Correction verified 2022-09-21.
HHSC inspection history · no longer published by HHSC; kept here
Oct 15, 2021 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Oct 15, 2021 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history

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

Letter text

Dear Open Records Coordinator,

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following Child Care Regulation records for AlphaBEST @ Cox -Northwest, 1100 LITSEY RD, Roanoke, TX 76262-6532 (operation ID 1283399, operation number 1657474), for January 1, 2019 to the present:

1. Every inspection, assessment and investigation report, including the deficiencies cited and the operation's corrective actions.
2. Every complaint and self-report intake and its finding.
3. Every corrective or adverse action (evaluation, probation, suspension, revocation, denial, administrative penalty) with related correspondence.
4. Every plan of action or correction the operation submitted, and HHSC's response.

I understand that information made confidential by law (for example the identities of children, families and reporters) may be redacted; please release the remainder. Please provide the records electronically by email. If the cost will exceed $40, please send me an itemized estimate first.

Thank you,

[Your name]
[Email] · [Phone]

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.