First Start Child Care #2
1709 OLD FM 440 RD, Killeen, TX 76549 · Bell County
Program
- Type
- Licensed center
- Licensed capacity
- 60
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 05:30 AM-06:30 PM
- Director / administrator
- Tamayra Davis
- Phone
- (254) 350-3625
- Regulated since
- Apr 5, 2024
- HHSC IDs
- Operation 1461708 · number 1786552
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 1 | Cleanliness & sanitation (2), Safety & premises (1), Food & allergies (1) |
| 2025 | 8 | 2 | Cleanliness & sanitation (1), Supervision & ratios (3), Safety & premises (1), Staff background & training (1), Other (2) |
| 2024 | 3 | 1 | Food & allergies (1), Records & paperwork (2) |
| 2023 | 7 | 5 | Cleanliness & sanitation (1), Supervision & ratios (1), Discipline & child guidance (1), Safety & premises (1), Other (3) |
Inspections, investigations & assessments
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May 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 22, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
A caregiver was engaged in duties unrelated to caring for children, while a child was resting in a room unsupervised. A child was observed going to the bathroom unsupervised. This was corrected when the caregiver returned to the room.
HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety
HHSC risk weight: High. Corrected 2026-04-22. Correction verified 2026-05-04.
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Cleanliness & sanitation
The carpets in two of the classrooms were not clean. Stains were observed on the carpets and on some of the cloth seating chairs.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2026-05-01. Correction verified 2026-05-04.
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Safety & premises
The wall outlets in each of the classroom did not have protective covers, the outdoors playground had toys that were broken and tires with standing water. The tires did not have holes drilled in them to allow the water to drain. The wall outlets were covered during the inspection.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2026-04-30. Correction verified 2026-05-04.
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Food & allergies
The first aid kit was observed and did not have tweezers, band aids, thermometer, antiseptic wipes or gloves. This was corrected during the inspection when the supplies were added to the kit.
HHSC 746.4003(a) — First Aid Kit - Incomplete Kit
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-04-22.
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Cleanliness & sanitation Serious
-
Jan 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2025 Inspection · Deficiencies cited
-
Staff background & training
Training records were deficient for the 24 annual clock hours.
HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required
HHSC risk weight: Medium. Corrected 2025-10-24. Correction verified 2025-10-23.
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Safety & premises Serious
Battery operated smoke add carbon monoxide detectors were not present in 2 of the classrooms where care was being provided.
HHSC 746.5317 — Installation of Smoke Detectors
HHSC risk weight: High. Corrected 2025-10-31. Correction verified 2025-10-23.
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Staff background & training
-
Oct 15, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
A staff member sent an older child in care to another classroom unsupervised. The child went to retrieve something in the room for the staff member.
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 2026-01-09. Correction verified 2026-01-09.
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Supervision & ratios Serious
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May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2025 Inspection · Deficiencies cited
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Supervision & ratios
A classroom was observed out of ratio by 3 children when a caregiver left the room. This was corrected when the caregiver returned to the room. The classroom was observed out of ratio by one child. This was corrected when the child was taken to another classroom bringing the room into ratio.
HHSC 746.1507(1) — Determining Child/Caregiver Ratios - Basis
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-05-06.
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Cleanliness & sanitation
A caregiver was observed during diaper changing in a classroom without a hand washing sink. This was corrected during the inspection when the caregiver took the child to the bathroom to wash hands.
HHSC 746.2405(4) — Infant Care Area Furnishings and Equipment - Hand-washing Sink
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-05-06.
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Other
The written feeding instructions had not been reviewed, or updated as of today's date.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2025-04-30. Correction verified 2025-04-29.
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Other
The first aid kit was incomplete for tweezers. The kit also had expired supplies. The expired supplies was corrected during the inspection when the director removed the items.
HHSC 746.4003(a)(8) — First Aid Kit Incomplete - Tweezers
HHSC risk weight: Medium. Corrected 2025-04-27. Correction verified 2025-04-29.
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Supervision & ratios
Parent's rights notices were not observed in the children's records.
HHSC 746.521(1) — Parent right to enter and examine operation without advance notice
HHSC risk weight: Medium High. Corrected 2025-05-02. Correction verified 2025-04-29.
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Supervision & ratios
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Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 23, 2024 Inspection · Deficiencies cited
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Food & allergies Serious
A child was observed to have leftover chewed food in the play yard, This was corrected when the caregiver removed the food from the play yard
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 at inspection. Corrected 2024-08-23.
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Records & paperwork
4 of the records evaluated did not have parent signatures or the health statement signed by the physician.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2024-09-06. Correction verified 2024-09-11.
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Records & paperwork
One staff did not have the required signed employment affidavit.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2024-08-30. Correction verified 2024-08-26.
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Food & allergies Serious
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Mar 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
A child was observed asleep in a restrictive device. The child did not have the required sleep exception form.
HHSC 746.2426(a)(2) — Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
HHSC risk weight: High. Corrected 2023-11-16. Correction verified 2023-12-01.
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Cleanliness & sanitation
There was insufficient lighting observed during nap time in the room where children were napping. The caregiver was unable to visibly see the children's faces to be able to intervene in the event of an emergency. This was corrected during the inspection when the caregiver turned on the light and opened the door to the adjoining bathroom.
HHSC 746.2911 — Adequate Lighting During Naptime
HHSC risk weight: Medium High. Corrected 2023-11-16. Correction verified 2023-12-01.
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Supervision & ratios Serious
During the walk through of the operation, broken and damaged toys were observed in the play space. This was corrected during the inspection when all of the broken toys were removed.
HHSC 746.4601(7) — Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
HHSC risk weight: High. Corrected at inspection. Corrected 2023-11-16.
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Safety & premises Serious
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Nov 7, 2023 Report · Deficiencies cited
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Other Serious
A caregiver did not use good judgment for a child in care. The caregiver knowingly placed a child at risk of injury by pushing the child and causing the child to lose balance and fall.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2024-01-08. Correction verified 2024-01-24.
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Discipline & child guidance Serious
During a DFPS investigation there was sufficient evidence to support a child was abused.
HHSC 746.1201(4) — AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
HHSC risk weight: High. Corrected 2024-01-08. Correction verified 2024-01-24.
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Other
A caregiver was observed not interacting positively with a child in care. The caregiver did not provide care, check the child injury or console a child after the child had fallen to the floor, sustaining a possible injury.
HHSC 746.1203(5) — Responsibilities of Caregivers - Interact positively with children
HHSC risk weight: Medium High. Corrected 2024-01-08. Correction verified 2024-01-24.
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Other Serious
A caregiver was observed grabbing a child in care roughly by the arms and lifting the child from the table and floor on two separate occasions.
HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling
HHSC risk weight: High. Corrected 2024-01-08. Correction verified 2024-01-24.
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Other Serious
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Oct 4, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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.