Missy's Child Care
401 W NIMITZ ST, Fredericksburg, TX 78624 · Gillespie County
Program
- Type
- Licensed child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:30 AM-05:30 PM
- Director / administrator
- Malinda Ottmers
- Phone
- (830) 997-9734
- Regulated since
- Feb 27, 2012
- HHSC IDs
- Operation 917491 · number 1355267
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 2 | 0 | Staff background & training (2) |
| 2024 | 2 | 0 | Safety & premises (2) |
| 2023 | 2 | 0 | Staff background & training (2) |
| 2022 | 12 | 0 | Illness & medication (2), Supervision & ratios (2), Staff background & training (4), Other (4) |
| 2021 | 8 | 0 | Supervision & ratios (6), Staff background & training (2) |
Inspections, investigations & assessments
-
May 12, 2026 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, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2025 Inspection · Deficiencies cited
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Staff background & training
First aid and CPR training expired on 11/24 for the primary caregiver.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2025-06-06. Correction verified 2025-06-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
May 20, 2025 Inspection · Deficiencies cited
-
Staff background & training
First aid and CPR training expired on 11/24 for the primary caregiver.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2025-06-06. Correction verified 2025-06-11.
-
Staff background & training
-
Jun 11, 2024 Inspection · Deficiencies cited
-
Safety & premises
One out of two high chairs used was missing safety straps.
HHSC 747.2307 — Infant Care Area Furnishings and Equipment - Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2024-06-11. Correction verified 2024-07-12.
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Safety & premises
-
Jun 11, 2024 Inspection · Deficiencies cited
-
Safety & premises
One out of two high chairs used was missing safety straps.
HHSC 747.2307 — Infant Care Area Furnishings and Equipment - Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2024-06-11. Correction verified 2024-07-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jun 12, 2023 Inspection · Deficiencies cited
-
Staff background & training
Provider had not completed any training hours in the topic areas of: emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations; administering medication; preventing and responding to emergencies due to food or an allergic reaction; building and physical premises safety; and handling, storing, and disposing of hazardous materials.
HHSC 747.1309(d) — Primary Caregiver Annual Training - Required Special Topics without specific hours
HHSC risk weight: Medium. Corrected 2023-06-30. Correction verified 2023-07-10.
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Staff background & training
-
Jun 12, 2023 Inspection · Deficiencies cited
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Staff background & training
Provider had not completed any training hours in the topic areas of: emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations; administering medication; preventing and responding to emergencies due to food or an allergic reaction; building and physical premises safety; and handling, storing, and disposing of hazardous materials.
HHSC 747.1309(d) — Primary Caregiver Annual Training - Required Special Topics without specific hours
HHSC risk weight: Medium. Corrected 2023-06-30. Correction verified 2023-07-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2022 Inspection · Deficiencies cited
-
Staff background & training
The provider did not have a current first aid certificate on file. It expired 2/22.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-11-15.
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Staff background & training
The provider did not have a current CPR certificate on file. It expired 2/22.
HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-11-15.
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Supervision & ratios
The provider had 10 children present, ages 15 mos, 19 mos, 21 mos, 23 mos, 2 yr, 3 yr, 3 yr, 3 yr, 4 yr and 4 yr. The provider was over ratio by one child. NOTE: A 2 yr old child was sent home during the inspection.
HHSC 747.1801 — Child/Caregiver Ratio - Licensed Child Care Home
HHSC risk weight: Medium High. Corrected 2022-11-08. Correction verified 2022-12-06.
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Other
3 out of 10 child files reviewed did not contain documentation that parents were notified the provider does not carry liability insurance.
HHSC 747.213(a) — AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
HHSC risk weight: Medium High. Corrected 2022-11-08. Correction verified 2022-11-09.
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Other
The Fisher Price climber did not have a 6 ft use zone around the climber. There were metal push trucks and a Little Tykes rocker adjacent to the unit. The unit was also 3 1/2 ft from the fence. NOTE: The unit was moved to proved the required use zone distance during the inspection.
HHSC 747.4601 — Definition of Use Zone
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2022-11-08.
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Illness & medication
2 out of 10 child records reviewed were missing current vaccination records.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-11-15.
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Staff background & training
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Nov 8, 2022 Inspection · Deficiencies cited
-
Staff background & training
The provider did not have a current first aid certificate on file. It expired 2/22.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-11-15.
-
Staff background & training
The provider did not have a current CPR certificate on file. It expired 2/22.
HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
HHSC risk weight: Medium High. Corrected 2022-11-22. Correction verified 2022-11-15.
-
Supervision & ratios
The provider had 10 children present, ages 15 mos, 19 mos, 21 mos, 23 mos, 2 yr, 3 yr, 3 yr, 3 yr, 4 yr and 4 yr. The provider was over ratio by one child. NOTE: A 2 yr old child was sent home during the inspection.
HHSC 747.1801 — Child/Caregiver Ratio - Licensed Child Care Home
HHSC risk weight: Medium High. Corrected 2022-11-08. Correction verified 2022-12-06.
-
Other
3 out of 10 child files reviewed did not contain documentation that parents were notified the provider does not carry liability insurance.
HHSC 747.213(a) — AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
HHSC risk weight: Medium High. Corrected 2022-11-08. Correction verified 2022-11-09.
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Other
The Fisher Price climber did not have a 6 ft use zone around the climber. There were metal push trucks and a Little Tykes rocker adjacent to the unit. The unit was also 3 1/2 ft from the fence. NOTE: The unit was moved to proved the required use zone distance during the inspection.
HHSC 747.4601 — Definition of Use Zone
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2022-11-08.
-
Illness & medication
2 out of 10 child records reviewed were missing current vaccination records.
HHSC 747.613(b) — Required Immunizations Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium. Corrected 2022-11-22. Correction verified 2022-11-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
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Dec 7, 2021 Inspection · Deficiencies cited
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Staff background & training
Provider completed 4 out of 30 annual training hours for the anniversary year 2/2020-1/2021.
HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-20. Correction verified 2021-12-20.
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Supervision & ratios
The provider does not currently carry liability insurance and has failed to report to the parents of each child in care that the operation does not maintain the required liability insurance coverage.
HHSC 747.213(b) — AP Parent Notification of Liability Insurance - Permitted Before April 25, 2021 & No Insurance Must Notify Parent in Writing by May 25, 2021
HHSC risk weight: Medium High. Corrected 2021-12-07. Correction verified 2021-12-10.
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Supervision & ratios
The operation's first aid kit was missing a guide to first aid book.
HHSC 747.3803(a) — First Aid Kit - Complete Kit
HHSC risk weight: Medium. Corrected 2021-12-08. Correction verified 2021-12-20.
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Supervision & ratios
The provider's operational policies were reviewed and did not include information regarding the promotion of active play.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2021-12-09. Correction verified 2021-12-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 7, 2021 Inspection · Deficiencies cited
-
Staff background & training
Provider completed 4 out of 30 annual training hours for the anniversary year 2/2020-1/2021.
HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
HHSC risk weight: Medium. Corrected 2021-12-20. Correction verified 2021-12-20.
-
Supervision & ratios
The provider does not currently carry liability insurance and has failed to report to the parents of each child in care that the operation does not maintain the required liability insurance coverage.
HHSC 747.213(b) — AP Parent Notification of Liability Insurance - Permitted Before April 25, 2021 & No Insurance Must Notify Parent in Writing by May 25, 2021
HHSC risk weight: Medium High. Corrected 2021-12-07. Correction verified 2021-12-10.
-
Supervision & ratios
The operation's first aid kit was missing a guide to first aid book.
HHSC 747.3803(a) — First Aid Kit - Complete Kit
HHSC risk weight: Medium. Corrected 2021-12-08. Correction verified 2021-12-20.
-
Supervision & ratios
The provider's operational policies were reviewed and did not include information regarding the promotion of active play.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2021-12-09. Correction verified 2021-12-22.
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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.