Almost Grandmas Childcare Center
1531 S WACO ST, Van Alstyne, TX 75495 · Grayson County
Program
- Type
- Licensed center
- Licensed capacity
- 190
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 PM
- Director / administrator
- Sharla Thornhill
- Phone
- (903) 482-0500
- Regulated since
- Jan 7, 2008
- HHSC IDs
- Operation 319460 · number 875576
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 2 | Cleanliness & sanitation (2) |
| 2025 | 2 | 2 | Other (2) |
| 2024 | 14 | 0 | Cleanliness & sanitation (6), Supervision & ratios (2), Safety & premises (2), Staff background & training (2), Other (2) |
| 2023 | 2 | 2 | Staff background & training (2) |
| 2022 | 2 | 0 | Supervision & ratios (2) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 9, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Cleaning supplies and other sanitizers were located in several classrooms and a bathroom. The Director removed and threw out all of the supplies located.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected at inspection. Corrected 2026-01-09.
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Cleanliness & sanitation Serious
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Jan 9, 2026 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Cleaning supplies and other sanitizers were located in several classrooms and a bathroom. The Director removed and threw out all of the supplies located.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected at inspection. Corrected 2026-01-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Nov 10, 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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Nov 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 29, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 20, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 23, 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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Jan 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 20, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 13, 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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Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2025 Report · Deficiencies cited
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Other Serious
A child in care was bitten by another child in care. This was observed by a caregiver, who did not intervene in a timely manner.
HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety
HHSC risk weight: High. Corrected 2025-02-07. Correction verified 2025-02-20.
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Other Serious
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Jan 9, 2025 Report · Deficiencies cited
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Other Serious
A child in care was bitten by another child in care. This was observed by a caregiver, who did not intervene in a timely manner.
HHSC 746.1205(a)(5) — Responsibilities of Caregivers - Intervene to ensure each child's safety
HHSC risk weight: High. Corrected 2025-02-07. Correction verified 2025-02-20.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 12, 2024 Inspection · Deficiencies cited
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Staff background & training
A child was observed walking around the classroom with a training cup. It was corrected during inspection when the caregiver had removed it from the child.
HHSC 746.2419(7) — Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
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Cleanliness & sanitation
Two classrooms did not use proper hand washing such as soap and running water prior to the children eating lunch. The caregiver corrected this as she guided the children to wash their hands.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2024-11-12. Correction verified 2024-11-26.
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Cleanliness & sanitation
Two infant classrooms and a two's classroom had diaper creams not labeled with the individual child's name.
HHSC 746.3501(5) — Diaper Changing Steps-Label Powders, Lotions, Etc. with Name
HHSC risk weight: Medium. Corrected 2024-11-19. Correction verified 2024-11-26.
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Cleanliness & sanitation
A 18 month-24 month classroom has a trash can with soiled diapers accessible to children.
HHSC 746.3505(f) — Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
HHSC risk weight: Medium High. Corrected 2024-11-19. Correction verified 2024-11-26.
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Other
A two's classroom had an outlet exposed to the children in care without childproof covers. This was corrected at inspection by the director.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
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Safety & premises
Two classrooms didn't have their emergency evacuation posted in the classroom. This was corrected at inspection and they were posted in prominent areas.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
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Staff background & training
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Nov 12, 2024 Inspection · Deficiencies cited
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Staff background & training
A child was observed walking around the classroom with a training cup. It was corrected during inspection when the caregiver had removed it from the child.
HHSC 746.2419(7) — Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
-
Cleanliness & sanitation
Two classrooms did not use proper hand washing such as soap and running water prior to the children eating lunch. The caregiver corrected this as she guided the children to wash their hands.
HHSC 746.3417(1) — Children Handwashing Before Eating
HHSC risk weight: Medium High. Corrected 2024-11-12. Correction verified 2024-11-26.
-
Cleanliness & sanitation
Two infant classrooms and a two's classroom had diaper creams not labeled with the individual child's name.
HHSC 746.3501(5) — Diaper Changing Steps-Label Powders, Lotions, Etc. with Name
HHSC risk weight: Medium. Corrected 2024-11-19. Correction verified 2024-11-26.
-
Cleanliness & sanitation
A 18 month-24 month classroom has a trash can with soiled diapers accessible to children.
HHSC 746.3505(f) — Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
HHSC risk weight: Medium High. Corrected 2024-11-19. Correction verified 2024-11-26.
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Other
A two's classroom had an outlet exposed to the children in care without childproof covers. This was corrected at inspection by the director.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
-
Safety & premises
Two classrooms didn't have their emergency evacuation posted in the classroom. This was corrected at inspection and they were posted in prominent areas.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-11-12.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Jan 16, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation did not report the number of employees who left the operation in 2023 to CCR.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2024-01-16. Correction verified 2024-01-16.
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Supervision & ratios
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Jan 16, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation did not report the number of employees who left the operation in 2023 to CCR.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2024-01-16. Correction verified 2024-01-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
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Dec 4, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
During the inspection a caregiver was present and caring for children without an active background check. This was corrected during the inspection when the operation submitted the background check and the caregiver was sent home.
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 at inspection. Corrected 2025-03-27.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training Serious
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Dec 4, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
During the inspection a caregiver was present and caring for children without an active background check. This was corrected during the inspection when the operation submitted the background check and the caregiver was sent home.
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 at inspection. Corrected 2025-03-27.
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Staff background & training Serious
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Dec 6, 2022 Inspection · Deficiencies cited
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Supervision & ratios
I observed that the operation had not documented the fire drill for November of 2022. The operation corrected this at the inspection.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-12-06.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios
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Dec 6, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
I observed that the operation had not documented the fire drill for November of 2022. The operation corrected this at the inspection.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-12-06.
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Supervision & ratios
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Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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.