Brushy Creek KinderCare, Round Rock, TX

The Essentials

Summary

Across 35 licensing visits from July 2022 to October 2026, HHSC cited 20 deficiencies at Brushy Creek KinderCare; 20 have a recorded correction.

Visits: 35; 2022–2026, inspections, investigations and assessments
Deficiencies: 20; Standards cited by HHSC inspectors
Corrected: 20; Of 20 deficiencies, with a recorded correction date
Investigations: 12; Licensing investigations, whatever prompted them

Deficiencies by Year

Deficiencies
Of which, high risk

* Partial year, through October 31, 2026.

Deficiencies by year
Year	Visits	Deficiencies	Of which, high risk
2021	0	0	0
2022	4	0	0
2023	6	6	0
2024	8	5	3
2025	6	6	2
2026	11	3	2

What the Record Shows

20 of 20 deficiencies have a recorded correction date.
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.
12 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, October 6, 2026, recorded no deficiencies.

What to Ask About

Citation 746.1205(a)(4), Cited in Four Visits

Report at a Glance

Facility: Brushy Creek KinderCare
Address: 2700 Sam Bass Rd, Round Rock, TX 78681
Operation Number: TX-1745477
License Type: Licensed child care center
Licensed Capacity: 144 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 6:30 a.m.–6:30 p.m.
Record Window: November 1, 2021 to October 31, 2026

Chronology

Inspection History

Every visit in the record window, newest first. A deficiency is a licensing standard Texas inspectors found was not met. HHSC publishes what an investigation cited, not what the report to it alleged.

Oct 62026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154039
Sep 92026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154038
Aug 312026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154037
Aug 272026
Investigation
2 deficiencies
Opened on a report the operation made itself.
- 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 activityHigh riskCorrected Sep 25, 2026
- 746.701(5)Licensing Incident/Illness Report Form - Situations Placing Children at RiskMedium riskCorrected Sep 25, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239593
Jul 72026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154036
Jul 32026
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239592
Mar 122026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154035
Mar 112026
Investigation
No deficiencies
Opened on a report the operation made itself.
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239591
Mar 42026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154034
Feb 32026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154033
Jan 232026
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.2401(6)Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or ToddlersHigh riskCorrected Feb 20, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239590
Oct 142025
Inspection
1 deficiency
- 746.3819Food Allergy Emergency Plan Signed by Parents and Health Care ProfessionalMedium-high riskCorrected Oct 28, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154032
Sep 192025
Inspection
1 deficiency
- 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 activityHigh riskCorrected Oct 7, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154031
Sep 112025
Investigation
1 deficiency
Opened on a report the operation made itself.
- 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 activityHigh riskCorrected Oct 7, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239589
Aug 82025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154030
Jul 72025
Inspection
2 deficiencies
- 746.2419(5)Requirements for Feeding Infants - Fed in Safe MannerMedium-high riskCorrected Jul 7, 2025
- 746.3317(6)Food Service and Preparation Requirement - Use Sanitary HoldersMedium-high riskCorrected Jul 7, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154029
Jul 32025
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.2905(1)Children Not Required to Sleep - May Not Force Child to SleepMedium riskCorrected Jul 31, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239588
Nov 82024
Inspection
4 deficiencies
- 745.641AP Background check results - Must receive notification prior to allowing subject to be present at your operationHigh riskCorrected Nov 8, 2024
- 746.1311(e)Director Annual Training - Additional required topicsMedium riskCorrected Dec 2, 2024
- 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected Dec 13, 2024
- 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Dec 2, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154028
Nov 42024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239587
Jun 52024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154027
May 72024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239586
Feb 292024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154026
Jan 302024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239585
Jan 252024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154025
Jan 242024
Investigation
1 deficiency
- 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 activityHigh riskCorrected Feb 22, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239584
Dec 82023
Inspection
4 deficiencies
- 746.801(12)Required Records Maintained and Made Available - Sanitation Inspection ReportMedium riskCorrected Jan 5, 2024
- 746.1105(3)Minimum Qualifications Child Care Center Employees and Caregivers - AffidavitLow riskCorrected Dec 15, 2023
- 746.1301(a)(4)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric CPRMedium-high riskCorrected Dec 22, 2023
- 746.901(2)Required Personnel Records- Meets RequirementsMedium riskCorrected Dec 15, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154024
Sep 192023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154023
Aug 232023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154022
Aug 222023
Investigation
No deficiencies
Opened on a report the operation made itself.
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239583
Jun 302023
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.1315(a)Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.Medium-high riskCorrected Sep 8, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905239582
Jun 152023
Inspection
1 deficiency
- 746.603(a)(7)Children's Records - Incident/Illness FormMedium riskCorrected Jun 15, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154021
Dec 162022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154020
Oct 192022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154019
Sep 142022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154018
Jul 52022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905154017

Texas gives every licensing standard one of five risk levels, from low to high, by how likely a deficiency is to harm a child.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1
Citation 746.1205(a)(4), Cited in Four Visits
HHSC inspectors cited 746.1205(a)(4) in January 2024, September 2025, September 2025 and August 2026. The agency describes it this way: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity. The most serious of these was recorded at high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222223232323232324242424242424242525252525252626262626262626262626746.1205(a)(4) across all 35 visits, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
What changed after 746.1205(a)(4) was cited, and how do you check it now?
Citation 746.1205(a)(4): cited in four visits, including high-risk standards.
02
What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?
Ratios change through the day, so they are worth counting yourself on a visit.
03
Has the center ever been under corrective or adverse action, and what changed afterward?
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.

The Evidence

Sources and Coverage

Program details, licensing visits and the deficiencies cited at each are published by the Texas Health and Human Services Commission's Child Care Regulation in its daily files on data.texas.gov.

Child Care Licensing operations (data.texas.gov)
Texas Health and Human Services Commission, Child Care Regulation · 1745477
Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154017
Visit Jul 5, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154018
Visit Sep 14, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154019
Visit Oct 19, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154020
Visit Dec 16, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154021
Visit Jun 15, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239582
Visit Jun 30, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239583
Visit Aug 22, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154022
Visit Aug 23, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154023
Visit Sep 19, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154024
Visit Dec 8, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239584
Visit Jan 24, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154025
Visit Jan 25, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239585
Visit Jan 30, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154026
Visit Feb 29, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239586
Visit May 7, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154027
Visit Jun 5, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239587
Visit Nov 4, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154028
Visit Nov 8, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239588
Visit Jul 3, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154029
Visit Jul 7, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154030
Visit Aug 8, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239589
Visit Sep 11, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154031
Visit Sep 19, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154032
Visit Oct 14, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239590
Visit Jan 23, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154033
Visit Feb 3, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154034
Visit Mar 4, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239591
Visit Mar 11, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154035
Visit Mar 12, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239592
Visit Jul 3, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154036
Visit Jul 7, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905239593
Visit Aug 27, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154037
Visit Aug 31, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154038
Visit Sep 9, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905154039
Visit Oct 6, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowNovember 1, 2021 – October 31, 2026

This record is HHSC's list of operations as of October 2026, with the inspections, investigations and assessments in HHSC's files, which run from November 2021.
Listed family homes (one caregiver with up to three unrelated children, listed with HHSC but not inspected on a schedule) are not in this record.
HHSC's narrative for each deficiency is left out because it can name children, parents and staff; the rule cited, its risk level and the correction dates are kept.

What This Report Cannot Tell You

Inspector narratives: Published by HHSC but left out of this record because they can name people.
Enforcement actions: HHSC's files say whether an operation is under corrective or adverse action, not what the action was.
Complaints not investigated: Reports HHSC screened out without an investigation are not published.
Staff qualifications and turnover: Not part of the published licensing record.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.