Cadence Academy Preschool, Houston, TX

The Essentials

Summary

Across 35 licensing visits from January 2022 to September 2026, HHSC cited 16 deficiencies at Cadence Academy Preschool; 16 have a recorded correction.

Visits: 35; 2022–2026, inspections, investigations and assessments
Deficiencies: 16; Standards cited by HHSC inspectors
Corrected: 16; Of 16 deficiencies, with a recorded correction date
Investigations: 13; 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	1	0
2023	2	1	1
2024	14	6	2
2025	9	7	3
2026	6	1	1

What the Record Shows

16 of 16 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.
13 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, September 11, 2026, recorded no deficiencies.

What to Ask About

Citation 746.1205(a)(4), Cited in Five Visits
Maintenance of Building, Grounds and Equipment, Cited in Two Visits

Report at a Glance

Facility: Cadence Academy Preschool
Address: 12300 Queenston Blvd, Houston, TX 77095
Operation Number: TX-1235406
License Type: Licensed child care center
Licensed Capacity: 297 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 6 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.

Sep 112026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085413
Aug 212026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085412
Aug 142026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085411
Aug 122026
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), 905214421
Jul 312026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085410
Jul 272026
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 Aug 25, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214420
Nov 212025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085409
Nov 172025
Inspection
4 deficiencies
- 746.5205(3)Sheltering Drills for Lock-Down-4 times in a calendar yearMedium-high riskCorrected Nov 21, 2025
- 746.5205(2)Sheltering Drill For Severe Weather-Four times a calendar yearMedium-high riskCorrected Nov 21, 2025
- 746.3407Maintenance of Building, Grounds and EquipmentMedium-high riskCorrected Nov 28, 2025
- 746.3701(1)Safety - Electrical Outlets CoveredMedium-high riskCorrected Nov 17, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085408
Aug 62025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085407
Jul 222025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085406
Jul 92025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085405
Jun 162025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085404
Jun 132025
Inspection
1 deficiency
- 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Aug 1, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085403
Jun 132025
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 Jul 10, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214419
Jun 122025
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 Jun 23, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214418
Dec 122024
Inspection
3 deficiencies
- 746.1111Education Outside of U.S.Medium riskCorrected Jan 12, 2025
- 746.3407Maintenance of Building, Grounds and EquipmentMedium-high riskCorrected Dec 12, 2024
- 746.901(5)Required Personnel Records - Required Affidavit (Form 2912)Medium-low riskCorrected Dec 12, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085402
Jul 12024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085401
Jun 202024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214417
May 242024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085400
Apr 252024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085399
Apr 232024
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 May 22, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214416
Apr 102024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085398
Feb 232024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085397
Feb 182024
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 Apr 3, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214415
Feb 82024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214414
Feb 52024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085396
Jan 122024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085395
Jan 92024
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 Jan 29, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214412
Jan 92024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214413
Dec 142023
Inspection
1 deficiency
- 746.5625(b)Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructionsHigh riskCorrected Dec 18, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085394
Jan 202023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214411
Dec 222022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085393
Jun 242022
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.1315(b)(1)CPR Training and Recertification Adhere to Guidelines-skill basedMedium-high riskCorrected Jul 26, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214410
Jun 82022
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905214409
Jan 122022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905085392

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 Five Visits
HHSC inspectors cited 746.1205(a)(4) in January 2024, April 2024, June 2025, June 2025 and July 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.
2222222223232424242424242424242424242424252525252525252525262626262626746.1205(a)(4) across all 35 visits, oldest to newest
2
Maintenance of Building, Grounds and Equipment, Cited in Two Visits
HHSC inspectors cited 746.3407 in December 2024 and November 2025. The agency describes it this way: Maintenance of Building, Grounds and Equipment. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222223232424242424242424242424242424252525252525252525262626262626746.3407 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 five visits, including high-risk standards.
02
What changed after 746.3407 was cited, and how do you check it now?
Maintenance of Building, Grounds and Equipment: cited in two visits, most seriously at medium-high risk.
03
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.
04
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 · 1235406
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 · 905085392
Visit Jan 12, 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 · 905214409
Visit Jun 8, 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 · 905214410
Visit Jun 24, 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 · 905085393
Visit Dec 22, 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 · 905214411
Visit Jan 20, 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 · 905085394
Visit Dec 14, 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 · 905214412
Visit Jan 9, 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 · 905214413
Visit Jan 9, 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 · 905085395
Visit Jan 12, 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 · 905085396
Visit Feb 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 · 905214414
Visit Feb 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 · 905214415
Visit Feb 18, 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 · 905085397
Visit Feb 23, 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 · 905085398
Visit Apr 10, 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 · 905214416
Visit Apr 23, 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 · 905085399
Visit Apr 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 · 905085400
Visit May 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 · 905214417
Visit Jun 20, 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 · 905085401
Visit Jul 1, 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 · 905085402
Visit Dec 12, 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 · 905214418
Visit Jun 12, 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 · 905085403
Visit Jun 13, 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 · 905214419
Visit Jun 13, 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 · 905085404
Visit Jun 16, 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 · 905085405
Visit Jul 9, 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 · 905085406
Visit Jul 22, 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 · 905085407
Visit Aug 6, 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 · 905085408
Visit Nov 17, 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 · 905085409
Visit Nov 21, 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 · 905214420
Visit Jul 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 · 905085410
Visit Jul 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 · 905214421
Visit Aug 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 · 905085411
Visit Aug 14, 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 · 905085412
Visit Aug 21, 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 · 905085413
Visit Sep 11, 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.