LIFE BYVardellChildcare
Report

TheVardellReport

Emmanuel's Playhouse and Learning Center

Licensed child care center

4747 Hondo Pass Dr #Fg
El Paso, TX 79904

Report Date
Nov 1, 2026
Data Through
Oct 31, 2026
Report ID
VR-TX-1761852-2611
← Emmanuel's Playhouse and Learning Center, free profile

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The Vardell Report.Emmanuel's Playhouse and Learning Center

The deeper story, beautifully organized. Available records, historical context, and questions worth asking.

Provider Category
Childcare
Location
El Paso, TX
Record Period
2023–2026
Source Documents
29
Read the report

This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.

01

The Essentials

Summary

Across 28 licensing visits from January 2023 to September 2026, HHSC cited 26 deficiencies at Emmanuel's Playhouse and Learning Center; 26 have a recorded correction.

Visits
28
2023–2026, inspections, investigations and assessments
Deficiencies
26
Standards cited by HHSC inspectors
Corrected
26
Of 26 deficiencies, with a recorded correction date
Investigations
7
Licensing investigations, whatever prompted them

Deficiencies by Year

  • Deficiencies
  • Of which, high risk
2021: 0 deficiencies across 0 visits020210 visits2022: 0 deficiencies across 0 visits020220 visits2023: 9 deficiencies across 12 visits; of which, high risk: 29202312 visits2024: 9 deficiencies across 5 visits; of which, high risk: 3920245 visits2025: 4 deficiencies across 4 visits; of which, high risk: 2420254 visits2026: 4 deficiencies across 7 visits; of which, high risk: 142026*7 visits2021: 0 deficiencies across 0 visits020210 visits2022: 0 deficiencies across 0 visits020220 visits2023: 9 deficiencies across 12 visits; of which, high risk: 29202312 visits2024: 9 deficiencies across 5 visits; of which, high risk: 3920245 visits2025: 4 deficiencies across 4 visits; of which, high risk: 2420254 visits2026: 4 deficiencies across 7 visits; of which, high risk: 142026*7 visits

* Partial year, through October 31, 2026.

Deficiencies by year
YearVisitsDeficienciesOf which, high risk
2021000
2022000
20231292
2024593
2025442
2026741

What the Record Shows

  • 26 of 26 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.
  • 7 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
  • The latest inspection, September 23, 2026, recorded no deficiencies.
02

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.

  1. 2026

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159497

  2. 2026

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159496

  3. 2026

    Investigation

    2 deficiencies

    • 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Sep 17, 2026
    • 746.2207(c)(1)Screen Time Activities - Related to Planned ActivitiesMedium riskCorrected Sep 17, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241376

  4. 2026

    Inspection

    1 deficiency

    • 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected Sep 18, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159495

  5. 2026

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159494

  6. 2026

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241375

  7. 2026

    Assessment

    1 deficiency

    • 745.247Franchise Tax DelinquentHigh riskCorrected Aug 5, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905254457

  8. 2025

    Inspection

    4 deficiencies

    • 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Oct 29, 2025
    • 746.5617(a)(6)Required Equipment in Vehicles - First-aid KitHigh riskCorrected Oct 15, 2025
    • 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Oct 29, 2025
    • 746.5625(b)Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructionsHigh riskCorrected Nov 7, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159493

  9. 2025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159492

  10. 2025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159491

  11. 2025

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241374

  12. 2024

    Inspection

    2 deficiencies

    • 746.2409(a)(10)Safety Requirements for Cribs - Label for Each InfantMedium riskCorrected Nov 21, 2024
    • 746.4751(b)Maintenance Procedures for Active Play - Monthly Maintenance ChecklistMedium riskCorrected Nov 28, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159490

  13. 2024

    Inspection

    2 deficiencies

    • 746.5617(a)(5)Required Equipment in Vehicles - Fire ExtinguisherHigh riskCorrected Jun 28, 2024
    • 746.5205(1)Fire Drill Monthly - Exit in 3 MinutesMedium-high riskCorrected Jun 28, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159489

  14. 2024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159488

  15. 2024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159487

  16. 2024

    Inspection

    5 deficiencies

    • 746.5617(a)(5)Required Equipment in Vehicles - Fire ExtinguisherHigh riskCorrected Jan 22, 2024
    • 746.4003(a)(5)First Aid Kit Incomplete - ScissorsMedium riskCorrected Jan 22, 2024
    • 746.3407(9)Floors, ceilings and Walls in Good Repair and CleanMedium-high riskCorrected Jan 22, 2024
    • 746.4503(b)Cots, Beds, Mats Labeled With Child's NameMedium riskCorrected Jan 22, 2024
    • 746.5625(b)Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructionsHigh riskCorrected Feb 22, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159486

  17. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159485

  18. 2023

    Investigation

    2 deficiencies

    • 746.2805(3)Prohibited Punishments - Grabbing and PullingHigh riskCorrected Feb 29, 2024
    • 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Feb 29, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241373

  19. 2023

    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), 905241372

  20. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159484

  21. 2023

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241371

  22. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159483

  23. 2023

    Inspection

    1 deficiency

    • 746.5617(a)(5)Required Equipment in Vehicles - Fire ExtinguisherHigh riskCorrected May 19, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159482

  24. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159481

  25. 2023

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241370

  26. 2023

    Inspection

    1 deficiency

    • 746.901(1)Required Personnel Records - Dates of EmploymentMedium-low riskCorrected Mar 28, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159480

  27. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159479

  28. 2023

    Inspection

    5 deficiencies

    • 746.4405Location of Handwashing SinkMedium riskCorrected Jan 13, 2023
    • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected Jan 13, 2023
    • 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected Feb 10, 2023
    • 746.5401Requirement of Gas Leak InspectionMedium-high riskCorrected Jan 31, 2023
    • 746.3417(3)Children Handwashing After Toileting or DiaperingMedium-high riskCorrected Jan 13, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159478

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

03

Context

Patterns Worth Examining

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

  1. 1

    Required Equipment in Vehicles - Fire Extinguisher, Cited in Three Visits

    HHSC inspectors cited 746.5617(a)(5) in May 2023, January 2024 and June 2024. The agency describes it this way: Required Equipment in Vehicles - Fire Extinguisher. 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.

    23232323232323232323232324242424242525252526262626262626746.5617(a)(5) across all 28 visits, oldest to newest
  2. 2

    Citation 746.1203(3)(D), Cited in Two Visits

    HHSC inspectors cited 746.1203(3)(D) in December 2023 and September 2026. The agency describes it this way: Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    23232323232323232323232324242424242525252526262626262626746.1203(3)(D) across all 28 visits, oldest to newest
  3. 3

    Annual Sanitation Inspection, Cited in Two Visits

    HHSC inspectors cited 746.3401(a) in January 2023 and September 2026. The agency describes it this way: Annual Sanitation Inspection. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    23232323232323232323232324242424242525252526262626262626746.3401(a) across all 28 visits, oldest to newest
  4. 4

    Citation 746.5625(b), Cited in Two Visits

    HHSC inspectors cited 746.5625(b) in January 2024 and October 2025. The agency describes it this way: Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions. 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.

    23232323232323232323232324242424242525252526262626262626746.5625(b) across all 28 visits, oldest to newest
04

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.

  1. 01

    What changed after 746.5617(a)(5) was cited, and how do you check it now?

    Required Equipment in Vehicles - Fire Extinguisher: cited in three visits, including high-risk standards.

  2. 02

    What changed after 746.1203(3)(D) was cited, and how do you check it now?

    Citation 746.1203(3)(D): cited in two visits, most seriously at medium-high risk.

  3. 03

    What changed after 746.3401(a) was cited, and how do you check it now?

    Annual Sanitation Inspection: cited in two visits, most seriously at medium-high risk.

  4. 04

    What changed after 746.5625(b) was cited, and how do you check it now?

    Citation 746.5625(b): cited in two visits, including high-risk standards.

  5. 05

    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.

  6. 06

    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.

05

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 · 1761852

    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 · 905159478

    Visit Jan 13, 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 · 905159479

    Visit Jan 18, 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 · 905159480

    Visit Mar 28, 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 · 905241370

    Visit Apr 26, 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 · 905159481

    Visit Apr 27, 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 · 905159482

    Visit May 3, 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 · 905159483

    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 · 905241371

    Visit Nov 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 · 905159484

    Visit Dec 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 · 905241372

    Visit Dec 21, 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 · 905241373

    Visit Dec 28, 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 · 905159485

    Visit Dec 29, 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 · 905159486

    Visit Jan 22, 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 · 905159487

    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 · 905159488

    Visit Mar 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 · 905159489

    Visit Jun 28, 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 · 905159490

    Visit Nov 21, 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 · 905241374

    Visit Jun 5, 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 · 905159491

    Visit Jun 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 · 905159492

    Visit Jul 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 · 905159493

    Visit Oct 15, 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 · 905254457

    Visit Jul 8, 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 · 905241375

    Visit Jul 15, 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 · 905159494

    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 · 905159495

    Visit Sep 10, 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 · 905241376

    Visit Sep 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 · 905159496

    Visit Sep 16, 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 · 905159497

    Visit Sep 23, 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.