The Vardell Report.La Petite Toepperwein

Across 66 licensing visits from November 2021 to September 2026, HHSC cited 47 deficiencies at La Petite Toepperwein; 47 have a recorded correction.

Visits

66

2021–2026, inspections, investigations and assessments

Deficiencies

47

Standards cited by HHSC inspectors

Corrected

47

Of 47 deficiencies, with a recorded correction date

Investigations

20

Licensing investigations, whatever prompted them

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. Sep 142026

   Inspection

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043341

2. Sep 102026

   Inspection

   2 deficiencies

   • 746.603(a)(3)Children's Records - Health StatementMedium riskCorrected Sep 30, 2026
   • 746.401(2)Posting Requirements - Letter or form from the most recent Licensing Inspection or InvestigationMedium riskCorrected Sep 10, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043340

3. Sep 32026

   Investigation

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196900

4. Aug 132026

   Inspection

   1 deficiency

   • 746.301(7)Notification of Additional Services OfferedHigh riskCorrected Aug 13, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043339

5. Jun 292026

   Inspection

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043338

6. Jun 182026

   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 Jun 18, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043337

7. Apr 172026

   Inspection

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043336

8. Apr 92026

   Investigation

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196899

9. Apr 82026

   Inspection

   No deficiencies

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043335

10. Mar 272026

    Inspection

    1 deficiency

    • 746.1205(a)(2)Responsibilities of Caregivers - Know number of children responsible forHigh riskCorrected Mar 27, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043334

11. Feb 52026

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043333

12. Jan 292026

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043332

13. Jan 292026

    Investigation

    7 deficiencies

    • 746.1201(4)AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or ExploitedHigh riskCorrected Mar 19, 2026
    • 746.1205(a)(2)Responsibilities of Caregivers - Know number of children responsible forHigh riskCorrected Mar 19, 2026
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Mar 19, 2026
    • 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Mar 19, 2026
    • 746.201(1)Policies Comply with RulesHigh riskCorrected Mar 19, 2026
    • 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 Mar 19, 2026
    • 746.307(a)Parental Communication - Notify Immediately about Allegation of Abuse, Neglect or ExploitationHigh riskCorrected Mar 19, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196898

14. Jan 282026

    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), 905196897

15. Jan 222026

    Inspection

    2 deficiencies

    • 746.3417(3)Children Handwashing After Toileting or DiaperingMedium-high riskCorrected Jan 22, 2026
    • 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Feb 5, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043331

16. Jul 22025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043330

17. Jun 302025

    Inspection

    1 deficiency

    • 746.3407(12)Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to ChildrenHigh riskCorrected Jun 30, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043329

18. May 82025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043328

19. Apr 142025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043327

20. Apr 22025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043326

21. Apr 22025

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196896

22. Apr 12025

    Investigation

    1 deficiency

    • 746.1003(3)Director Responsibilities - Employee AssignmentsHigh riskCorrected Apr 28, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196895

23. Mar 242025

    Inspection

    2 deficiencies

    • 746.4907(d)Installation and Maintenance of Loose-fill Surfacing - Proper Depth MaintainedMedium-high riskCorrected Mar 24, 2025
    • 746.4503(b)Cots, Beds, Mats Labeled With Child's NameMedium riskCorrected Apr 7, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043325

24. Mar 132025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043324

25. Mar 122025

    Investigation

    2 deficiencies

    • 746.3605(a)(1)Child Becomes Ill in Care - Contact ParentMedium-high riskCorrected Apr 10, 2025
    • 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Apr 10, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196894

26. Feb 252025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043323

27. Feb 212025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043322

28. Feb 212025

    Investigation

    1 deficiency

    • 746.2803(4)(D)Positive Methods of Discipline and Guidance - Brief Supervised SeparationMedium riskCorrected Mar 21, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196893

29. Feb 192025

    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 Mar 19, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196892

30. Dec 42024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043321

31. Nov 222024

    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), 905196891

32. Sep 102024

    Inspection

    3 deficiencies

    • 746.1301(a)(2)(A)Training Requirements for Employees, Caregivers, and Directors - Pre-Service TrainingMedium-high riskCorrected Oct 1, 2024
    • 746.623(1)(A)Immunizations-Immunization record must include the child's name and birth dateMedium-low riskCorrected Oct 1, 2024
    • 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Oct 1, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043320

33. Aug 122024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043319

34. Jul 292024

    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 Jul 30, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043318

35. Jul 182024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043317

36. Jul 152024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043316

37. Jul 82024

    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), 905196890

38. Jul 12024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043315

39. Jul 12024

    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 30, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196889

40. Mar 222024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043314

41. Feb 152024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043313

42. Feb 142024

    Investigation

    2 deficiencies

    Opened on a report the operation made itself.

    • 746.307(b)(4)Parental Communication - Situation that Placed a Child at RiskHigh riskCorrected Mar 14, 2024
    • 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 Mar 14, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196888

43. Nov 272023

    Inspection

    2 deficiencies

    • 746.5307(b)Fire Extinguishers ServicedMedium-high riskCorrected Dec 8, 2023
    • 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Dec 1, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043312

44. Oct 172023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043311

45. Sep 292023

    Inspection

    1 deficiency

    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Sep 29, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043310

46. Sep 122023

    Inspection

    1 deficiency

    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Sep 22, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043309

47. Aug 252023

    Inspection

    4 deficiencies

    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Sep 8, 2023
    • 746.3407Maintenance of Building, Grounds and EquipmentMedium-high riskCorrected Aug 29, 2023
    • 746.2501(5)Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or ToddlersHigh riskCorrected Aug 28, 2023
    • 746.5205(1)Fire Drill Monthly - Exit in 3 MinutesMedium-high riskCorrected Sep 1, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043308

48. Apr 122023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043307

49. Mar 222023

    Inspection

    1 deficiency

    • 746.4601(3)Safety Requirements for Active Play Equipment - No Entrapment OpeningsHigh riskCorrected Apr 7, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043306

50. Mar 82023

    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), 905196887

51. Dec 192022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043305

52. Dec 152022

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196886

53. Aug 122022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043304

54. Aug 42022

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196885

55. Aug 22022

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196884

56. Jul 132022

    Inspection

    1 deficiency

    • 746.1316(a)Transportation Safety Training -Director and Employee Complete 2 Hours AnnuallyMedium-high riskCorrected Jul 20, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043303

57. May 312022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043302

58. May 102022

    Inspection

    1 deficiency

    • 746.4907(d)Installation and Maintenance of Loose-fill Surfacing - Proper Depth MaintainedMedium-high riskCorrected May 27, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043301

59. Apr 212022

    Inspection

    3 deficiencies

    • 746.603(a)(3)Children's Records - Health StatementMedium riskCorrected May 6, 2022
    • 746.4907(d)Installation and Maintenance of Loose-fill Surfacing - Proper Depth MaintainedMedium-high riskCorrected May 6, 2022
    • 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected May 6, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043300

60. Feb 82022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043299

61. Dec 152021

    Inspection

    1 deficiency

    • 746.2203(a)Written Activity PlansMedium riskCorrected Dec 15, 2021

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043298

62. Dec 32021

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043297

63. Dec 12021

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196883

64. Nov 222021

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905043296

65. Nov 172021

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196882

66. Nov 22021

    Investigation

    3 deficiencies

    • 746.2805Prohibited Punishments - No Harsh, Cruel or UnusualHigh riskCorrected Jan 18, 2022
    • 746.1201(4)AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or ExploitedHigh riskCorrected Jan 18, 2022
    • 746.1003(4)Director Responsibilities - Employees SupervisedHigh riskCorrected Jan 18, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905196881

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

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

1. 1

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

   HHSC inspectors cited 746.1205(a)(4) in February 2024, July 2024, July 2024, February 2025, January 2026 and June 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.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.1205(a)(4) across all 66 visits, oldest to newest
2. 2

   Citation 746.4907(d), Cited in Three Visits

   HHSC inspectors cited 746.4907(d) in April 2022, May 2022 and March 2025. The agency describes it this way: Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.4907(d) across all 66 visits, oldest to newest
3. 3

   Citation 746.1201(1), Cited in Two Visits

   HHSC inspectors cited 746.1201(1) in March 2025 and January 2026. The agency describes it this way: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control. 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.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.1201(1) across all 66 visits, oldest to newest
4. 4

   Citation 746.1201(4), Cited in Two Visits

   HHSC inspectors cited 746.1201(4) in November 2021 and January 2026. The agency describes it this way: AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited. 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.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.1201(4) across all 66 visits, oldest to newest
5. 5

   Citation 746.1205(a)(2), Cited in Two Visits

   HHSC inspectors cited 746.1205(a)(2) in January 2026 and March 2026. The agency describes it this way: Responsibilities of Caregivers - Know number of children responsible for. 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.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.1205(a)(2) across all 66 visits, oldest to newest
6. 6

   Child/ Caregiver Ratio - 13 or More Children, Cited in Two Visits

   HHSC inspectors cited 746.1601 in September 2023 and January 2026. The agency describes it this way: Child/ Caregiver Ratio - 13 or More Children. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.1601 across all 66 visits, oldest to newest
7. 7

   Safety - Areas Free From Hazards, Cited in Two Visits

   HHSC inspectors cited 746.3701 in August 2023 and September 2023. The agency describes it this way: Safety - Areas Free From Hazards. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.3701 across all 66 visits, oldest to newest
8. 8

   Children's Records - Health Statement, Cited in Two Visits

   HHSC inspectors cited 746.603(a)(3) in April 2022 and September 2026. The agency describes it this way: Children's Records - Health Statement. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.603(a)(3) across all 66 visits, oldest to newest
9. 9

   Children's Records - Immunizations, Cited in Two Visits

   HHSC inspectors cited 746.603(a)(4) in April 2022 and November 2023. The agency describes it this way: Children's Records - Immunizations. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   212121212121222222222222222222222323232323232323242424242424242424242424242525252525252525252525252525262626262626262626262626262626746.603(a)(4) across all 66 visits, oldest to newest

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

1. 01

   What changed after 746.1205(a)(4) was cited, and how do you check it now?

   Citation 746.1205(a)(4): cited in six visits, including high-risk standards.

2. 02

   What changed after 746.4907(d) was cited, and how do you check it now?

   Citation 746.4907(d): cited in three visits, most seriously at medium-high risk.

3. 03

   What changed after 746.1201(1) was cited, and how do you check it now?

   Citation 746.1201(1): cited in two visits, including high-risk standards.

4. 04

   What changed after 746.1201(4) was cited, and how do you check it now?

   Citation 746.1201(4): cited in two visits, including high-risk standards.

5. 05

   What changed after 746.1205(a)(2) was cited, and how do you check it now?

   Citation 746.1205(a)(2): cited in two visits, including high-risk standards.

6. 06

   What changed after 746.1601 was cited, and how do you check it now?

   Child/ Caregiver Ratio - 13 or More Children: cited in two visits, most seriously at medium-high risk.

7. 07

   What changed after 746.3701 was cited, and how do you check it now?

   Safety - Areas Free From Hazards: cited in two visits, most seriously at medium-high risk.

8. 08

   What changed after 746.603(a)(3) was cited, and how do you check it now?

   Children's Records - Health Statement: cited in two visits, most seriously at medium risk.

9. 09

   What changed after 746.603(a)(4) was cited, and how do you check it now?

   Children's Records - Immunizations: cited in two visits, most seriously at medium risk.

10. 10

    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.

11. 11

    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.

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 · 216022- 684

  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 · 905196881

  Visit Nov 2, 2021 · 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 · 905196882

  Visit Nov 17, 2021 · 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 · 905043296

  Visit Nov 22, 2021 · 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 · 905196883

  Visit Dec 1, 2021 · 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 · 905043297

  Visit Dec 3, 2021 · 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 · 905043298

  Visit Dec 15, 2021 · 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 · 905043299

  Visit Feb 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 · 905043300

  Visit Apr 21, 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 · 905043301

  Visit May 10, 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 · 905043302

  Visit May 31, 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 · 905043303

  Visit Jul 13, 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 · 905196884

  Visit Aug 2, 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 · 905196885

  Visit Aug 4, 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 · 905043304

  Visit Aug 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 · 905196886

  Visit Dec 15, 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 · 905043305

  Visit Dec 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 · 905196887

  Visit Mar 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 · 905043306

  Visit Mar 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 · 905043307

  Visit Apr 12, 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 · 905043308

  Visit Aug 25, 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 · 905043309

  Visit Sep 12, 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 · 905043310

  Visit Sep 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 · 905043311

  Visit Oct 17, 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 · 905043312

  Visit Nov 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 · 905196888

  Visit Feb 14, 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 · 905043313

  Visit Feb 15, 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 · 905043314

  Visit Mar 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 · 905043315

  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 · 905196889

  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 · 905196890

  Visit Jul 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 · 905043316

  Visit Jul 15, 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 · 905043317

  Visit Jul 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 · 905043318

  Visit Jul 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 · 905043319

  Visit Aug 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 · 905043320

  Visit Sep 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 · 905196891

  Visit Nov 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 · 905043321

  Visit Dec 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 · 905196892

  Visit Feb 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 · 905043322

  Visit Feb 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 · 905196893

  Visit Feb 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 · 905043323

  Visit Feb 25, 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 · 905196894

  Visit Mar 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 · 905043324

  Visit Mar 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 · 905043325

  Visit Mar 24, 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 · 905196895

  Visit Apr 1, 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 · 905043326

  Visit Apr 2, 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 · 905196896

  Visit Apr 2, 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 · 905043327

  Visit Apr 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 · 905043328

  Visit May 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 · 905043329

  Visit Jun 30, 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 · 905043330

  Visit Jul 2, 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 · 905043331

  Visit Jan 22, 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 · 905196897

  Visit Jan 28, 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 · 905043332

  Visit Jan 29, 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 · 905196898

  Visit Jan 29, 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 · 905043333

  Visit Feb 5, 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 · 905043334

  Visit Mar 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 · 905043335

  Visit Apr 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 · 905196899

  Visit Apr 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 · 905043336

  Visit Apr 17, 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 · 905043337

  Visit Jun 18, 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 · 905043338

  Visit Jun 29, 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 · 905043339

  Visit Aug 13, 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 · 905196900

  Visit Sep 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 · 905043340

  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 · 905043341

  Visit Sep 14, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

  View Dataset ↗

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.