LIFE BYVardellChildcare
Report

TheVardellReport

Millenium Kids Academy

Licensed child care center

2810 S Mccoll Rd Suite 3, 4 and 6
Hidalgo, TX 78557

Report Date
Nov 1, 2026
Data Through
Oct 31, 2026
Report ID
VR-TX-1718934-2611
← Millenium Kids Academy, free profile

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The Vardell Report.Millenium Kids Academy

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

Provider Category
Childcare
Location
Hidalgo, TX
Record Period
2022–2026
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 February 2022 to April 2026, HHSC cited 34 deficiencies at Millenium Kids Academy; 34 have a recorded correction.

Visits
28
2022–2026, inspections, investigations and assessments
Deficiencies
34
Standards cited by HHSC inspectors
Corrected
34
Of 34 deficiencies, with a recorded correction date
Investigations
2
Licensing investigations, whatever prompted them

Deficiencies by Year

  • Deficiencies
  • Of which, high risk
2021: 0 deficiencies across 0 visits020210 visits2022: 18 deficiencies across 11 visits; of which, high risk: 418202211 visits2023: 4 deficiencies across 4 visits; of which, high risk: 1420234 visits2024: 10 deficiencies across 7 visits; of which, high risk: 11020247 visits2025: 1 deficiency across 3 visits120253 visits2026: 1 deficiency across 3 visits12026*3 visits2021: 0 deficiencies across 0 visits020210 visits2022: 18 deficiencies across 11 visits; of which, high risk: 418202211 visits2023: 4 deficiencies across 4 visits; of which, high risk: 1420234 visits2024: 10 deficiencies across 7 visits; of which, high risk: 11020247 visits2025: 1 deficiency across 3 visits120253 visits2026: 1 deficiency across 3 visits12026*3 visits

* Partial year, through October 31, 2026.

Deficiencies by year
YearVisitsDeficienciesOf which, high risk
2021000
202211184
2023441
20247101
2025310
2026310

What the Record Shows

  • 34 of 34 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.
  • 2 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
  • The latest inspection, April 29, 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), 905141614

  2. 2026

    Inspection

    1 deficiency

    • 746.631(a)Sign-in and Sign-out Tracking SystemMedium-high riskCorrected Apr 17, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141613

  3. 2026

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905235189

  4. 2025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141612

  5. 2025

    Inspection

    1 deficiency

    • 746.2415(a)(1)Prohibited Equipment for Infants - Baby WalkersMedium-high riskCorrected May 1, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141611

  6. 2025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141610

  7. 2024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141609

  8. 2024

    Inspection

    1 deficiency

    • 746.1605(1)Child/Caregiver Ratio - 18 Months Difference in AgeMedium-high riskCorrected Nov 15, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141608

  9. 2024

    Inspection

    3 deficiencies

    • 746.901Required Personnel RecordsMedium riskCorrected May 8, 2024
    • 746.5205(1)Fire Drill Monthly - Exit in 3 MinutesMedium-high riskCorrected May 8, 2024
    • 746.4135(b)Children's Products- Annual CertificationMedium riskCorrected May 1, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141607

  10. 2024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141606

  11. 2024

    Inspection

    1 deficiency

    • 746.4503(a)Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of AgeMedium riskCorrected Mar 1, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141605

  12. 2024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141604

  13. 2024

    Inspection

    5 deficiencies

    • 746.3701(9)Safety - Bodies of Water Inaccessible to ChildrenHigh riskCorrected Jan 30, 2024
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Jan 30, 2024
    • 746.3407Maintenance of Building, Grounds and EquipmentMedium-high riskCorrected Feb 8, 2024
    • 746.4503(a)Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of AgeMedium riskCorrected Jan 31, 2024
    • 746.2203(a)Written Activity PlansMedium riskCorrected Feb 4, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141603

  14. 2023

    Inspection

    1 deficiency

    • 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Aug 17, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141602

  15. 2023

    Inspection

    1 deficiency

    • 746.2417(2)(B)Activities for Infants - Not in Restrictive Device for more than 15 MinutesHigh riskCorrected Apr 11, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141601

  16. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141600

  17. 2023

    Inspection

    2 deficiencies

    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Jan 6, 2023
    • 746.1203(3)Responsibilities of Caregivers - Know Children's Names and AgesMedium-high riskCorrected Jan 6, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141599

  18. 2022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141598

  19. 2022

    Inspection

    1 deficiency

    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Aug 30, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141597

  20. 2022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141596

  21. 2022

    Inspection

    2 deficiencies

    • 746.1203(4)Responsibilities of Caregivers - Supervision of ChildrenHigh riskCorrected Aug 19, 2022
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Aug 19, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141595

  22. 2022

    Inspection

    6 deficiencies

    • 746.901Required Personnel RecordsMedium riskCorrected Aug 2, 2022
    • 746.2605(1)(A)Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly DefinedMedium riskCorrected Aug 1, 2022
    • 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Aug 9, 2022
    • 746.603(a)Children's Records MaintainedMedium riskCorrected Aug 2, 2022
    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Aug 2, 2022
    • 746.2203(b)Written Activity Plans - Plan Followed by CaregiverMedium riskCorrected Jul 31, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141594

  23. 2022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141593

  24. 2022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141592

  25. 2022

    Inspection

    2 deficiencies

    • 746.4205(a)Space Requirements - Under 18 Months of Age Activity AreaMedium-high riskCorrected May 9, 2022
    • 746.1605Child/Caregiver Ratio - 18 Months Difference in AgeMedium-high riskCorrected May 9, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141591

  26. 2022

    Investigation

    2 deficiencies

    • 746.201(11)AP Ensure total number of children both at & away from center within capacityHigh riskCorrected May 27, 2022
    • 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected May 27, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905235188

  27. 2022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141590

  28. 2022

    Inspection

    5 deficiencies

    • 746.3505(b)Diapering Procedures - Wash Infant's HandsMedium-high riskCorrected Feb 8, 2022
    • 746.4915Additional Surfacing Requirements for Indoor Active Play EquipmentMedium-high riskCorrected Feb 8, 2022
    • 746.5617(a)(2)Required Equipment in Vehicles - Emergency Medical InformationHigh riskCorrected Feb 9, 2022
    • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected Feb 8, 2022
    • 746.2403(4)Infant Care Area - Crib PlacementMedium-high riskCorrected Feb 8, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905141589

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

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

    HHSC inspectors cited 746.1601 in August 2022, August 2022, January 2023 and January 2024. 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.

    22222222222222222222222323232324242424242424252525262626746.1601 across all 28 visits, oldest to newest
  2. 2

    Citation 746.4503(a), Cited in Two Visits

    HHSC inspectors cited 746.4503(a) in January 2024 and February 2024. The agency describes it this way: Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    22222222222222222222222323232324242424242424252525262626746.4503(a) across all 28 visits, oldest to newest
  3. 3

    Required Personnel Records, Cited in Two Visits

    HHSC inspectors cited 746.901 in July 2022 and May 2024. The agency describes it this way: Required Personnel Records. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    22222222222222222222222323232324242424242424252525262626746.901 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 746.1601 was cited, and how do you check it now?

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

  2. 02

    What changed after 746.4503(a) was cited, and how do you check it now?

    Citation 746.4503(a): cited in two visits, most seriously at medium risk.

  3. 03

    What changed after 746.901 was cited, and how do you check it now?

    Required Personnel Records: cited in two visits, most seriously at medium risk.

  4. 04

    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.

  5. 05

    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 · 1718934

    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 · 905141589

    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 · 905141590

    Visit Feb 14, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905235188

    Visit May 5, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905141591

    Visit May 9, 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 · 905141592

    Visit May 18, 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 · 905141593

    Visit Jun 1, 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 · 905141594

    Visit Jul 26, 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 · 905141595

    Visit Aug 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 · 905141596

    Visit Aug 23, 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 · 905141597

    Visit Aug 30, 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 · 905141598

    Visit Sep 7, 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 · 905141599

    Visit Jan 6, 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 · 905141600

    Visit Jan 11, 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 · 905141601

    Visit Apr 11, 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 · 905141602

    Visit Aug 10, 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 · 905141603

    Visit Jan 30, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905141604

    Visit Feb 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 · 905141605

    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 · 905141606

    Visit Mar 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 · 905141607

    Visit May 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 · 905141608

    Visit Nov 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 · 905141609

    Visit Nov 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 · 905141610

    Visit Jan 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 · 905141611

    Visit May 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 · 905141612

    Visit May 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 · 905235189

    Visit Feb 26, 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 · 905141613

    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 · 905141614

    Visit Apr 29, 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.