Raising Stars Academy, Texas City, TX

The Essentials

Summary

Across 28 licensing visits from December 2021 to October 2026, HHSC cited 37 deficiencies at Raising Stars Academy; 37 have a recorded correction.

Visits: 28; 2021–2026, inspections, investigations and assessments
Deficiencies: 37; Standards cited by HHSC inspectors
Corrected: 37; Of 37 deficiencies, with a recorded correction date
Investigations: 8; Licensing investigations, whatever prompted them

Deficiencies by Year

Deficiencies
Of which, high risk

* Partial year, through October 31, 2026.

Deficiencies by year
Year	Visits	Deficiencies	Of which, high risk
2021	1	1	0
2022	5	11	2
2023	5	7	2
2024	7	2	0
2025	6	11	1
2026	4	5	1

What the Record Shows

37 of 37 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.
8 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, October 9, 2026, recorded no deficiencies.

What to Ask About

Child/ Caregiver Ratio - 13 or More Children, Cited in Three Visits
Citation 746.1203(3)(D), Cited in Two Visits
Citation 746.1205(a)(5), Cited in Two Visits
Infant May Not Sleep in a Restrictive Device, Cited in Two Visits

Report at a Glance

Facility: Raising Stars Academy
Address: 10825 30Th Ave N, Texas City, TX 77591
Operation Number: TX-1654832
License Type: Licensed child care center
Licensed Capacity: 113 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 5:30 a.m.–6:30 p.m.
Conditions on Permit: Yes
Record Window: November 1, 2021 to October 31, 2026

Chronology

Inspection History

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

Oct 92026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111560
Sep 222026
Inspection
1 deficiency
- 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Oct 6, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111559
Mar 262026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111558
Feb 202026
Investigation
4 deficiencies
- 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Mar 26, 2026
- 746.1203(10)Responsibilities of Caregivers - Share Information with Incoming CaregiversMedium-high riskCorrected Mar 26, 2026
- 746.1205(a)(5)Responsibilities of Caregivers - Intervene to ensure each child's safetyHigh riskCorrected Mar 26, 2026
- 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Mar 26, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223473
Oct 142025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111557
Sep 302025
Inspection
9 deficiencies
- 746.605(6)Required Admission Information - Emergency ContactMedium-high riskCorrected Oct 14, 2025
- 746.1301(a)(3)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue BreathingMedium-high riskCorrected Sep 30, 2025
- 746.1301(a)(4)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric CPRMedium-high riskCorrected Sep 30, 2025
- 746.1301(a)(5)(A)Training Requirements for Employees, Caregivers, and Directors - 24 Annual trainingMedium-high riskCorrected Oct 14, 2025
- 746.613(b)Immunization Records, Exceptions, and Exemptions CurrentMedium-high riskCorrected Oct 14, 2025
- 746.605(7)Required Admission Information - Release InformationHigh riskCorrected Oct 14, 2025
- 746.605(10)Required Admission Information - Physician InformationMedium riskCorrected Oct 14, 2025
- 746.3805(c)(4)Medication Records - Name of Employee Who AdministeredMedium-high riskCorrected Oct 14, 2025
- 746.3805(b)(3)Administering Medication - Not After Expiration dateMedium-high riskCorrected Oct 14, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111556
Feb 202025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111555
Feb 192025
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223472
Jan 302025
Inspection
1 deficiency
- 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Feb 10, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111554
Jan 282025
Assessment
1 deficiency
- 746.303(b)Report Number of EmployeesMedium-low riskCorrected Jan 28, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905252745
Aug 292024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111553
Aug 162024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111552
Jul 152024
Inspection
1 deficiency
- 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Jul 15, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111551
Jul 22024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223471
Jun 272024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111550
Apr 232024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111549
Apr 162024
Investigation
1 deficiency
- 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Jun 14, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223470
Dec 72023
Inspection
2 deficiencies
- 746.3809Medication No Longer UsedMedium riskCorrected Dec 7, 2023
- 746.3805(b)(1)Administering Medication - Original Container with Child's Name, DateMedium-high riskCorrected Dec 7, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111548
Nov 32023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111547
Aug 212023
Inspection
1 deficiency
- 746.2207(a)Screen Time Activities - Not Used for Under TwoMedium riskCorrected Aug 21, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111546
Aug 172023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223469
Jul 52023
Investigation
4 deficiencies
- 746.1201(4)AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or ExploitedHigh riskCorrected Oct 13, 2023
- 746.1205(a)(5)Responsibilities of Caregivers - Intervene to ensure each child's safetyHigh riskCorrected Oct 13, 2023
- 746.1203(3)(A)Administrative and clerical duties that take caregiver's attention away from childrenMedium-high riskCorrected Oct 13, 2023
- 746.1109(b)(2)Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified CaregiverMedium-high riskCorrected Oct 13, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223468
Dec 72022
Inspection
5 deficiencies
- 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Dec 14, 2022
- 746.2909(3)Arrangement of Napping Equipment -Provides Sufficient Walking and Work SpaceMedium-high riskCorrected Dec 7, 2022
- 746.3407(8)Garbage Inaccessible to Children; Maintained in Sanitary MannerMedium-high riskCorrected Dec 7, 2022
- 746.1316(a)Transportation Safety Training -Director and Employee Complete 2 Hours AnnuallyMedium-high riskCorrected Dec 8, 2022
- 746.1311(e)Director Annual Training - Additional required topicsMedium riskCorrected Dec 14, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111545
Nov 222022
Inspection
1 deficiency
- 746.2426Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Nov 22, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111544
Nov 82022
Inspection
5 deficiencies
- 746.5103Documentation of Fire InspectionMedium-high riskCorrected Nov 15, 2022
- 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Nov 8, 2022
- 746.2207(c)(4)Screen Time Activities - Not Used During Eating or Rest TimesMedium riskCorrected Nov 8, 2022
- 746.2426Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Nov 8, 2022
- 746.3503(a)Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean SurfaceMedium-high riskCorrected Nov 11, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111543
Nov 22022
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223467
Apr 142022
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223466
Dec 302021
Inspection
1 deficiency
- 746.5205(4)Documentation of DrillsMedium riskCorrected Jan 6, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905111542

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

Context

Patterns Worth Examining

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

1
Child/ Caregiver Ratio - 13 or More Children, Cited in Three Visits
HHSC inspectors cited 746.1601 in November 2022, July 2024 and February 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.
21222222222223232323232424242424242425252525252526262626746.1601 across all 28 visits, oldest to newest
2
Citation 746.1203(3)(D), Cited in Two Visits
HHSC inspectors cited 746.1203(3)(D) in April 2024 and February 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.
21222222222223232323232424242424242425252525252526262626746.1203(3)(D) across all 28 visits, oldest to newest
3
Citation 746.1205(a)(5), Cited in Two Visits
HHSC inspectors cited 746.1205(a)(5) in July 2023 and February 2026. The agency describes it this way: Responsibilities of Caregivers - Intervene to ensure each child's safety. 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.
21222222222223232323232424242424242425252525252526262626746.1205(a)(5) across all 28 visits, oldest to newest
4
Infant May Not Sleep in a Restrictive Device, Cited in Two Visits
HHSC inspectors cited 746.2426 in November 2022 and November 2022. The agency describes it this way: Infant May Not Sleep in a Restrictive Device. 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.
21222222222223232323232424242424242425252525252526262626746.2426 across all 28 visits, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

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

01
What changed after 746.1601 was cited, and how do you check it now?
Child/ Caregiver Ratio - 13 or More Children: cited in three visits, most seriously at medium-high risk.
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.
03
What changed after 746.1205(a)(5) was cited, and how do you check it now?
Citation 746.1205(a)(5): cited in two visits, including high-risk standards.
04
What changed after 746.2426 was cited, and how do you check it now?
Infant May Not Sleep in a Restrictive Device: cited in two visits, including high-risk standards.
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.
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.

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 · 1654832
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 · 905111542
Visit Dec 30, 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 · 905223466
Visit Apr 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 · 905223467
Visit Nov 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 · 905111543
Visit Nov 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 · 905111544
Visit Nov 22, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905111545
Visit Dec 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 · 905223468
Visit Jul 5, 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 · 905223469
Visit Aug 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 · 905111546
Visit Aug 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 · 905111547
Visit Nov 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 · 905111548
Visit Dec 7, 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 · 905223470
Visit Apr 16, 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 · 905111549
Visit Apr 23, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905111550
Visit Jun 27, 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 · 905223471
Visit Jul 2, 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 · 905111551
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 · 905111552
Visit Aug 16, 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 · 905111553
Visit Aug 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 · 905252745
Visit Jan 28, 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 · 905111554
Visit Jan 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 · 905223472
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 · 905111555
Visit Feb 20, 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 · 905111556
Visit Sep 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 · 905111557
Visit Oct 14, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223473
Visit Feb 20, 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 · 905111558
Visit Mar 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 · 905111559
Visit Sep 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 · 905111560
Visit Oct 9, 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.