The Vardell Report.SPROUTS Early Learning Center

Across 62 licensing visits from August 2022 to October 2026, HHSC cited 206 deficiencies at SPROUTS Early Learning Center; 206 have a recorded correction.

Visits

62

2022–2026, inspections, investigations and assessments

Deficiencies

206

Standards cited by HHSC inspectors

Corrected

206

Of 206 deficiencies, with a recorded correction date

Investigations

8

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. Oct 12026

   Inspection

   2 deficiencies

   • 746.3503(a)Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean SurfaceMedium-high riskCorrected Oct 1, 2026
   • 746.3701(10)Safety - Televisions Anchored to Prevent Tip OverMedium-high riskCorrected Oct 1, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119755

2. Sep 32026

   Inspection

   2 deficiencies

   • 746.3421(a)Infant Handwashing - Individual ClothMedium-high riskCorrected Sep 3, 2026
   • 746.801(5)Required Records Maintained and Made Available - Employees' AttendanceMedium riskCorrected Sep 3, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119754

3. Aug 112026

   Inspection

   7 deficiencies

   • 746.603(a)(2)Children's Records - Admission InformationMedium riskCorrected Aug 11, 2026
   • 746.3311(a)(1)(B)Special Diets - Written Approval from Health Care Professional or Dietician if not Related to DisabilityMedium-high riskCorrected Aug 11, 2026
   • 746.605(11)Required Admission Information - Emergency Medical AuthorizationHigh riskCorrected Aug 11, 2026
   • 746.4901(a)Active Play Surfacing In Use Zones - Loose Fill or Unitary SurfacingMedium-high riskCorrected Aug 11, 2026
   • 746.613(a)Required ImmunizationsHigh riskCorrected Aug 18, 2026
   • 746.801(5)Required Records Maintained and Made Available - Employees' AttendanceMedium riskCorrected Aug 11, 2026
   • 746.801(2)Required Records Maintained and Made Available - Infant Feeding InstructionsMedium riskCorrected Aug 11, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119753

4. Aug 32026

   Inspection

   3 deficiencies

   • 746.2417(2)(B)Activities for Infants - Not in Restrictive Device for more than 15 MinutesHigh riskCorrected Aug 3, 2026
   • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected Aug 3, 2026
   • 746.1013(c)Director's Absence - Employees Know Who Is in ChargeMedium-high riskCorrected Aug 3, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119752

5. Jul 222026

   Inspection

   4 deficiencies

   • 746.3301(f)(1)Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active playMedium-high riskCorrected Jul 22, 2026
   • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected Jul 22, 2026
   • 746.2911Adequate Lighting During NaptimeMedium-high riskCorrected Jul 22, 2026
   • 746.3415(2)Employee Handwashing Before Feeding a ChildMedium-high riskCorrected Jul 22, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119751

6. Jun 222026

   Inspection

   7 deficiencies

   • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected Jun 22, 2026
   • 746.2209Posting of Activity PlanMedium riskCorrected Jun 22, 2026
   • 746.2206(1)Written Activity Plan - Outdoor Play OpportunitiesMedium riskCorrected Jun 22, 2026
   • 746.3415(2)Employee Handwashing Before Feeding a ChildMedium-high riskCorrected Jun 22, 2026
   • 746.2205(b)Written Activity Plan- Screen Time ActivitiesMedium riskCorrected Jun 22, 2026
   • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Jun 22, 2026
   • 746.2911Adequate Lighting During NaptimeMedium-high riskCorrected Jun 22, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119750

7. Jun 42026

   Inspection

   7 deficiencies

   • 746.3421(a)Infant Handwashing - Individual ClothMedium-high riskCorrected Jun 4, 2026
   • 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Jun 4, 2026
   • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected Jun 4, 2026
   • 746.2206(1)Written Activity Plan - Outdoor Play OpportunitiesMedium riskCorrected Jun 4, 2026
   • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Jun 4, 2026
   • 746.2209Posting of Activity PlanMedium riskCorrected Jun 4, 2026
   • 746.2205(b)Written Activity Plan- Screen Time ActivitiesMedium riskCorrected Jun 4, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119749

8. May 212026

   Inspection

   10 deficiencies

   • 746.2209Posting of Activity PlanMedium riskCorrected May 21, 2026
   • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected May 21, 2026
   • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected May 21, 2026
   • 746.4305Fenced Outdoor Activity SpaceMedium-high riskCorrected May 21, 2026
   • 746.2205(b)Written Activity Plan- Screen Time ActivitiesMedium riskCorrected May 21, 2026
   • 746.3421(a)Infant Handwashing - Individual ClothMedium-high riskCorrected May 21, 2026
   • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected May 21, 2026
   • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected May 21, 2026
   • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected May 21, 2026
   • 746.2206(1)Written Activity Plan - Outdoor Play OpportunitiesMedium riskCorrected May 21, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119748

9. May 112026

   Inspection

   4 deficiencies

   • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected May 11, 2026
   • 746.1109(b)(2)Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified CaregiverMedium-high riskCorrected May 11, 2026
   • 746.2501(5)Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or ToddlersHigh riskCorrected May 11, 2026
   • 745.8641Requirements during probationHigh riskCorrected May 11, 2026

   Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119747

10. Apr 302026

    Inspection

    4 deficiencies

    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Apr 30, 2026
    • 745.8641Requirements during probationHigh riskCorrected Apr 30, 2026
    • 746.2501(5)Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or ToddlersHigh riskCorrected Apr 30, 2026
    • 746.2427AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the InfantHigh riskCorrected Apr 30, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119746

11. Apr 202026

    Inspection

    15 deficiencies

    • 746.2805(9)Prohibited Punishments - Withholding Active PlayHigh riskCorrected Apr 20, 2026
    • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Apr 20, 2026
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Apr 20, 2026
    • 746.4805(a)Measurement of Use Zone for Slides - in Front of Access and on SidesMedium-high riskCorrected Apr 20, 2026
    • 746.3407(3)Machine Wash LinensMedium-high riskCorrected Apr 20, 2026
    • 746.1013(c)Director's Absence - Employees Know Who Is in ChargeMedium-high riskCorrected Apr 20, 2026
    • 746.1109(b)(1)Caregiver Qualification Age Exemption Attends High School - Not in Charge of GroupMedium riskCorrected Apr 20, 2026
    • 746.2426(a)(1)Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Apr 20, 2026
    • 746.1205(a)(5)Responsibilities of Caregivers - Intervene to ensure each child's safetyHigh riskCorrected Apr 20, 2026
    • 746.401(9)Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last nameMedium-low riskCorrected Apr 20, 2026
    • 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Apr 20, 2026
    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Apr 20, 2026
    • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected Apr 20, 2026
    • 745.8641Requirements during probationHigh riskCorrected Apr 20, 2026
    • 746.2505(4)(C)Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training CupsMedium riskCorrected Apr 20, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119745

12. Apr 72026

    Inspection

    8 deficiencies

    • 746.2505(4)(C)Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training CupsMedium riskCorrected Apr 7, 2026
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Apr 7, 2026
    • 746.2417(2)(B)Activities for Infants - Not in Restrictive Device for more than 15 MinutesHigh riskCorrected Apr 7, 2026
    • 745.8641Requirements during probationHigh riskCorrected Apr 7, 2026
    • 746.401(6)Posting Requirements - Daily menu, including all snacks and meals served by the child care centerMedium riskCorrected Apr 7, 2026
    • 746.3701(1)Safety - Electrical Outlets CoveredMedium-high riskCorrected Apr 7, 2026
    • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Apr 7, 2026
    • 746.2206(1)Written Activity Plan - Outdoor Play OpportunitiesMedium riskCorrected Apr 7, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119744

13. Mar 252026

    Inspection

    5 deficiencies

    • 746.2424Infants sleep in Designated Crib, Cot, Bed, or MatHigh riskCorrected Mar 25, 2026
    • 746.401(6)Posting Requirements - Daily menu, including all snacks and meals served by the child care centerMedium riskCorrected Mar 25, 2026
    • 745.8641Requirements during probationHigh riskCorrected Mar 25, 2026
    • 746.3317(7)Food Service and Preparation Requirement - No Foods That Present Choking RiskHigh riskCorrected Mar 25, 2026
    • 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Mar 25, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119743

14. Mar 132026

    Inspection

    7 deficiencies

    • 746.1609Maximum Group Size 13 or More ChildrenMedium-high riskCorrected Mar 13, 2026
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Mar 13, 2026
    • 746.2426(a)(1)Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Mar 13, 2026
    • 745.8641Requirements during probationHigh riskCorrected Mar 13, 2026
    • 746.3317(7)Food Service and Preparation Requirement - No Foods That Present Choking RiskHigh riskCorrected Mar 13, 2026
    • 746.401(6)Posting Requirements - Daily menu, including all snacks and meals served by the child care centerMedium riskCorrected Mar 13, 2026
    • 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Mar 13, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119742

15. Feb 262026

    Inspection

    5 deficiencies

    • 745.635(3)AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictionsHigh riskCorrected Feb 26, 2026
    • 746.401(6)Posting Requirements - Daily menu, including all snacks and meals served by the child care centerMedium riskCorrected Feb 26, 2026
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Feb 26, 2026
    • 745.8641Requirements during probationHigh riskCorrected Feb 26, 2026
    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Feb 26, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119741

16. Feb 262026

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226426

17. Feb 262026

    Investigation

    4 deficiencies

    • 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Mar 26, 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 26, 2026
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Mar 26, 2026
    • 746.2805(3)Prohibited Punishments - Grabbing and PullingHigh riskCorrected Mar 26, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226427

18. Feb 132026

    Inspection

    8 deficiencies

    • 746.3317(7)Food Service and Preparation Requirement - No Foods That Present Choking RiskHigh riskCorrected Feb 13, 2026
    • 745.8641Requirements during probationHigh riskCorrected Feb 13, 2026
    • 746.4501(b)Chairs - Safety Straps Used if Required by ManufacturerMedium riskCorrected Feb 13, 2026
    • 746.1205(a)(2)Responsibilities of Caregivers - Know number of children responsible forHigh riskCorrected Feb 13, 2026
    • 746.401(6)Posting Requirements - Daily menu, including all snacks and meals served by the child care centerMedium riskCorrected Feb 13, 2026
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Feb 13, 2026
    • 746.3407(8)Garbage Inaccessible to Children; Maintained in Sanitary MannerMedium-high riskCorrected Feb 13, 2026
    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Feb 13, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119740

19. Jan 302026

    Inspection

    4 deficiencies

    • 746.3503(a)Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean SurfaceMedium-high riskCorrected Jan 30, 2026
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Jan 30, 2026
    • 746.4501(b)Chairs - Safety Straps Used if Required by ManufacturerMedium riskCorrected Jan 30, 2026
    • 746.3317(6)Food Service and Preparation Requirement - Use Sanitary HoldersMedium-high riskCorrected Jan 30, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119739

20. Jan 222026

    Inspection

    5 deficiencies

    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Jan 22, 2026
    • 746.615(a)Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHSMedium riskCorrected Jan 29, 2026
    • 746.3503(a)Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean SurfaceMedium-high riskCorrected Jan 22, 2026
    • 746.4501(b)Chairs - Safety Straps Used if Required by ManufacturerMedium riskCorrected Jan 22, 2026
    • 745.8641Requirements during probationHigh riskCorrected Jan 22, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119738

21. Jan 82026

    Inspection

    9 deficiencies

    • 746.2421(a)Written Feeding Instructions - Signed and Dated by Parent or Health-Care ProfessionalMedium riskCorrected Jan 9, 2026
    • 746.3503(a)Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean SurfaceMedium-high riskCorrected Jan 8, 2026
    • 745.8641Requirements during probationHigh riskCorrected Jan 8, 2026
    • 746.4501(b)Chairs - Safety Straps Used if Required by ManufacturerMedium riskCorrected Jan 8, 2026
    • 746.401(2)Posting Requirements - Letter or form from the most recent Licensing Inspection or InvestigationMedium riskCorrected Jan 8, 2026
    • 746.613(a)Required ImmunizationsHigh riskCorrected Jan 9, 2026
    • 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Jan 15, 2026
    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Jan 9, 2026
    • 746.615(a)Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHSMedium riskCorrected Jan 15, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119737

22. Dec 172025

    Inspection

    7 deficiencies

    • 746.5205(4)Documentation of DrillsMedium riskCorrected Dec 17, 2025
    • 745.8641Requirements during probationHigh riskCorrected Dec 18, 2025
    • 746.2421(a)Written Feeding Instructions - Signed and Dated by Parent or Health-Care ProfessionalMedium riskCorrected Dec 17, 2025
    • 746.1109(b)(3)(A)Caregiver Qualification Age Exemption Attends High School - Enrolled in Child-care Career Program Approved by TEA/TEPSACMedium riskCorrected Dec 18, 2025
    • 746.613(a)Required ImmunizationsHigh riskCorrected Jan 5, 2026
    • 746.401(5)Posting Requirements - Activity Plans for each group of children in the child care centerMedium riskCorrected Dec 17, 2025
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Dec 17, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119736

23. Nov 242025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119735

24. Nov 102025

    Inspection

    4 deficiencies

    • 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Nov 10, 2025
    • 745.8641Requirements during probationHigh riskCorrected Nov 10, 2025
    • 746.2411(2)(I)Safety Requirements for Play Yards - Label for Each InfantMedium-high riskCorrected Nov 10, 2025
    • 746.2417(2)(B)Activities for Infants - Not in Restrictive Device for more than 15 MinutesHigh riskCorrected Nov 10, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119734

25. Nov 32025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119733

26. Oct 222025

    Inspection

    2 deficiencies

    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Oct 22, 2025
    • 746.3701(3)Safety - Air Conditioners, Fans, Heaters SafeguardedMedium-high riskCorrected Oct 22, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119732

27. Oct 142025

    Inspection

    5 deficiencies

    • 745.8641Requirements during probationHigh riskCorrected Oct 17, 2025
    • 745.8311(b)Waiver/Variance - Comply w/ each condition while in effectHigh riskCorrected Oct 14, 2025
    • 746.3407(12)Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to ChildrenHigh riskCorrected Oct 14, 2025
    • 746.403(b)Posting Requirements - Child's Food Allergy PlansMedium-high riskCorrected Oct 14, 2025
    • 746.3701(3)Safety - Air Conditioners, Fans, Heaters SafeguardedMedium-high riskCorrected Oct 14, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119731

28. Sep 112025

    Inspection

    1 deficiency

    • 745.8641Requirements during probationHigh riskCorrected Sep 11, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119730

29. Aug 142025

    Inspection

    3 deficiencies

    • 745.8641Requirements during probationHigh riskCorrected Aug 27, 2025
    • 746.801(5)Required Records Maintained and Made Available - Employees' AttendanceMedium riskCorrected Aug 14, 2025
    • 746.613(a)Required ImmunizationsHigh riskCorrected Aug 29, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119729

30. Aug 12025

    Inspection

    1 deficiency

    • 745.8641Requirements during probationHigh riskCorrected Aug 11, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119728

31. Jul 292025

    Investigation

    1 deficiency

    • 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Aug 29, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226425

32. Jul 182025

    Inspection

    1 deficiency

    • 745.8641Requirements during probationHigh riskCorrected Jul 18, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119727

33. Jun 302025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119726

34. Jun 262025

    Investigation

    1 deficiency

    • 745.641AP Background check results - Must receive notification prior to allowing subject to be present at your operationHigh riskCorrected Jul 24, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226424

35. Jun 252025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119725

36. Jun 112025

    Inspection

    2 deficiencies

    • 746.3420(1)Hand Sanitizer - Only for Children 24 Months and OlderMedium-high riskCorrected Jun 11, 2025
    • 746.2203(b)Written Activity Plans - Plan Followed by CaregiverMedium riskCorrected Jun 11, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119724

37. Apr 302025

    Inspection

    1 deficiency

    • 746.1301(a)(2)(A)Training Requirements for Employees, Caregivers, and Directors - Pre-Service TrainingMedium-high riskCorrected May 9, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119723

38. Apr 42025

    Inspection

    1 deficiency

    • 746.1301(a)(2)(A)Training Requirements for Employees, Caregivers, and Directors - Pre-Service TrainingMedium-high riskCorrected Apr 25, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119722

39. Mar 212025

    Inspection

    1 deficiency

    • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected Mar 21, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119721

40. Mar 172025

    Inspection

    8 deficiencies

    • 746.1309(a)Documented Annual Training Area - 24 Hours RequiredMedium riskCorrected Apr 4, 2025
    • 746.2427(a)AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the InfantHigh riskCorrected Mar 17, 2025
    • 746.2419(3)Requirements for Feeding Infants - Never Prop BottlesHigh riskCorrected Mar 17, 2025
    • 746.1301(a)(2)(A)Training Requirements for Employees, Caregivers, and Directors - Pre-Service TrainingMedium-high riskCorrected Mar 21, 2025
    • 746.901(5)Required Personnel Records - Required Affidavit (Form 2912)Medium-low riskCorrected Mar 18, 2025
    • 746.2426(a)(1)Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Mar 17, 2025
    • 746.3417(1)Children Handwashing Before EatingMedium-high riskCorrected Mar 17, 2025
    • 746.1329(b)(5)Documentation of Training Requirements - Trainer's QualificationsLow riskCorrected Mar 21, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119720

41. Feb 52025

    Inspection

    3 deficiencies

    • 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Feb 5, 2025
    • 746.1315(b)(1)CPR Training and Recertification Adhere to Guidelines-skill basedMedium-high riskCorrected Feb 13, 2025
    • 746.801(5)Required Records Maintained and Made Available - Employees' AttendanceMedium riskCorrected Feb 5, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119719

42. Nov 222024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119718

43. Nov 202024

    Inspection

    5 deficiencies

    • 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Nov 20, 2024
    • 746.3417(3)Children Handwashing After Toileting or DiaperingMedium-high riskCorrected Nov 20, 2024
    • 746.3505(e)Diapering Procedures - Sanitizing Diaper Changing AreaMedium-high riskCorrected Nov 20, 2024
    • 746.3803(a)(1)Medication Authorization - Signed and DatedMedium-high riskCorrected Nov 21, 2024
    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Nov 20, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119717

44. Oct 282024

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119716

45. Oct 162024

    Inspection

    1 deficiency

    • 746.3701(9)Safety - Bodies of Water Inaccessible to ChildrenHigh riskCorrected Oct 16, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119715

46. Oct 82024

    Inspection

    3 deficiencies

    • 746.3301(f)(1)Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active playMedium-high riskCorrected Oct 8, 2024
    • 746.3701(3)Safety - Air Conditioners, Fans, Heaters SafeguardedMedium-high riskCorrected Oct 8, 2024
    • 745.651(2)(A)Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current listMedium riskCorrected Oct 8, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119714

47. Sep 262024

    Inspection

    4 deficiencies

    • 746.605(16)Required Admission Information-Completed Food Allergy PlanMedium-high riskCorrected Sep 26, 2024
    • 746.3701(3)Safety - Air Conditioners, Fans, Heaters SafeguardedMedium-high riskCorrected Sep 26, 2024
    • 746.4805(d)Measurement of Use Zone for Slides - No OverlapMedium-high riskCorrected Sep 26, 2024
    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Sep 26, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119713

48. Sep 212024

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226423

49. Aug 282024

    Inspection

    4 deficiencies

    • 746.3805(b)(3)Administering Medication - Not After Expiration dateMedium-high riskCorrected Aug 28, 2024
    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected Aug 28, 2024
    • 746.3701(3)Safety - Air Conditioners, Fans, Heaters SafeguardedMedium-high riskCorrected Aug 28, 2024
    • 746.605(16)Required Admission Information-Completed Food Allergy PlanMedium-high riskCorrected Sep 5, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119712

50. May 172024

    Inspection

    1 deficiency

    • 746.1311(e)Director Annual Training - Additional required topicsMedium riskCorrected May 17, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119711

51. May 62024

    Inspection

    1 deficiency

    • 746.3301(b)Nutrition and Food Service - Follow Meal PatternsMedium-high riskCorrected May 6, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119710

52. Apr 262024

    Inspection

    3 deficiencies

    • 746.801(2)Required Records Maintained and Made Available - Infant Feeding InstructionsMedium riskCorrected Apr 26, 2024
    • 746.3805(a)(1)Administering Medication - According to Label DirectionsHigh riskCorrected Apr 26, 2024
    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Apr 26, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119709

53. Apr 122024

    Inspection

    19 deficiencies

    • 746.1301(a)(2)(A)Training Requirements for Employees, Caregivers, and Directors - Pre-Service TrainingMedium-high riskCorrected May 6, 2024
    • 746.3805(a)(1)Administering Medication - According to Label DirectionsHigh riskCorrected Apr 12, 2024
    • 746.1309(g)Documented Annual Training-Self-Instructional 80%Medium-low riskCorrected May 13, 2024
    • 746.1301(a)(3)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue BreathingMedium-high riskCorrected Apr 29, 2024
    • 746.1329(b)(5)Documentation of Training Requirements - Trainer's QualificationsLow riskCorrected May 13, 2024
    • 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Apr 12, 2024
    • 746.1301(a)(1)ATraining Requirements for Employees, Caregivers, and Directors - OrientationMedium-high riskCorrected May 6, 2024
    • 746.1311(e)Director Annual Training - Additional required topicsMedium riskCorrected May 13, 2024
    • 746.3417(3)Children Handwashing After Toileting or DiaperingMedium-high riskCorrected Apr 12, 2024
    • 746.801(2)Required Records Maintained and Made Available - Infant Feeding InstructionsMedium riskCorrected Apr 17, 2024
    • 746.901Required Personnel RecordsMedium riskCorrected Apr 29, 2024
    • 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Apr 12, 2024
    • 746.2415(b)AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of AgeHigh riskCorrected Apr 12, 2024
    • 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Apr 12, 2024
    • 746.1315(b)Each Caregiver and the Director Must Have Current Training in pediatric CPRMedium-high riskCorrected Apr 29, 2024
    • 746.201(9)Complying with Laws and RulesMedium-high riskCorrected Apr 22, 2024
    • 746.3819Food Allergy Emergency Plan Signed by Parents and Health Care ProfessionalMedium-high riskCorrected Apr 12, 2024
    • 746.603(a)(2)Children's Records - Admission InformationMedium riskCorrected Apr 12, 2024
    • 746.605(16)Required Admission Information-Completed Food Allergy PlanMedium-high riskCorrected Apr 17, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119708

54. Jul 112023

    Inspection

    1 deficiency

    • 746.5401Requirement of Gas Leak InspectionMedium-high riskCorrected Sep 1, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119707

55. May 12023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119706

56. Apr 282023

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226422

57. Oct 42022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119705

58. Sep 82022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119704

59. Aug 252022

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119703

60. Aug 242022

    Investigation

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226421

61. Aug 152022

    Inspection

    1 deficiency

    • 746.5101(b)Annual Fire Inspection - Conducted by Fire MarshalMedium-high riskCorrected Sep 2, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905119702

62. Aug 52022

    Investigation

    1 deficiency

    Opened on a report the operation made itself.

    • 746.305(a)(2)AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or HospitalizationMedium-high riskCorrected Aug 17, 2022

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905226420

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

   Requirements during probation, Cited in 17 Visits

   HHSC inspectors cited 745.8641 in July 2025, August 2025, August 2025, September 2025, October 2025, November 2025, December 2025, January 2026, January 2026, February 2026, February 2026, March 2026, March 2026, April 2026, April 2026, April 2026 and May 2026. The agency describes it this way: Requirements during probation. 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.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626745.8641 across all 62 visits, oldest to newest
2. 2

   Nutrition and Food Service - Follow Meal Patterns, Cited in Seven Visits

   HHSC inspectors cited 746.3301(b) in May 2024, August 2024, September 2024, January 2026, January 2026, February 2026 and February 2026. The agency describes it this way: Nutrition and Food Service - Follow Meal Patterns. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3301(b) across all 62 visits, oldest to newest
3. 3

   Safety - Areas Free From Hazards, Cited in Seven Visits

   HHSC inspectors cited 746.3701 in April 2024, April 2024, November 2024, April 2026, April 2026, May 2026 and May 2026. 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.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3701 across all 62 visits, oldest to newest
4. 4

   Waiver/Variance - Comply w/ each condition while in effect, Cited in Six Visits

   HHSC inspectors cited 745.8311(b) in October 2025, December 2025, February 2026, February 2026, April 2026 and April 2026. The agency describes it this way: Waiver/Variance - Comply w/ each condition while in effect. 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.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626745.8311(b) across all 62 visits, oldest to newest
5. 5

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

   HHSC inspectors cited 746.1601 in April 2024, October 2025, January 2026, February 2026, March 2026 and May 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.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1601 across all 62 visits, oldest to newest
6. 6

   Care Requirements for Toddlers - Holding and Comforting, Cited in Six Visits

   HHSC inspectors cited 746.2501(4) in March 2026, April 2026, April 2026, May 2026, June 2026 and June 2026. The agency describes it this way: Care Requirements for Toddlers - Holding and Comforting. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2501(4) across all 62 visits, oldest to newest
7. 7

   Children Handwashing Before Eating, Cited in Six Visits

   HHSC inspectors cited 746.3417(1) in March 2025, March 2025, May 2026, June 2026, July 2026 and August 2026. The agency describes it this way: Children Handwashing Before Eating. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3417(1) across all 62 visits, oldest to newest
8. 8

   Employee Handwashing After Diapering a Child, Cited in Five Visits

   HHSC inspectors cited 746.3415(4) in April 2024, November 2024, March 2026, April 2026 and June 2026. The agency describes it this way: Employee Handwashing After Diapering a Child. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3415(4) across all 62 visits, oldest to newest
9. 9

   Safety - Air Conditioners, Fans, Heaters Safeguarded, Cited in Five Visits

   HHSC inspectors cited 746.3701(3) in August 2024, September 2024, October 2024, October 2025 and October 2025. The agency describes it this way: Safety - Air Conditioners, Fans, Heaters Safeguarded. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3701(3) across all 62 visits, oldest to newest
10. 10

    Citation 746.401(6), Cited in Five Visits

    HHSC inspectors cited 746.401(6) in February 2026, February 2026, March 2026, March 2026 and April 2026. The agency describes it this way: Posting Requirements - Daily menu, including all snacks and meals served by the child care center. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.401(6) across all 62 visits, oldest to newest
11. 11

    Citation 746.1301(a)(2)(A), Cited in Four Visits

    HHSC inspectors cited 746.1301(a)(2)(A) in April 2024, March 2025, April 2025 and April 2025. The agency describes it this way: Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1301(a)(2)(A) across all 62 visits, oldest to newest
12. 12

    Written Activity Plan - Outdoor Play Opportunities, Cited in Four Visits

    HHSC inspectors cited 746.2206(1) in April 2026, May 2026, June 2026 and June 2026. The agency describes it this way: Written Activity Plan - Outdoor Play Opportunities. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2206(1) across all 62 visits, oldest to newest
13. 13

    Citation 746.3503(a), Cited in Four Visits

    HHSC inspectors cited 746.3503(a) in January 2026, January 2026, January 2026 and October 2026. The agency describes it this way: Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3503(a) across all 62 visits, oldest to newest
14. 14

    Diapering Procedures - Sanitizing Diaper Changing Area, Cited in Four Visits

    HHSC inspectors cited 746.3505(e) in November 2024, April 2026, May 2026 and June 2026. The agency describes it this way: Diapering Procedures - Sanitizing Diaper Changing Area. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3505(e) across all 62 visits, oldest to newest
15. 15

    Chairs - Safety Straps Used if Required by Manufacturer, Cited in Four Visits

    HHSC inspectors cited 746.4501(b) in January 2026, January 2026, January 2026 and February 2026. The agency describes it this way: Chairs - Safety Straps Used if Required by Manufacturer. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.4501(b) across all 62 visits, oldest to newest
16. 16

    Required Immunizations, Cited in Four Visits

    HHSC inspectors cited 746.613(a) in August 2025, December 2025, January 2026 and August 2026. The agency describes it this way: Required Immunizations. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.613(a) across all 62 visits, oldest to newest
17. 17

    Citation 746.801(5), Cited in Four Visits

    HHSC inspectors cited 746.801(5) in February 2025, August 2025, August 2026 and September 2026. The agency describes it this way: Required Records Maintained and Made Available - Employees' Attendance. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.801(5) across all 62 visits, oldest to newest
18. 18

    Written Activity Plan- Screen Time Activities, Cited in Three Visits

    HHSC inspectors cited 746.2205(b) in May 2026, June 2026 and June 2026. The agency describes it this way: Written Activity Plan- Screen Time Activities. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2205(b) across all 62 visits, oldest to newest
19. 19

    Posting of Activity Plan, Cited in Three Visits

    HHSC inspectors cited 746.2209 in May 2026, June 2026 and June 2026. The agency describes it this way: Posting of Activity Plan. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2209 across all 62 visits, oldest to newest
20. 20

    Citation 746.2417(2)(B), Cited in Three Visits

    HHSC inspectors cited 746.2417(2)(B) in November 2025, April 2026 and August 2026. The agency describes it this way: Activities for Infants - Not in Restrictive Device for more than 15 Minutes. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2417(2)(B) across all 62 visits, oldest to newest
21. 21

    Infant May Not Sleep in a Restrictive Device, Cited in Three Visits

    HHSC inspectors cited 746.2426(a)(1) in March 2025, March 2026 and April 2026. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2426(a)(1) across all 62 visits, oldest to newest
22. 22

    Citation 746.3317(7), Cited in Three Visits

    HHSC inspectors cited 746.3317(7) in February 2026, March 2026 and March 2026. The agency describes it this way: Food Service and Preparation Requirement - No Foods That Present Choking Risk. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3317(7) across all 62 visits, oldest to newest
23. 23

    Infant Handwashing - Individual Cloth, Cited in Three Visits

    HHSC inspectors cited 746.3421(a) in May 2026, June 2026 and September 2026. The agency describes it this way: Infant Handwashing - Individual Cloth. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3421(a) across all 62 visits, oldest to newest
24. 24

    Required Admission Information-Completed Food Allergy Plan, Cited in Three Visits

    HHSC inspectors cited 746.605(16) in April 2024, August 2024 and September 2024. The agency describes it this way: Required Admission Information-Completed Food Allergy Plan. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.605(16) across all 62 visits, oldest to newest
25. 25

    Citation 746.801(2), Cited in Three Visits

    HHSC inspectors cited 746.801(2) in April 2024, April 2024 and August 2026. The agency describes it this way: Required Records Maintained and Made Available - Infant Feeding Instructions. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.801(2) across all 62 visits, oldest to newest
26. 26

    Director's Absence - Employees Know Who Is in Charge, Cited in Two Visits

    HHSC inspectors cited 746.1013(c) in April 2026 and August 2026. The agency describes it this way: Director's Absence - Employees Know Who Is in Charge. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1013(c) across all 62 visits, oldest to newest
27. 27

    Citation 746.1201(1), Cited in Two Visits

    HHSC inspectors cited 746.1201(1) in November 2025 and February 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1201(1) across all 62 visits, oldest to newest
28. 28

    Director Annual Training - Additional required topics, Cited in Two Visits

    HHSC inspectors cited 746.1311(e) in April 2024 and May 2024. The agency describes it this way: Director Annual Training - Additional required topics. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1311(e) across all 62 visits, oldest to newest
29. 29

    Citation 746.1329(b)(5), Cited in Two Visits

    HHSC inspectors cited 746.1329(b)(5) in April 2024 and March 2025. The agency describes it this way: Documentation of Training Requirements - Trainer's Qualifications. None rose above low risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.1329(b)(5) across all 62 visits, oldest to newest
30. 30

    Citation 746.2421(a), Cited in Two Visits

    HHSC inspectors cited 746.2421(a) in December 2025 and January 2026. The agency describes it this way: Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2421(a) across all 62 visits, oldest to newest
31. 31

    Citation 746.2501(5), Cited in Two Visits

    HHSC inspectors cited 746.2501(5) in April 2026 and May 2026. The agency describes it this way: Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2501(5) across all 62 visits, oldest to newest
32. 32

    Citation 746.2505(4)(C), Cited in Two Visits

    HHSC inspectors cited 746.2505(4)(C) in April 2026 and April 2026. The agency describes it this way: Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2505(4)(C) across all 62 visits, oldest to newest
33. 33

    Adequate Lighting During Naptime, Cited in Two Visits

    HHSC inspectors cited 746.2911 in June 2026 and July 2026. The agency describes it this way: Adequate Lighting During Naptime. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.2911 across all 62 visits, oldest to newest
34. 34

    Citation 746.3301(f)(1), Cited in Two Visits

    HHSC inspectors cited 746.3301(f)(1) in October 2024 and July 2026. The agency describes it this way: Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3301(f)(1) across all 62 visits, oldest to newest
35. 35

    Employee Handwashing Before Feeding a Child, Cited in Two Visits

    HHSC inspectors cited 746.3415(2) in June 2026 and July 2026. The agency describes it this way: Employee Handwashing Before Feeding a Child. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3415(2) across all 62 visits, oldest to newest
36. 36

    Children Handwashing After Toileting or Diapering, Cited in Two Visits

    HHSC inspectors cited 746.3417(3) in April 2024 and November 2024. The agency describes it this way: Children Handwashing After Toileting or Diapering. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3417(3) across all 62 visits, oldest to newest
37. 37

    Administering Medication - According to Label Directions, Cited in Two Visits

    HHSC inspectors cited 746.3805(a)(1) in April 2024 and April 2024. The agency describes it this way: Administering Medication - According to Label Directions. 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.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.3805(a)(1) across all 62 visits, oldest to newest
38. 38

    Children's Records - Admission Information, Cited in Two Visits

    HHSC inspectors cited 746.603(a)(2) in April 2024 and August 2026. The agency describes it this way: Children's Records - Admission Information. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.603(a)(2) across all 62 visits, oldest to newest
39. 39

    Citation 746.615(a), Cited in Two Visits

    HHSC inspectors cited 746.615(a) in January 2026 and January 2026. The agency describes it this way: Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2222222222222323232424242424242424242424242525252525252525252525252525252525252525262626262626262626262626262626262626262626746.615(a) across all 62 visits, oldest to newest