“Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks.”Texas HHSC inspector, Aug 20, 2026 report. Quoted verbatim.
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Source checked Nov 5, 2026 · Inspection history is not a safety rating.
Visits in the past 12 months
3 visits
Newest first, grouped by year. Expand a visit to read the findings.
20263 visits · 1 recorded finding
Aug 20, 2026Inspection1 finding
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Critical
Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks. This was corrected when an eligible caregiver came into the classroom with them.
State verification recorded Sep 15, 2026.
Standard 745.635(3) · AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
State severity
High
Corrected at visit
No
Correction reported
Aug 24, 2026
Technical assistance
Recorded
Finding source ID
1025914904
Visit source ID
905542502
This finding is already in your tour questions. Plan a visit →
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Serious
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots.
State records correction during the inspection; no separate verification date is shown.
Standard 746.1301(a)(5)(A) · Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
State severity
Medium High
Corrected at visit
Yes
Correction reported
Sep 1, 2023
Technical assistance
Not recorded
Finding source ID
1025932775
Visit source ID
905542497
Aug 29, 2023Self-reported incident
No findings recorded
Jul 30, 2023Complaint investigation
No findings recorded
Jul 19, 2023Inspection
1 finding
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Serious
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours.
State verification recorded Aug 7, 2023.
Standard 746.1301(a)(5)(A) · Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 2, 2023
Technical assistance
Recorded
Finding source ID
1025901734
Visit source ID
905542496
Feb 6, 2023Inspection
No findings recorded
Jan 23, 2023Inspection
1 finding
Screen Time Activities - Not Used for Under Two
Serious
During the inspection it was observed that children under the age of two were having screen time.
State verification recorded Feb 6, 2023.
Standard 746.2207(a) · Screen Time Activities - Not Used for Under Two
State severity
Medium
Corrected at visit
No
Correction reported
Jan 23, 2023
Technical assistance
Recorded
Finding source ID
1025719857
Visit source ID
905542494
Jan 13, 2023Complaint investigation
1 finding
Child/Caregiver Ratio - 18 Months Difference in Age
Serious
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours.
State verification recorded Feb 6, 2023.
Standard 746.1605 · Child/Caregiver Ratio - 18 Months Difference in Age
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 23, 2023
Technical assistance
Recorded
Finding source ID
1026152645
Visit source ID
905680041
Sep 20, 2022Inspection
3 findings
First Aid Kit - Available in Each Building, on Field Trips, during Transportation
Serious
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors.
State verification recorded Sep 22, 2022.
Standard 746.4001 · First Aid Kit - Available in Each Building, on Field Trips, during Transportation
State severity
Medium High
Corrected at visit
No
Correction reported
Sep 23, 2022
Technical assistance
Recorded
Finding source ID
1025926021
Visit source ID
905542493
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Critical
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly.
State verification recorded Oct 3, 2022.
Standard 746.5625(b) · Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
State severity
High
Corrected at visit
No
Correction reported
Sep 27, 2022
Technical assistance
Recorded
Finding source ID
1025966313
Visit source ID
905542493
Documentation of Drills
Serious
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately.
State verification recorded Sep 27, 2022.
Standard 746.5205(4) · Documentation of Drills
State severity
Medium
Corrected at visit
No
Correction reported
Sep 27, 2022
Technical assistance
Recorded
Finding source ID
1026006276
Visit source ID
905542493
Mar 31, 2022Inspection
No findings recorded
Mar 23, 2022Complaint investigation
No findings recorded
Feb 25, 2022Inspection
1 finding
Children Handwashing After Toileting or Diapering
Serious
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3417(3) · Children Handwashing After Toileting or Diapering
State severity
Medium High
Corrected at visit
Yes
Correction reported
Feb 25, 2022
Technical assistance
Recorded
Finding source ID
1025879356
Visit source ID
905542491
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