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Serious findings on record
2 serious findings across 3 visits. Most recent serious finding: Jul 16, 2026. Latest visit Jul 16, 2026, 1 finding.
The 2 most serious visits in the window. Titles use the state's own standard names, in plain English where we have a reviewed translation.
“4 out 8 children did not have physician statement on file.”Texas HHSC inspector, Jul 16, 2026 report. Quoted verbatim.
Everything above is quoted or counted from Texas HHSC records; nothing is generated. This is not a safety rating.
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Add these to your visit notes →Nov 6, 2023–Nov 6, 2026 · 36 months
Findings recorded · read the visit below
Source checked Nov 5, 2026 · Inspection history is not a safety rating.
Newest first, grouped by year. Expand a visit to read the findings.
4 out 8 children did not have physician statement on file.
State verification recorded Aug 19, 2026.
Standard 746.603(a)(3) · Children's Records - Health Statement
This finding is already in your tour questions. Plan a visit →
Not included in the 36-month briefing.
2 findings
Infant in care did not have current feeding instructions.
State verification recorded Jul 21, 2023.
Standard 746.2421(b) · Written Feeding Instructions - Review and Update Every 30 Days
A child in care with a noted food allergy did not have a food allergy emergency plan on file at the operation.
State verification recorded Jul 25, 2023.
Standard 746.3819 · Food Allergy Emergency Plan Signed by Parents and Health Care Professional
1 finding
One child's records did not have the updated immunization record on file.
State verification recorded Aug 30, 2022.
Standard 746.603(a)(4) · Children's Records - Immunizations
8 findings
The documented annual training hours/certificates provided for review did not include training on the following required topics in Health and Safety. 1. emergency preparedness 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.
State verification recorded Aug 17, 2022.
Standard 746.1309(e) · Documented Annual Training- Required Content
The reduction of child/caregiver ratio for naptime were not met. There were 34 children napping in 2 separate areas with one caregiver, the director. The number of children napping may require 3-4 caregivers. The director was also the one to answer the front door.
State verification recorded Aug 29, 2022.
Standard 746.1613(a) · Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met
One child's record did not have the school information on file.
State verification recorded Aug 17, 2022.
Standard 746.605(14) · Required Admission Information - School Information for School-age Child
The 2 vans used for transportation did not have the electronic child safety alarms installed.
State verification recorded Aug 12, 2022.
Standard 746.5625(a) · Electronic Child Safety Alarm - is equipped in each vehicle
There was one caregiver wtih 10 children in the infant room. The specified age group (SAG) was 16 months. The ages ranged from 6-18 months.
State verification recorded Aug 29, 2022.
Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children
The documented annual training hours/certificates provided for review did not include training on the following required topics in Health and Safety. 1. emergency preparedness 2. communicable diseases to include immunizations 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.
State verification recorded Aug 22, 2022.
Standard 746.1311(e) · Director Annual Training - Additional required topics
Two children's records did not have the updated immunization record on file.
State verification recorded Aug 29, 2022.
Standard 746.603(a)(4) · Children's Records - Immunizations
The written infant feeding instructions had not been updated since April 2022.
State verification recorded Aug 17, 2022.
Standard 746.801(2) · Required Records Maintained and Made Available - Infant Feeding Instructions
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State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.
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