1 critical and 4 serious findings across 33 visits. Most recent critical finding: Sep 3, 2026. Latest visit Oct 6, 2026, no findings.
Critical findings1 · San Angelo median 1
57% of San Angelo licensed centers have at least one
Serious findings4 · San Angelo median 1
67% of San Angelo licensed centers have at least one
What inspectors found
The 3 most serious visits in the window. Titles use the state's own standard names, in plain English where we have a reviewed translation.
Sep 3, 2026Self-reported incidentCriticalChild not adequately supervisedTexas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · HighVerified corrected Oct 6, 2026
“Based on documentation obtained and interviews completed, it was determined that caregivers failed to provide the level of supervision necessary.”Texas HHSC inspector, Sep 3, 2026 report. Quoted verbatim.
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Source checked Nov 6, 2026 · Inspection history is not a safety rating.
Visits in the past 12 months
6 visits
Newest first, grouped by year. Expand a visit to read the findings.
20265 visits · 1 recorded finding
Oct 6, 2026Inspection
No findings recorded
Sep 4, 2026Inspection
No findings recorded
Sep 3, 2026Self-reported incident1 finding
Supervision and child counts
Critical
Based on documentation obtained and interviews completed, it was determined that caregivers failed to provide the level of supervision necessary. The child was able to leave the group without caregiver being aware that the child had wandered away.
State verification recorded Oct 6, 2026.
Standard 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 activity
State severity
High
Corrected at visit
No
Correction reported
Sep 28, 2026
Technical assistance
Recorded
Finding source ID
1026643032
Visit source ID
905897624
This finding is already in your tour questions. Plan a visit →
An infant was observed sleeping on a bouncer. Deficiency was corrected during inspection when I asked caregiver to place baby on a crib.
State records correction during the inspection; no separate verification date is shown.
Standard 746.2426(a)(1) · Infant May Not Sleep in a Restrictive Device
State severity
High
Corrected at visit
Yes
Correction reported
Aug 1, 2023
Technical assistance
Recorded
Finding source ID
1026267632
Visit source ID
905739541
Jul 31, 2023Complaint investigation
No findings recorded
Jul 28, 2023Complaint investigation
No findings recorded
Jul 6, 2023Complaint investigation
No findings recorded
May 15, 2023Inspection
No findings recorded
May 4, 2023Complaint investigation
No findings recorded
Apr 28, 2023Inspection
No findings recorded
Apr 18, 2023Inspection
No findings recorded
Mar 27, 2023Inspection
No findings recorded
Mar 8, 2023Inspection
No findings recorded
Mar 6, 2023Self-reported incident
1 finding
Supervision and child counts
Critical
During outdoor time, toddler children were observed playing closed to the playground back fence for around 19 minutes without been supervise by caregivers.
State verification recorded Apr 18, 2023.
Standard 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 activity
State severity
High
Corrected at visit
No
Correction reported
Apr 4, 2023
Technical assistance
Recorded
Finding source ID
1026553253
Visit source ID
905897612
Feb 21, 2023Inspection
No findings recorded
Feb 6, 2023Inspection
No findings recorded
Jan 25, 2023Complaint investigation
No findings recorded
Jan 20, 2023Self-reported incident
2 findings
Supervision and child counts
Critical
Caregiver in charge of a toddler's class failed to supervise a 20-month-old child who fell from a play structure. The toddler was observed on the ground for about 15 seconds before a caregiver noticed.
State verification recorded Mar 27, 2023.
Standard 746.1203(4) · Responsibilities of Caregivers - Supervision of Children
State severity
High
Corrected at visit
No
Correction reported
Mar 13, 2023
Technical assistance
Recorded
Finding source ID
1026656783
Visit source ID
905897610
Incident/Illness Report Form Shared with Parent
Serious
A written incident report was not provided to parent whose child was injured falling off a play structure and needed medical attention.
State verification recorded Mar 27, 2023.
Standard 746.707 · Incident/Illness Report Form Shared with Parent
State severity
Medium
Corrected at visit
No
Correction reported
Mar 13, 2023
Technical assistance
Recorded
Finding source ID
1026648324
Visit source ID
905897610
Dec 6, 2022Inspection
No findings recorded
Nov 29, 2022Inspection
2 findings
Maximum Group Size 13 or More Children
Serious
During walkthrough 12 infants ages 3-11 months were observed in room 8. Corrected during inspection. Director was asked to use 3rd caregiver present to move 2 infants out of room 8.
State records correction during the inspection; no separate verification date is shown.
Standard 746.1609 · Maximum Group Size 13 or More Children
State severity
Medium High
Corrected at visit
Yes
Correction reported
Nov 29, 2022
Technical assistance
Recorded
Finding source ID
1026484767
Visit source ID
905739532
Screen Time Activities - Not Used During Eating or Rest Times
Serious
During walkthrough 4 years old classroom was observed having screen time while eating lunch. Deficiency was corrected during inspection. I explained caregiver standards about screen time. Caregiver was asked to turn Television off.
State records correction during the inspection; no separate verification date is shown.
Standard 746.2207(c)(4) · Screen Time Activities - Not Used During Eating or Rest Times
State severity
Medium
Corrected at visit
Yes
Correction reported
Nov 29, 2022
Technical assistance
Recorded
Finding source ID
1026284055
Visit source ID
905739532
Oct 24, 2022Inspection
No findings recorded
Oct 6, 2022Inspection
No findings recorded
Oct 5, 2022Complaint investigation
No findings recorded
Sep 26, 2022Complaint investigation
No findings recorded
Jun 9, 2022Complaint investigation
2 findings
Discipline and treatment of children
Critical
Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was observed throwing a child?s lunch away before the child finished eating.
State verification recorded Oct 24, 2022.
Standard 746.2805 · Prohibited Punishments - No Harsh, Cruel or Unusual
State severity
High
Corrected at visit
No
Correction reported
Oct 17, 2022
Technical assistance
Recorded
Finding source ID
1026553246
Visit source ID
905897607
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Critical
Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was found to be abusive in that these actions placed the children at risk for injury.
State verification recorded Oct 24, 2022.
Standard 746.1201(4) · AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
State severity
High
Corrected at visit
No
Correction reported
Oct 17, 2022
Technical assistance
Recorded
Finding source ID
1026553245
Visit source ID
905897607
Apr 11, 2022Inspection
No findings recorded
Apr 6, 2022Self-reported incident
No findings recorded
Feb 18, 2022Complaint investigation
No findings recorded
Jan 26, 2022Inspection
No findings recorded
Dec 21, 2021Inspection
No findings recorded
Dec 9, 2021Inspection
2 findings
Diapering Procedures - Use Disposable Gloves
Serious
Caregiver was observed not washing her hands after changing babies' diapers. Caregiver was told that after each diaper change, she must wash her hands.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3505(c) · Diapering Procedures - Use Disposable Gloves
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 9, 2021
Technical assistance
Recorded
Finding source ID
1026509356
Visit source ID
905739526
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Critical
A toddler was observed sleeping on a stack of 7 cots. Deficiency was corrected during inspection when inspector asked caregivers to place toddler on one cot.
State records correction during the inspection; no separate verification date is shown.
Standard 746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
State severity
High
Corrected at visit
Yes
Correction reported
Dec 9, 2021
Technical assistance
Recorded
Finding source ID
1026389074
Visit source ID
905739526
Dec 8, 2021Self-reported incident
4 findings
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Serious
A child was not buckled while in a buggy and fell out.
State verification recorded Jan 26, 2022.
Standard 746.2407 · Infant Care Area Furnishings and Equipment -Use of Safety Straps
State severity
Medium High
Corrected at visit
No
Correction reported
Feb 3, 2022
Technical assistance
Not recorded
Finding source ID
1026679138
Visit source ID
905897604
Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Serious
Caregiver without First Aid Certification was left alone with children.
State verification recorded Jan 26, 2022.
Standard 746.1301(3)(A) · Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
State severity
Medium High
Corrected at visit
No
Correction reported
Feb 3, 2022
Technical assistance
Not recorded
Finding source ID
1026679128
Visit source ID
905897604
Basic Requirements for Infants - Never Unsupervised
Critical
An infant was not properly supervised while seated in a buggy. Caregiver was involved in a conversation with another staff and was not able to intervene when the infant fell out of the buggy and was injured.
State verification recorded Jan 26, 2022.
Standard 746.2401(7) · Basic Requirements for Infants - Never Unsupervised
State severity
High
Corrected at visit
No
Correction reported
Feb 3, 2022
Technical assistance
Recorded
Finding source ID
1026679137
Visit source ID
905897604
Child/ Caregiver Ratio - 13 or More Children
Serious
Caregiver in a 12-17 months infant room was out of ratio. Caregiver was alone with 8 infants.
State verification recorded Jan 26, 2022.
Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children
State severity
Medium High
Corrected at visit
No
Correction reported
Feb 3, 2022
Technical assistance
Not recorded
Finding source ID
1026688703
Visit source ID
905897604
Nov 12, 2021Complaint investigation
No findings recorded
Nov 4, 2021Complaint investigation
No findings recorded
Nov 3, 2021Inspection
No findings recorded
Nov 1, 2021Self-reported incident
No findings recorded
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