Building Blocks Childcare Center
210 E Cedar Creek Pkwy, Seven Points, TX 75143
Infant, Toddler, Pre-Kindergarten, School · Monday–Friday
12 critical, 20 serious findings across 88 visits in the last 36 months. Most recent critical finding: Jan 17, 2024.
52 inspections · 36 investigations in 36 months · source checked Sep 16, 2026
The everyday details
State facts · provider details pendingSubsidies accepted in state listing
See fees & availability →Meet Building Blocks Childcare Center
Provider profileThis provider has not supplied a description yet. Ask about their teaching approach, classroom routines, and what makes their program a fit for your child.
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No provider photos have been supplied. These are labeled placeholders, not images of the facility.
What care includes
- Meals providedListed
- Snacks providedListed
- Before-school careListed
- After-school careListed
- Transportation to/from schoolListed
- Drop-in careListed
- Part-time careNot listed
- Field tripsListed
- Skill classesNot listed
- Weekend careNot listed
- Night careNot listed
- AccreditedNot listed
- Accepts child care subsidiesListed
“Not listed” means unknown, not unavailable.
See all programs, services & policies →Ask about the program.
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Rate not provided
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- Tuition & billing schedule
- Not provided
- Registration · refund terms
- Not provided
- Deposit · whether credited to tuition
- Not provided
- Meals & snacks
- Not provided
- Annual materials fee
- Not provided
- Late pickup fee
- Not provided
Understand your first month’s cost
Request tuition, required fees, deposit credit, and refund terms in writing. A deposit credited to tuition should not be counted twice. We cannot calculate a total without confirmed amounts.
Help with costs
The state lists subsidy acceptance. Confirm your program, copay, and funded places. Sibling discounts have not been provided.
Openings & waitlists
No provider-confirmed availability has been supplied. An opening is not a reservation.
Infant: availability not confirmed
Ask about your start date, classroom availability, waitlist fees, and when offers are made.
Licensed capacity: 100 children. This is not the number of open places.
Programs & learning
Infant,Toddler,Pre-Kindergarten,School
School Age Care,Before School Care,Meals Provided ,After School Care,Snacks Provided,Drop-In Care,Transportation to/from School ,Field Trips
Curriculum and teaching philosophy not provided.
Accreditation information not provided. Licensing does not establish accreditation.
State-sourced · checked Sep 16, 2026. Confirm current details with the provider.
A typical day
The daily schedule has not been supplied. Ask about arrival, meals, outdoor play, rest, learning activities, and pickup.
06:00 AM-06:00 PM
Mon,Tue,Wed,Thu,Fri
Services & accommodations
- Meals providedListed
- Snacks providedListed
- Before-school careListed
- After-school careListed
- Transportation to/from schoolListed
- Drop-in careListed
- Part-time careNot listed
- Field tripsListed
- Skill classesNot listed
- Weekend careNot listed
- Night careNot listed
- AccreditedNot listed
- Accepts child care subsidiesListed
Languages spoken and interpreter availability not provided.
Care plans, dietary substitutions, and medication training need confirmation.
Entrance, restroom, and classroom accessibility details not provided.
Individual accommodations, specialist access, and staff training not provided.
People, policies & environment
Not listed
Not listed
Individual qualifications, CPR, and first-aid training not provided.
Current classroom staffing and ratios not provided. Ask on your visit.
Parent updates and conference policies not provided.
Authorized pickup and visitor procedures not provided.
Exclusion and return criteria not provided.
Holiday and staff-development calendar not provided.
Evidence, with the follow-through.
Provider descriptions, prices, and photos never change this record. Every finding below comes from published state evidence.
12 critical, 20 serious findings across 88 visits in the last 36 months. Most recent critical finding: Jan 17, 2024.
Last 36 months · window starts Sep 15, 2023
8 standard(s) appear on multiple visits: 746.1301(a)(5)(A) (4 visits); 746.301(6) (4 visits); 745.635(3) (4 visits); HRC 42.04271 - Parent's Rights (4 visits); 746.2403(6) (4 visits); 746.707 (4 visits); 746.2401(7) (4 visits); 746.1201(4) (4 visits). This is a match of standard identifiers, not a judgment about identical circumstances.
State verification published Jan 26, 2026.
Conditions between visits, current staffing, and day-to-day quality. A correction plan is not verification.
124 visits in our data; 0 unmatched findings. Publication and processing can lag events.
Check the latest finding’s evidence
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing training files for the HASA, 2 employees did not have the required 24 hours complete.
State verification published Jan 26, 2026.
Inspection record
Visits available in our Texas data, newest first. Visits with findings are shown in full; runs of clean visits are folded into one line. Findings are quoted from the inspector's report with the Texas risk level beside our severity.
Inspection history is one input into your decision, not a guarantee of safety or a rating of care quality. How to read this record.
- 2026
- Jan 19, 2026 to Jan 22, 20264 inspections and 4 investigationsNo findingsShow
- Jan 22, 2026 inspection
- Jan 22, 2026 inspection
- Jan 22, 2026 inspection
- Jan 22, 2026 inspection
- Jan 19, 2026 complaint investigation
- Jan 19, 2026 complaint investigation
- Jan 19, 2026 complaint investigation
- Jan 19, 2026 complaint investigation
- 2025
- Dec 16, 2025Inspection1 finding · serious
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing training files for the HASA, 2 employees did not have the required 24 hours complete.
Correction verified Jan 26, 2026. Technical assistance given. Standard 746.1301(a)(5)(A).
- Dec 16, 2025Inspection1 finding · serious
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing training files for the HASA, 2 employees did not have the required 24 hours complete.
Correction verified Jan 26, 2026. Technical assistance given. Standard 746.1301(a)(5)(A).
- Dec 16, 2025Inspection1 finding · serious
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing training files for the HASA, 2 employees did not have the required 24 hours complete.
Correction verified Jan 26, 2026. Technical assistance given. Standard 746.1301(a)(5)(A).
- Dec 16, 2025Inspection1 finding · serious
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing training files for the HASA, 2 employees did not have the required 24 hours complete.
Correction verified Jan 26, 2026. Technical assistance given. Standard 746.1301(a)(5)(A).
- Feb 11, 2025 to Jun 12, 20258 inspections and 4 investigationsNo findingsShow
- Jun 12, 2025 inspection
- Jun 12, 2025 inspection
- Jun 12, 2025 inspection
- Jun 12, 2025 inspection
- Jun 10, 2025 complaint investigation
- Jun 10, 2025 complaint investigation
- Jun 10, 2025 complaint investigation
- Jun 10, 2025 complaint investigation
- Feb 11, 2025 inspection
- Feb 11, 2025 inspection
- Feb 11, 2025 inspection
- Feb 11, 2025 inspection
- Jan 23, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Notification of Change in Hours, Days, Months of Operation
The operation changed their operating hours without notification to CCR.
Corrected during the inspection. Standard 746.301(6).
- Jan 23, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Notification of Change in Hours, Days, Months of Operation
The operation changed their operating hours without notification to CCR.
Corrected during the inspection. Standard 746.301(6).
- Jan 23, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Notification of Change in Hours, Days, Months of Operation
The operation changed their operating hours without notification to CCR.
Corrected during the inspection. Standard 746.301(6).
- Jan 23, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Notification of Change in Hours, Days, Months of Operation
The operation changed their operating hours without notification to CCR.
Corrected during the inspection. Standard 746.301(6).
- 2024
- Jan 31, 2024 to Aug 8, 202420 inspections and 12 investigationsNo findingsShow
- Aug 8, 2024 inspection
- Aug 8, 2024 inspection
- Aug 8, 2024 inspection
- Aug 8, 2024 inspection
- Aug 6, 2024 complaint investigation
- Aug 6, 2024 complaint investigation
- Aug 6, 2024 complaint investigation
- Aug 6, 2024 complaint investigation
- Jun 19, 2024 inspection
- Jun 19, 2024 inspection
- Jun 19, 2024 inspection
- Jun 19, 2024 inspection
- Jun 17, 2024 complaint investigation
- Jun 17, 2024 complaint investigation
- Jun 17, 2024 complaint investigation
- Jun 17, 2024 complaint investigation
- May 29, 2024 inspection
- May 29, 2024 inspection
- May 29, 2024 inspection
- May 29, 2024 inspection
- May 24, 2024 complaint investigation
- May 24, 2024 complaint investigation
- May 24, 2024 complaint investigation
- May 24, 2024 complaint investigation
- Feb 20, 2024 inspection
- Feb 20, 2024 inspection
- Feb 20, 2024 inspection
- Feb 20, 2024 inspection
- Jan 31, 2024 inspection
- Jan 31, 2024 inspection
- Jan 31, 2024 inspection
- Jan 31, 2024 inspection
- Jan 17, 2024Inspection1 finding · critical
- CriticalTexas: High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
There was one caregiver caring for a group of children unsupervised that had a provisional background. This was corrected when the operation put another caregiver in the room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 745.635(3).
- Jan 17, 2024Inspection1 finding · critical
- CriticalTexas: High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
There was one caregiver caring for a group of children unsupervised that had a provisional background. This was corrected when the operation put another caregiver in the room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 745.635(3).
- Jan 17, 2024Inspection1 finding · critical
- CriticalTexas: High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
There was one caregiver caring for a group of children unsupervised that had a provisional background. This was corrected when the operation put another caregiver in the room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 745.635(3).
- Jan 17, 2024Inspection1 finding · critical
- CriticalTexas: High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
There was one caregiver caring for a group of children unsupervised that had a provisional background. This was corrected when the operation put another caregiver in the room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 745.635(3).
- Jan 7, 2024 to Jan 7, 20244 investigationsNo findingsShow
- Jan 7, 2024 complaint investigation
- Jan 7, 2024 complaint investigation
- Jan 7, 2024 complaint investigation
- Jan 7, 2024 complaint investigation
- 2023
- Dec 15, 2023 to Dec 15, 20234 inspectionsNo findingsShow
- Dec 15, 2023 inspection
- Dec 15, 2023 inspection
- Dec 15, 2023 inspection
- Dec 15, 2023 inspection
- Dec 13, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium
HRC 42.04271 - Parent's Rights
This rule was reviewed in relation to the reported allegations and found to be deficient. The DFPS workers are the legal guardians of a child at the operation and were not allowed back to visit the child's classroom when they requested. This is a violation of the rule.
Correction verified Jan 12, 2024.
- Dec 13, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium
HRC 42.04271 - Parent's Rights
This rule was reviewed in relation to the reported allegations and found to be deficient. The DFPS workers are the legal guardians of a child at the operation and were not allowed back to visit the child's classroom when they requested. This is a violation of the rule.
Correction verified Jan 12, 2024.
- Dec 13, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium
HRC 42.04271 - Parent's Rights
This rule was reviewed in relation to the reported allegations and found to be deficient. The DFPS workers are the legal guardians of a child at the operation and were not allowed back to visit the child's classroom when they requested. This is a violation of the rule.
Correction verified Jan 12, 2024.
- Dec 13, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium
HRC 42.04271 - Parent's Rights
This rule was reviewed in relation to the reported allegations and found to be deficient. The DFPS workers are the legal guardians of a child at the operation and were not allowed back to visit the child's classroom when they requested. This is a violation of the rule.
Correction verified Jan 12, 2024.
- Dec 7, 2023Complaint investigation4 findings · critical
- CriticalTexas: High
Basic Requirements for Infants - Never Unsupervised
This standard was found deficient during the DFPS investigation. The infant children were left unsupervised in the classroom when the caregiver left the room to take a school age child to their classroom.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2401(7).
- CriticalTexas: High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was reviewed in relation to the reported allegations and found to be deficient. Three children exited the building from a door in the infant room and were outside of the building unsupervised for over 10 minutes.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.1201(4).
- SeriousTexas: Medium High
Infant Care Area - Not Used as a Passageway
This standard was found deficient during the DFPS investigation. The operation allowed a child that was dropped off by the school bus to come in the door from the outside directly into the infant room and pass through the room and then be taken to their room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2403(6).
- SeriousTexas: Medium
Incident/Illness Report Form Shared with Parent
This standard was found to be deficient during the DFPS investigation. The incident reports for the incident were not signed by the parent and one parent did not receive an incident report.
Correction verified Jan 31, 2024. Standard 746.707.
- Dec 7, 2023Complaint investigation4 findings · critical
- CriticalTexas: High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was reviewed in relation to the reported allegations and found to be deficient. Three children exited the building from a door in the infant room and were outside of the building unsupervised for over 10 minutes.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.1201(4).
- CriticalTexas: High
Basic Requirements for Infants - Never Unsupervised
This standard was found deficient during the DFPS investigation. The infant children were left unsupervised in the classroom when the caregiver left the room to take a school age child to their classroom.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2401(7).
- SeriousTexas: Medium High
Infant Care Area - Not Used as a Passageway
This standard was found deficient during the DFPS investigation. The operation allowed a child that was dropped off by the school bus to come in the door from the outside directly into the infant room and pass through the room and then be taken to their room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2403(6).
- SeriousTexas: Medium
Incident/Illness Report Form Shared with Parent
This standard was found to be deficient during the DFPS investigation. The incident reports for the incident were not signed by the parent and one parent did not receive an incident report.
Correction verified Jan 31, 2024. Standard 746.707.
- Dec 7, 2023Complaint investigation4 findings · critical
- CriticalTexas: High
Basic Requirements for Infants - Never Unsupervised
This standard was found deficient during the DFPS investigation. The infant children were left unsupervised in the classroom when the caregiver left the room to take a school age child to their classroom.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2401(7).
- CriticalTexas: High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was reviewed in relation to the reported allegations and found to be deficient. Three children exited the building from a door in the infant room and were outside of the building unsupervised for over 10 minutes.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.1201(4).
- SeriousTexas: Medium High
Infant Care Area - Not Used as a Passageway
This standard was found deficient during the DFPS investigation. The operation allowed a child that was dropped off by the school bus to come in the door from the outside directly into the infant room and pass through the room and then be taken to their room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2403(6).
- SeriousTexas: Medium
Incident/Illness Report Form Shared with Parent
This standard was found to be deficient during the DFPS investigation. The incident reports for the incident were not signed by the parent and one parent did not receive an incident report.
Correction verified Jan 31, 2024. Standard 746.707.
- Dec 7, 2023Complaint investigation4 findings · critical
- CriticalTexas: High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was reviewed in relation to the reported allegations and found to be deficient. Three children exited the building from a door in the infant room and were outside of the building unsupervised for over 10 minutes.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.1201(4).
- CriticalTexas: High
Basic Requirements for Infants - Never Unsupervised
This standard was found deficient during the DFPS investigation. The infant children were left unsupervised in the classroom when the caregiver left the room to take a school age child to their classroom.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2401(7).
- SeriousTexas: Medium
Incident/Illness Report Form Shared with Parent
This standard was found to be deficient during the DFPS investigation. The incident reports for the incident were not signed by the parent and one parent did not receive an incident report.
Correction verified Jan 31, 2024. Standard 746.707.
- SeriousTexas: Medium High
Infant Care Area - Not Used as a Passageway
This standard was found deficient during the DFPS investigation. The operation allowed a child that was dropped off by the school bus to come in the door from the outside directly into the infant room and pass through the room and then be taken to their room.
Correction verified Jan 31, 2024. Technical assistance given. Standard 746.2403(6).
- Nov 2, 2023 to Nov 10, 20234 inspections and 4 investigationsNo findingsShow
- Nov 10, 2023 inspection
- Nov 10, 2023 inspection
- Nov 10, 2023 inspection
- Nov 10, 2023 inspection
- Nov 2, 2023 complaint investigation
- Nov 2, 2023 complaint investigation
- Nov 2, 2023 complaint investigation
- Nov 2, 2023 complaint investigation
Show 36 older visits, not counted aboveHide older visits
- Sep 7, 2023Inspection1 finding · critical
- CriticalTexas: High
Infant May Not Sleep in a Restrictive Device
A child was observed asleep in a bouncer seat during inspetion at nap. The child removed during inspection and placed on a mat. There was not a mat out for the child during the initial walk through.
Corrected during the inspection. Technical assistance given. Standard 746.2426(a)(1).
- Sep 7, 2023Inspection1 finding · critical
- CriticalTexas: High
Infant May Not Sleep in a Restrictive Device
A child was observed asleep in a bouncer seat during inspetion at nap. The child removed during inspection and placed on a mat. There was not a mat out for the child during the initial walk through.
Corrected during the inspection. Technical assistance given. Standard 746.2426(a)(1).
- Sep 7, 2023Inspection1 finding · critical
- CriticalTexas: High
Infant May Not Sleep in a Restrictive Device
A child was observed asleep in a bouncer seat during inspetion at nap. The child removed during inspection and placed on a mat. There was not a mat out for the child during the initial walk through.
Corrected during the inspection. Technical assistance given. Standard 746.2426(a)(1).
- Sep 7, 2023Inspection1 finding · critical
- CriticalTexas: High
Infant May Not Sleep in a Restrictive Device
A child was observed asleep in a bouncer seat during inspetion at nap. The child removed during inspection and placed on a mat. There was not a mat out for the child during the initial walk through.
Corrected during the inspection. Technical assistance given. Standard 746.2426(a)(1).
- Aug 28, 2023 to Aug 28, 20234 investigationsNo findingsShow
- Aug 28, 2023 complaint investigation
- Aug 28, 2023 complaint investigation
- Aug 28, 2023 complaint investigation
- Aug 28, 2023 complaint investigation
- Jul 31, 2023Inspection1 finding · serious
- SeriousTexas: Medium
Child/Caregiver Ratio - 12 or Fewer Children
During the opening time the caregiver had 3 infants and 8 older children for a total of 11 children, leaving her out of ratio. This was corrected at inspection when the director arrived.
Corrected during the inspection. Technical assistance given. Standard 746.1701.
- Jul 31, 2023Inspection1 finding · serious
- SeriousTexas: Medium
Child/Caregiver Ratio - 12 or Fewer Children
During the opening time the caregiver had 3 infants and 8 older children for a total of 11 children, leaving her out of ratio. This was corrected at inspection when the director arrived.
Corrected during the inspection. Technical assistance given. Standard 746.1701.
- Jul 31, 2023Inspection1 finding · serious
- SeriousTexas: Medium
Child/Caregiver Ratio - 12 or Fewer Children
During the opening time the caregiver had 3 infants and 8 older children for a total of 11 children, leaving her out of ratio. This was corrected at inspection when the director arrived.
Corrected during the inspection. Technical assistance given. Standard 746.1701.
- Jul 31, 2023Inspection1 finding · serious
- SeriousTexas: Medium
Child/Caregiver Ratio - 12 or Fewer Children
During the opening time the caregiver had 3 infants and 8 older children for a total of 11 children, leaving her out of ratio. This was corrected at inspection when the director arrived.
Corrected during the inspection. Technical assistance given. Standard 746.1701.
- Jun 20, 2023 to Jun 20, 20234 inspectionsNo findingsShow
- Jun 20, 2023 inspection
- Jun 20, 2023 inspection
- Jun 20, 2023 inspection
- Jun 20, 2023 inspection
- 2022
- Jan 27, 2022 to Aug 29, 202212 inspections and 4 investigationsNo findingsShow
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Jul 7, 2022 inspection
- Jul 7, 2022 inspection
- Jul 7, 2022 inspection
- Jul 7, 2022 inspection
- Jan 31, 2022 inspection
- Jan 31, 2022 inspection
- Jan 31, 2022 inspection
- Jan 31, 2022 inspection
- Jan 27, 2022 complaint investigation
- Jan 27, 2022 complaint investigation
- Jan 27, 2022 complaint investigation
- Jan 27, 2022 complaint investigation
- 2021
- Sep 30, 2021 to Sep 30, 20214 inspectionsNo findingsShow
- Sep 30, 2021 inspection
- Sep 30, 2021 inspection
- Sep 30, 2021 inspection
- Sep 30, 2021 inspection
Source. This facility on the Texas HHSC search. Data reloaded nightly.
Think something here is wrong? Texas corrects its own records; here is how to ask them, and how to tell us. We change nothing ourselves.
Facts from the license
- Permit
- Full Permit, issued Aug 20, 2020
- Capacity
- 100 children (licensed maximum, not openings)
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 PM · Mon,Tue,Wed,Thu,Fri
- Subsidies
- Accepted
- County
- Henderson
Compare nearby
Same 36-month summary window. Different operating histories and coverage limit comparisons.
| Daycare | Ages | Licensed capacity | Hours | Findings, 36 mo |
|---|---|---|---|---|
| Building Blocks Childcare Center this page | Infant–School | 100 | 6a–6p | 12 crit·20 ser |
| Learning Express Inc. | Infant–School | 99 | 6a–6:30p | 16 ser |
| New Horizons Daycare & Private School | Infant–School | 119 | 6a–6p | 20 crit·24 ser |
- Building Blocks Childcare Centerthis pageInfant–School · 100 licensed capacity12 crit·20 ser
- Infant–School · 99 licensed capacity16 ser
- Infant–School · 119 licensed capacity20 crit·24 ser
Your tour, better prepared
- What will we pay in the first month, and what is refundable? Confirm how the deposit is credited.
- Is a place available for our age group and start date? Can you confirm that in writing?
- Who would be our child’s regular teacher, and how are absences covered? What are the current classroom ratios?
- What changed after the finding about “Training Requirements for Employees, Caregivers, and Directors - 24 Annual training”? Can you show the correction evidence and how the procedure is checked today?
- The same standard appears on more than one visit. What has changed to prevent recurrence?
- How do you handle allergies, medication, accessibility, and additional support needs?
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Contact & location
210 E Cedar Creek Pkwy, Seven Points, TX 75143
State-sourced · checked Sep 16, 2026. Confirm current details with the provider.
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.