2026-09-14 · 746.3809 · Medium
Medication No Longer Used
There were two EpiPens on site that had expired.
Correction date recorded: 2026-09-16
Licensed Center
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Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
State records list 8 cited deficiencies dated January 10, 2024 to September 14, 2026 (3 High, 3 Medium High, 2 Medium risk). Correction status: 2 corrected at inspection, 6 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 8 cited deficiencies for Gethsemane Lutheran Childrens in the 3 years before October 10, 2026 (3 High, 3 Medium High, 2 Medium).
Records list 8 inspections in this window. Most recent inspection: 2026-09-14.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 3 |
| Medium | 2 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-09-14 · 746.3809 · Medium
Medication No Longer Used
There were two EpiPens on site that had expired.
Correction date recorded: 2026-09-16
2026-05-06 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
It was determined that the operation did not report a situation where a caregiver used inappropriate discipline with a child.
Correction date recorded: 2026-06-03
2026-05-06 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
It was determined that a caregiver used inappropriate discipline towards a child in care.
Correction date recorded: 2026-06-03
2026-09-14 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2026-09-16. Correction verified: 2026-09-17.
There were two EpiPens on site that had expired.
2026-05-06 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2026-06-03. Correction verified: 2026-06-16.
It was determined that the operation did not notify the parents in the required time frame that a caregiver used inappropriate discipline with their child.
2026-05-06 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2026-06-03. Correction verified: 2026-06-16.
It was determined that a caregiver used inappropriate discipline towards a child in care.
2026-05-06 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2026-06-03. Correction verified: 2026-06-16.
It was determined that the operation did not report a situation where a caregiver used inappropriate discipline with a child.
2024-01-10 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2024-01-10. Correction verified: Not recorded.
Electrical outlets were uncovered in a classroom with children under five years old, and in the gymnasium that children under five years old were utilizing. This was corrected at inspection when the staff covered the electrical outlets with a cover.
2024-01-10 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-01-16.
Two children with a diagnosed food allergy did not have an emergency allergy plan.
2024-01-10 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: Yes. Correction date: 2024-01-10. Correction verified: Not recorded.
The operation had two trash cans that contained garbage in them without lids on them allowing garbage to be accessible to children. This was corrected at inspection when the provider removed the trash can from one classroom, and removed the trash from the second classroom.
2024-01-10 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-01-16.
Two infants did not have feeding instructions dated within the last 30 days.
2023-03-22 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2023-03-22. Correction verified: 2023-03-29.
It was found during the inspection a caregiver stated they had 9 children and they had 10.
2023-03-22 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-03-24.
It was found during the inspection 3 out of 4 children with a diagnosed food allergy did not have a food allergy plan signed by a healthcare professional.
2023-03-22 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-03-29.
It was found during the inspection there was a tire on the playground that was worn down leaving sharp pieces of the tire exposed.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=100719
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.