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Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Texas HHSC records list 19 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 18, 2026.
The same records list 20 cited deficiencies dated October 19, 2023 to August 14, 2026 (HHSC risk levels: 17 High, 2 Medium High, 1 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 19 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
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 20 cited deficiencies for Center for Transforming Lives ACDC in the 3 years before October 10, 2026 (17 High, 2 Medium High, 1 Medium).
Records list 19 inspections in this window. Most recent inspection: 2026-08-18.
| Risk weight | Citations |
|---|---|
| High | 17 |
| Medium High | 2 |
| Medium | 1 |
| 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.
2026-08-14 · 746.1203(6) · Medium High
Responsibilities of caregivers-Set appropriate behavior expectations
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. The caregiver grabbed the child when the child resisted.
Correction date recorded: 2026-09-09
2026-08-14 · 746.1201(2) · High
Responsibilities of Employees and Caregivers -Relate to Children
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. It is evident that a caregiver grabbed the child who resisted entering the bathroom. The child was in the bathroom for approximately 5-7…
Correction date recorded: 2026-09-09
2026-08-14 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. The caregivers did not conduct face/name checks. As a result, the child was left alone in the classroom.
Correction date recorded: 2026-09-09
2026-08-14 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-09-09. Correction verified: 2026-09-14.
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. The caregivers did not conduct face/name checks. As a result, the child was left alone in the classroom.
2026-08-14 · 746.1201(2) · High
Responsibilities of Employees and Caregivers -Relate to Children
Corrected at inspection: No. Correction date: 2026-09-09. Correction verified: 2026-09-11.
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. It is evident that a caregiver grabbed the child who resisted entering the bathroom. The child was in the bathroom for approximately 5-7 minutes.
2026-08-14 · 746.1203(6) · Medium High
Responsibilities of caregivers-Set appropriate behavior expectations
Corrected at inspection: No. Correction date: 2026-09-09. Correction verified: 2026-09-11.
Based on the investigation findings, this standard was reviewed and found noncompliant with the Minimum Standards for Child Care Centers. The caregiver grabbed the child when the child resisted.
2026-07-01 · 746.2805(7) · High
Prohibited Punishments - Placing Child in Locked or Dark Room
Corrected at inspection: No. Correction date: 2026-07-13. Correction verified: 2026-07-24.
This rule is being evaluated as part of an investigation and found to be in non-compliance with the minimum standard rules. There is evident that a caregiver took a two year old child to the closet and remained inside for approximately 1 minute 30 seconds.
2026-07-01 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2026-07-13. Correction verified: 2026-07-24.
It was observed that a two year old child did not wash their hands after diaper changing.
2026-07-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-07-13. Correction verified: 2026-07-24.
This rule is being evaluated as part of an investigation and determined that caregiver did not use good judgment when taking a child to a supplies closet, closed the door and remained inside for 1 minute 30 seconds. It was also observed that another caregiver did not make a good judgment when she had knowledge of the incident and did not notify management in a timely manner.
2026-03-03 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2026-03-27. Correction verified: 2026-03-30.
This rule is being evaluated as part of an investigation. Through video footage, a caregiver was observed forcefully lifting a child from her chair and directing her to a designate area. Child was crying during the incident, no injuries were observed.
2025-03-25 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-04-16. Correction verified: 2025-04-28.
This rule is being evaluated as part of an investigation and found to be incompliance. Child was left unattended in a classroom and was found by another caregiver in the building.
2024-12-06 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-12-19. Correction verified: 2024-12-18.
A caregiver was found sleeping in a classroom while children are in her care.
2024-03-31 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-05-10. Correction verified: 2024-05-22.
Based on the preponderance of evidence of the investigation by DFPS, a caregiver observed leaving the room on 3 different occasions where she has no visual and/or auditorial of the children.
2024-03-31 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-05-10. Correction verified: 2024-05-22.
Based on the preponderance of evidence of the investigation by DFPS, a caregiver has grabbed a child by upper arms and takes him out of one chair and moves him to another chair.
2024-03-31 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-05-10. Correction verified: 2024-05-22.
Based on the preponderance of evidence of the investigation by DFPS, a caregiver observer flicked a child nose.
2024-03-31 · 746.2805(7) · High
Prohibited Punishments - Placing Child in Locked or Dark Room
Corrected at inspection: No. Correction date: 2024-05-10. Correction verified: 2024-05-22.
Based on the preponderance of evidence of the investigation, and observation by the Childcare Investigator from DFPS, a two year olds child was observed in a toilet for almost two hours.
2024-03-27 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
This standard was evaluated at the result of the DFPS investigation, and the standard was found to be deficient as the caregiver was found reason to believe for physical abuse. The caregiver was found flick children on the nose and mouth. The caregiver was swatting children on the bottom and slapping them on the cheek. There was bruising to a child thigh where the caregiver was observed to have grabbed the child earlier in the day. Also, as the result of DFPS investigation and the standard was found to be deficient as the second caregiver was found reason to believe for neglect supervision. The second caregiver in the classroom observed the behavior and prohibited discipline by the other caregiver in the room and did not intervene or report it to management.
2024-03-27 · 746.2805(2) · High
Prohibited Punishments - Associated with Food, Naps, or Toilet Training
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
This standard was found deficient as part of a DFPS investigation. A caregiver admitted to leaving children sitting on a potty chair for 30 minutes at a time, while potty training.
2024-03-27 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
This standard was found deficient as part of a DFPS investigation. The caregiver did not demonstrate good judgment when using excessive force and inappropriate discipline children. The second caregiver did not demonstrate good judgment by not intervene and report to management as she was present in the classroom while her co-worker uses excessive force and inappropriately discipline children.
2024-03-27 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
This standard was found deficient as part of a DFPS investigation. A caregiver was observed on video to forcefully grab a child and place the child forcefully in a chair.
2024-03-27 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
This standard was found deficient as part of a DFPS investigation. A caregiver was observed on video to flic a child on the mouth and nose and slap a child in the face.
2023-10-19 · 746.2424 · High
Infants sleep in Designated Crib, Cot, Bed, or Mat
Corrected at inspection: No. Correction date: 2023-10-19. Correction verified: 2023-10-30.
An infant fell asleep during floor time. The caregiver stated that the child fell asleep 5 minutes before I observed the classroom. I walked back to the room 10 minutes later and the child was still sleeping on the floor.
2023-10-19 · 746.401(2) · Medium
Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Corrected at inspection: Yes. Correction date: 2023-10-20. Correction verified: Not recorded.
The facility did not have the inspection from from the previous inspection posted on the parent board.
2023-10-05 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2023-10-11. Correction verified: 2023-10-19.
The caregiver who attended to the injured child did not have current first aid training. Her certificate expired in 3/2023.
2023-10-05 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-19.
The scissors being used in the 2yr old class are specified for use by kindergarden and first grade.
2023-04-26 · 746.801(1) · Medium
Required Records Maintained and Made Available - Children's Records
Corrected at inspection: No. Correction date: 2023-05-03. Correction verified: 2023-06-02.
The child's file was not available for review upon request during the 04/27/2023 inspection.
2023-04-26 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2023-05-03. Correction verified: 2023-06-02.
The caregivers' training files were not available for review upon request during the 04/27/2023 inspection.
2022-09-02 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-14.
Three caregivers did not demonstrate good judgment when they had a 10 minute long conversation amongst themselves while caring for children. Two caregivers did not demonstrate good judgment when they observed three children rolling around on each other on the carpet and did not intervene. This incident occurred for 2 minutes.
2022-09-02 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-14.
The caregivers did not know who was responsible for the child, each of the three caregivers stated that they were not responsible for the child when the incident occurred.
2022-09-02 · 746.2205(a)(4) · Medium
Written Activity Plan - No Long Waiting Periods
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-14.
A group of 11 children were observed without an activity for 23 minutes. This occurred after two additional caregivers joined the classroom with 4 toddlers.
2022-09-02 · 746.1203(6) · Medium High
Responsibilities of Caregivers - Free of other activities
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-14.
A caregiver was observed seated not free from administrative duties for 13 minutes while caring for children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1082688
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.