2025-03-20 · 744.3559(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
The operation failed to conduct a fire drill in the month of February.
Correction date recorded: 2025-04-01
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 16 cited deficiencies dated September 11, 2024 to March 20, 2025 (3 High, 8 Medium High, 5 Medium risk). Correction status: 1 corrected at inspection, 15 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 16 cited deficiencies for YMCA After School @ Pine Shadows in the 3 years before October 10, 2026 (3 High, 8 Medium High, 5 Medium).
Records list 6 inspections in this window. Most recent inspection: 2026-09-10.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 8 |
| Medium | 5 |
| 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.
2025-03-20 · 744.3559(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
The operation failed to conduct a fire drill in the month of February.
Correction date recorded: 2025-04-01
2024-09-25 · 744.401(2) · Medium
Posting Requirements- Letter or form from the most recent licensing inspection or investigation.
The operation did not have the most current inspection report available for review in their operation binder.
Correction date recorded: 2024-09-25
2024-09-11 · 744.1205(a)(2) · High
Responsibilities of Caregivers - Know how many children responsible for
The sole caregiver present did not know how many children were present and answered about 50 children in care. The number of children counted was 47. The second caregiver pulled a group to go to the playground and was asked how many kids, and the answer was 22. The number of…
Correction date recorded: 2024-09-11
2025-03-20 · 744.3559(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-04-01. Correction verified: 2025-04-02.
The operation failed to conduct a fire drill in the month of February.
2024-09-25 · 744.401(2) · Medium
Posting Requirements- Letter or form from the most recent licensing inspection or investigation.
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-09-26.
The operation did not have the most current inspection report available for review in their operation binder.
2024-09-11 · 744.1011 · Medium High
Director Present During Operating Hours
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
The director is not present minimum amount of time at operation.
2024-09-11 · 744.1601 · Medium High
Child/ Caregiver Ratio
Corrected at inspection: Yes. Correction date: 2024-09-11. Correction verified: Not recorded.
One caregiver was in charge of 50 children for the first hour of operation. The maximum capacity for a group with a specified age group of 6-8yo for one caregiver is 26. This group is over by 24 children. Note: this was corrected at inspection when the second caregiver arrived, divided the large group and both groups operated in ratio.
2024-09-11 · 744.401(2) · Medium
Posting Requirements- Letter or form from the most recent licensing inspection or investigation.
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
The operation has in the parent's binder for viewing the inspection report dated 4/11/2023 and not the most recent inspection report.
2024-09-11 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
1 out of 3 caregivers counted in ratio did not have an active background check, nor had an eligibility letter. Note: the caregiver left the operation upon request and will not come back until receipt of eligibility.
2024-09-11 · 744.1301(3)(A) · Medium High
Training Requirements for Employees - Pediatric First Aid
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-09-25.
3 out of 3 caregivers did not have their Pediatric first aid with rescue breathing and choking training on file for review. 2 out of the 3 were hired in the last 90 days and have unsupervised access with children in care.
2024-09-11 · 744.1301(4)(A) · Medium High
Training Requirements for Employees - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-09-25.
3 out of 3 caregivers did not have their Pediatric CPR training on file for review. 2 out of the 3 were hired in the last 90 days and have unsupervised access with children in care.
2024-09-11 · 744.801(5) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
Liability insurance in the operation's binder made available to parents is expired 9/1/2024.
2024-09-11 · 744.1303(1) · Medium High
Orientation - Minimum Standards
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
3 out of 3 staff did not have documentation of orientation for review.
2024-09-11 · 744.3607(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
The operation does not document the completion of monthly fire extinguisher inspections, missed month of August 2024.
2024-09-11 · 744.3113(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
The operation's monthly building and play ground checklist for the months of August and September are not filled out.
2024-09-11 · 744.1201(1) · High
Responsibilities of Employees and Caregivers - Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
A caregiver used poor judgment by using the microphone and PA system on the stage in the cafeteria and proceeded to consistently yell at the children for various reasons and situations.
2024-09-11 · 744.3559(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2024-09-18. Correction verified: 2024-09-25.
The operation did not complete a fire drill for the month of August 2024.
2024-09-11 · 744.1013(c) · Medium
Director's Absence - Employees Know Who Is in Charge
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
None of the caregivers knew who was the caregiver left in charge in the director's absence.
2024-09-11 · 744.1205(a)(2) · High
Responsibilities of Caregivers - Know how many children responsible for
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
The sole caregiver present did not know how many children were present and answered about 50 children in care. The number of children counted was 47. The second caregiver pulled a group to go to the playground and was asked how many kids, and the answer was 22. The number of children counted was 23.
2023-09-14 · 744.3561(a)(4) · Medium High
Emergency Evacuation and Relocation Diagram - Designated Location Inside
Corrected at inspection: No. Correction date: 2023-10-02. Correction verified: 2023-10-05.
The operation emergency evacuation diagram did not include the designated location inside the child-care center where they will take shelter from threatening weather.
2023-09-14 · 744.605(6) · Medium High
Required Admission Information-Emergency Contact
Corrected at inspection: No. Correction date: 2023-10-02. Correction verified: 2023-10-03.
During the review of children's records 5 out of the 6 records evaluated was found to be missing emergency contact information for another responsible individual when the parent cannot be reached in the event of an emergency.
2022-04-27 · 744.303(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-11.
During the inspection it was found that the site director listed has not been present since before October.
2022-04-27 · 744.2413(2) · Medium
Daily Menus - May Rotate if Keep Record of Dates Menus Used
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-11.
The operation did not have menus. Menu calendar posted was for March but did was blank.
2022-04-27 · 744.801(2) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-11.
The operation was not able to make personnel records available for review when requested.
2022-04-27 · 744.1003(b)(1) · Medium
Program Director - Supervise up to 9 Site Directors at Multi-Site Before and After School
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-11.
During the inspection it was determined that the operation does not have a designated site director.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1093717
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.