Kids 'R' Kids #4

Licensed Center

Provider details

City / County / ZIP: Houston / Harris / 77064
Street address: 10708 Ranchstone Dr
Phone: (281) 807-0999
Capacity: 281
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:00 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: November 25, 2013
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

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.

Plain-English summary of cited deficiencies

State records list 16 cited deficiencies dated March 22, 2024 to August 28, 2026 (6 High, 4 Medium High, 5 Medium, 1 Medium Low risk). Correction status: 1 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.

High risk · Required Equipment in Vehicles - First-aid Kit (746.5617(a)(6))
Cited August 28, 2026 (corrected at inspection; technical assistance given).
What the record describes: The first-aid kits on 3 vans used for transportation were missing items.
High risk · Prohibited Punishments - Placing Child in Locked or Dark Room (746.2805(7))
Cited July 20, 2026 (correction date recorded: August 18, 2026; correction verified August 28, 2026; technical assistance given).
What the record describes: A caregiver placed a child in a closed restroom for approximately 5 minutes.
High risk · AP Background check results - Must receive notification prior to allowing subject to be present at your operation (745.641)
Cited June 20, 2025 (correction date recorded: July 24, 2025; correction verified July 28, 2025; technical assistance given).
What the record describes: An applicant performed duties with children at the operation without a clear background check.
High risk · Arrangement of Napping Equipment -All Children Supervised (746.2909(5))
Cited September 16, 2024 (correction date recorded: October 24, 2024; correction verified November 8, 2024; technical assistance given).
What the record describes: A caregiver sitting on the floor could not clearly see and supervise all children in the room during nap time.
High risk · Report Situation Placing Children at Risk (746.305(a)(6))
Cited September 16, 2024 (correction date recorded: October 24, 2024; correction verified November 8, 2024; technical assistance given).
What the record describes: The operation did not notify licensing about a non-routine situation that placed children at risk.
High risk · Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible (746.2426(a)(2))
Cited March 22, 2024 (correction date recorded: March 22, 2024; correction verified March 25, 2024; technical assistance given).
What the record describes: An inspector observed a four-month-old infant sleeping in a restrictive device.
Medium High risk · Required Admission Information - Emergency Contact (746.605(6))
Cited August 28, 2026 (correction date recorded: September 4, 2026; correction verified September 4, 2026; technical assistance given).
What the record describes: Of 10 files reviewed, 2 were missing an address for the emergency contact.
Medium High risk · Documented Annual Training - Caregivers of Children Under 24 Months Required (746.1309(d))
Cited August 28, 2025 (correction date recorded: September 2, 2025; correction verified September 3, 2025; technical assistance given).
What the record describes: Of 4 infant teachers, 2 did not have the required annual training for caring for children under 24 months.
Medium High risk · Pre-service Training for Caregivers of Children Under 24 Months (746.1305(b))
Cited August 28, 2025 (correction date recorded: September 2, 2025; correction verified September 3, 2025; technical assistance given).
What the record describes: Of 4 infant teachers, 1 did not have pre-service training for caring for children under 24 months.
Medium High risk · Required Admission Information-Completed Food Allergy Plan (746.605(16))
Cited September 4, 2024 (correction date recorded: September 13, 2024; correction verified September 10, 2024; technical assistance given).
What the record describes: Two children with peanut allergies were missing emergency plans.
Medium risk · Children's Records - Health Statement (746.603(a)(3))
Cited August 28, 2026 (correction date recorded: September 4, 2026; correction verified September 4, 2026).
What the record describes: Of 10 files reviewed, 1 was missing a health statement.
Medium risk · Children Not Required to Sleep - May Not Force Child to Sleep (746.2905(1))
Cited September 16, 2024 (correction date recorded: October 24, 2024; correction verified November 8, 2024; technical assistance given).
What the record describes: A caregiver was observed grabbing and pulling on children to get them to sleep. The caregiver placed a blanket over a child's head and forcefully placed the children's heads on their cots.
Medium risk · Licensing Incident/Illness Report Form - Situations Placing Children at Risk (746.701(5))
Cited September 16, 2024 (correction date recorded: October 24, 2024; correction verified November 8, 2024; technical assistance given).
What the record describes: The operation did not complete an incident report for a situation that placed children at risk.
Medium risk · Director Annual Training 30 Hours Required (746.1311(a))
Cited September 4, 2024 (correction date recorded: September 24, 2024; correction verified September 26, 2024; technical assistance given).
What the record describes: The director was missing training on child mistreatment, emergency preparedness, preventing and responding to food or allergy emergencies, building and physical premises safety, and handling, storing, and disposing of hazardous materials.
Medium risk · Documented Annual Training Area - 24 Hours Required (746.1309(a))
Cited September 4, 2024 (correction date recorded: September 24, 2024; correction verified September 26, 2024; technical assistance given).
What the record describes: Nine personnel records were reviewed, and nine staff members had not completed all annual training for their respective training years.
Medium Low risk · Report Number of Employees (746.303(b))
Cited January 21, 2025 (correction date recorded: January 23, 2025; correction verified January 27, 2025).
What the record describes: The center had not reported the number of employees who left employment by the required deadline.

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.

View the official state record · Report an issue with this page

Summary of the record

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 Kids 'R' Kids #4 in the 3 years before October 10, 2026 (6 High, 4 Medium High, 5 Medium, 1 Medium Low).

Records list 10 inspections in this window. Most recent inspection: 2026-08-28.

HHSC risk weights of citations
Risk weight	Citations
High	6
Medium High	4
Medium	5
Medium Low	1
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.

Recent citations in the summary window

2026-08-28 · 746.603(a)(3) · Medium

Children's Records - Health Statement

During review of record keeping 1 out of 10 files evaluated did not have a health statement.

Correction date recorded: 2026-09-04

2026-08-28 · 746.605(6) · Medium High

Required Admission Information - Emergency Contact

During review of record keeping 2 out of 10 files evaluated did not include an address for the emergency contact as required.

Correction date recorded: 2026-09-04

2026-08-28 · 746.5617(a)(6) · High

Required Equipment in Vehicles - First-aid Kit

The operation was found to not have complete first aid kits on 3 vans used for transportation. This was corrected when the director replaced missing items in all three vans.

Corrected at inspection

Full citation history from HHSC (31)

2026-08-28 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: Yes. Correction date: 2026-08-28. Correction verified: Not recorded.
The operation was found to not have complete first aid kits on 3 vans used for transportation. This was corrected when the director replaced missing items in all three vans.
2026-08-28 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-04.
During review of record keeping 2 out of 10 files evaluated did not include an address for the emergency contact as required.
2026-08-28 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-04.
During review of record keeping 1 out of 10 files evaluated did not have a health statement.
2026-07-20 · 746.2805(7) · High
Prohibited Punishments - Placing Child in Locked or Dark Room
Corrected at inspection: No. Correction date: 2026-08-18. Correction verified: 2026-08-28.
Because a child refused to nap it was determined that a caregiver placed them in a closed restroom for approximately 5 minutes.
2025-08-28 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-09-02. Correction verified: 2025-09-03.
During review of infants it was determined that 2 out of 4 infant teachers did not have the required annual training for caregiver caring for children under 24 months.
2025-08-28 · 746.1305(b) · Medium High
Pre-service Training for Caregivers of Children Under 24 Months
Corrected at inspection: No. Correction date: 2025-09-02. Correction verified: 2025-09-03.
During the inspection 1 out of 4 infant teachers did not have pre-service training for caring for chldren under 24 months.
2025-06-20 · 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: 2025-07-24. Correction verified: 2025-07-28.
Based on the evidence obtained during the investigation, there is sufficient evidence to support that the applicants was performing duties at the operation with children without a clear background check.
2025-01-21 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-23. Correction verified: 2025-01-27.
A review of the Employees Who Left Employment in 2024 data from January 17, 2025, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
2024-09-16 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-08.
The operation failed to notify licensing about a non-routine situation that placed children at risk.
2024-09-16 · 746.2909(5) · High
Arrangement of Napping Equipment -All Children Supervised
Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-08.
A caregiver sitting on the floor with was unable to clearly view and supervise all children in the room during the nap period.
2024-09-16 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-08.
The operation failed to complete an incident report for a situation that placed children at risk.
2024-09-16 · 746.2905(1) · Medium
Children Not Required to Sleep - May Not Force Child to Sleep
Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-08.
Based on the evidence obtained during the DFPS investigation, a caregiver was observed grabbing and pulling on children to sleep. The caregiver placed a blanket over one child?s head and forcefully placed both children?s heads on their cots.
2024-09-04 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-26.
Nine personnel records were reviewed; nine staff members did not complete all annual training for their respective training years. The staff will need to receive makeup training hours that will not count towards the current training year.
2024-09-04 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2024-09-13. Correction verified: 2024-09-10.
Two children with peanut allergies are missing an emergency plan.
2024-09-04 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-09-26.
The director is missing training on the following topics: Child mistreatment, Emergency preparedness, Preventing and responding to emergencies due to food or allergies, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
2024-03-22 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2024-03-22. Correction verified: 2024-03-25.
CCR observed a four-month-old infant sleeping in a restrictive device. Note: This was corrected when a caregiver removed the infant and placed the child in the crib.
2023-09-08 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2023-09-13. Correction verified: 2023-09-14.
The designated director did not have training topics related to SIDS/Shaken baby syndrome, and/or related to the care of children under 24 months of age.
2023-09-08 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-14.
Three staff records obtained were not updated with the required training topics.One staff file lacked hours related to the Health and Safety Audit, including emergency preparedness, communicable diseases, and handling, storing, and disposing of hazardous materials.
2023-05-31 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: No. Correction date: 2023-06-02. Correction verified: 2023-06-15.
Three caregivers were observed caring for 45 children, 5-11 years of age within the school-age group.
2023-05-22 · 746.3003 · Medium High
Field Trips - Notification to Parents
Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-05-31.
Based on the information obtained, there was not a field trip notification for the graduation practice on May 18, 2023. Children were transported away from the facility without prior approval from parent/guardian.
2022-10-10 · 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: 2022-10-28. Correction verified: 2022-10-28.
7 of 27 staff members did not have current first aid and cpr.
2022-10-10 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2022-10-14. Correction verified: 2022-10-14.
3 of 4 staff members required to have, or have current, transportation safety training did not not have it.
2022-10-10 · 746.203(2) · Medium
Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
Corrected at inspection: Yes. Correction date: 2022-10-11. Correction verified: Not recorded.
The operation did not provide proof of liability insurance coverage to Licensing in their provider portal by the anniversary date of the issuance of their permit. Note: This was corrected during the inspection.
2022-07-11 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-08-03. Correction verified: 2022-08-03.
The incident occurred on 7.7.22 and the mother took the child to the hospital on 7.8.22. The parent notified the operation on 7.8.22 that medical attention was required. The operation did not report the incident to licensing.
2022-07-11 · 746.701(1) · Medium
Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-09.
Based off the information from the investigation, the mother did not receive an incident report from the operation once the parent notified them that medical treatment was required. At the time of pick up the parent only received "boo boo" report.
2022-07-11 · 746.1329(d) · Low
Employee record: Signed and Dated Statement for Orientation/Pre-Service trainingby trainer and employee
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-09.
Base off the documentation observed in the investigation both caregivers pre service training certificate were not signed by the caregivers indicating they had received the training.
2022-04-13 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-04-20. Correction verified: 2022-04-21.
A child in care with a known food allergy did not have a signed food allergy emergency plan on file.
2022-04-13 · 746.5207(a) · Medium High
Emergency Evacuation and Relocation Diagram
Corrected at inspection: No. Correction date: 2022-04-20. Correction verified: 2022-04-21.
The emergency evacuation and relocation diagram posted inside the classrooms did not have outlined a designated location inside and outside the building where all caregivers and children meet.
2022-04-13 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2022-04-27. Correction verified: 2022-04-21.
7 of 10 caregivers did not have any of the required HASA trainings.
2022-04-13 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-04-20. Correction verified: 2022-04-21.
The Emergency Preparedness Plan was missing several elements under minimum standard 746.5202.
2021-08-28 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2021-10-15. Correction verified: 2021-10-26.
The operation failed to notify a parent of less serious injury obtained while in care.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1115609

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.