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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 10 cited deficiencies dated April 29, 2024 to March 4, 2026 (3 High, 4 Medium High, 1 Medium, 1 Medium Low, 1 Low risk). Correction status: 1 corrected at inspection, 9 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.
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 10 cited deficiencies for Child, Inc. American Youth Works in the 3 years before October 10, 2026 (3 High, 4 Medium High, 1 Medium, 1 Medium Low, 1 Low).
Records list 6 inspections in this window. Most recent inspection: 2026-03-04.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 4 |
| Medium | 1 |
| Medium Low | 1 |
| Low | 1 |
| 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.
2026-03-04 · 746.401(9) · Medium Low
Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
A list of current employess was not observed to be posted.
Corrected at inspection
2026-03-04 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Director's training hours were observed to be missing 7 of the required training topics.
Correction date recorded: 2026-03-20
2026-03-04 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Staff member training records were observed to be missing five required training topics.
Correction date recorded: 2026-03-20
2026-03-04 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-09.
Staff member training records were observed to be missing five required training topics.
2026-03-04 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-09.
Director's training hours were observed to be missing 7 of the required training topics.
2026-03-04 · 746.401(9) · Medium Low
Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
Corrected at inspection: Yes. Correction date: 2026-03-04. Correction verified: Not recorded.
A list of current employess was not observed to be posted.
2024-09-05 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2024-10-04. Correction verified: 2024-10-16.
A caregiver pushed a child's head down on a cot as a method of discipline and guidance to encourage the child to sleep.
2024-09-05 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-10-04. Correction verified: 2024-10-16.
A caregiver was observed pulling children by the arm, indicating a lack of appropriate behavioral management techniques and self-control in the classroom.
2024-05-08 · 746.805(3) · Low
Electronic Records-Available During Business Hours
Corrected at inspection: No. Correction date: 2024-05-22. Correction verified: 2024-06-24.
The employee I was reviewing files with was not able to access most of the digital training records today.
2024-04-29 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-07-17. Correction verified: 2024-07-24.
The facility lacked an annual fire inspection; the most recent one was conducted in 2022.
2024-04-29 · 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: 2024-05-10. Correction verified: 2024-05-02.
A individual was present at the operation without an eligible background check. The individual left during the inspection.
2024-04-29 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2024-05-03. Correction verified: 2024-05-09.
A child had an expired EpiPen.
2024-04-29 · 746.2405(2) · Medium High
Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Corrected at inspection: No. Correction date: 2024-05-03. Correction verified: 2024-05-09.
A non-walking 10-month-old was found sleeping on a cot on the floor instead of in a designated individual crib.
2023-07-19 · 746.805(3) · Low
Electronic Records-Available During Business Hours
Corrected at inspection: No. Correction date: 2023-08-18. Correction verified: 2023-08-23.
The employee I was reviewing files with was not able to access most of the digital training records today.
2023-07-19 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2023-08-18. Correction verified: 2023-08-15.
One staff file was missing documentation of orientation. Five staff files were missing notarized affidavits.
2023-07-05 · 746.2403(6) · Medium High
Infant Care Area - Not Used as a Passageway
Corrected at inspection: No. Correction date: 2023-08-07. Correction verified: 2023-08-15.
An infant room is currently being used as a passageway for older children and their parents.
2022-09-15 · 746.1329(c)(2) · Low
Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Corrected at inspection: No. Correction date: 2022-10-28. Correction verified: 2022-09-23.
Four caregiver files were missing copies of their CPR and First Aid cards.
2022-09-15 · 746.1329(d) · Low
Employee record: Signed and Dated Statement for Orientation/Pre-Service trainingby trainer and employee
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-20.
Two caregivers were missing a signed new employee orientation form.
2022-08-31 · 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: 2022-08-31. Correction verified: 2022-09-02.
A caregiver was present at the operation who did not have a current eligible background check. The caregiver left during the inspection.
2022-08-31 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2022-09-05. Correction verified: 2022-09-12.
The operation didn't have recent safety documentation for doing emergency drills and checking fire extinguishers and smoke detectors.
2022-08-31 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2022-08-31. Correction verified: 2022-09-12.
The diaper changing surface was not sanitized after a diaper change.
2022-08-31 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2022-08-31. Correction verified: 2022-09-12.
A 1 year old child did not have their hands washed after a diaper change.
2022-02-17 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2022-03-11. Correction verified: 2022-03-10.
I checked 8 child immunization records and 2 of them were not current on all required immunizations based on their ages.
2022-02-15 · 746.4313(2) · Medium High
Additional Requirements For Outdoor Activity Space Not Connected To Center - Written Plan for Supervision
Corrected at inspection: No. Correction date: 2022-02-28. Correction verified: 2022-02-23.
The operation does not have a written plan showing how they supervise children traveling to and from the unattached outdoor activity space.
2021-11-05 · 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: 2021-11-05. Correction verified: 2021-11-13.
A caregiver was present at the operation who did not have a current eligible background check. The caregiver left during the inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1124172
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.