Licensed Center
View the official HHSC recordOfficial HHSC provider profile
Report an issue with this page · Corrections and removal process
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.
Texas HHSC records list 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated December 17, 2025.
The same records list 9 cited deficiencies dated June 18, 2024 to November 19, 2025 (HHSC risk levels: 5 High, 4 Medium High).
Correction status recorded by HHSC: 1 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 8 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 9 cited deficiencies for North Tyler Day Nursery in the 3 years before October 10, 2026 (5 High, 4 Medium High).
Records list 12 inspections in this window. Most recent inspection: 2025-12-17.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 4 |
| Medium | 0 |
| 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.
2025-11-19 · 746.4601(2) · Medium High
Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
This standard was reviewed in relation to the allegations and found to be deficient. The two play equipment were placed back to back towards each other which is against the manufactured instructions and it lead to a child?s injury.
Correction date recorded: 2025-12-12
2025-11-14 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
It was determined that inappropriate discipline methods were used when a caregiver popped a child on the hand.
Correction date recorded: 2025-12-04
2025-01-31 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
At the inspection, 3 out 10 personnel records reviewed did not complete the required 24 hours of annual training. One caregiver needs 6 hours of annual training, the 2nd caregiver needs 20 hours of annual training and the 3rd caregiver needs 10 hours of annual training.
Correction date recorded: 2025-02-28
2025-11-19 · 746.4601(2) · Medium High
Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Corrected at inspection: No. Correction date: 2025-12-12. Correction verified: 2025-12-17.
This standard was reviewed in relation to the allegations and found to be deficient. The two play equipment were placed back to back towards each other which is against the manufactured instructions and it lead to a child?s injury.
2025-11-14 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2025-12-04. Correction verified: 2025-12-17.
It was determined that inappropriate discipline methods were used when a caregiver popped a child on the hand.
2025-01-31 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-03-10.
At the inspection, 3 out 10 personnel records reviewed did not complete the required 24 hours of annual training. One caregiver needs 6 hours of annual training, the 2nd caregiver needs 20 hours of annual training and the 3rd caregiver needs 10 hours of annual training.
2024-10-30 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-04.
This standard was reviewed in relation to the allegations and found to be deficient. A caregiver who is no longer employed at the facility was observed popping a child on their hand.
2024-07-29 · 746.2805(6) · High
Prohibited Punishments - Using Harsh, Abusive or Profane Language
Corrected at inspection: No. Correction date: 2024-08-13. Correction verified: 2024-08-21.
This standard was reviewed in relation to the reported allegations and found to be deficient. There was sufficient evidence to support that a caregiver was using harsh language with the children when speaking to them and about them to others within ear shot.
2024-07-29 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-08-13. Correction verified: 2024-08-21.
This standard was reviewed in relation to the reported allegations and found to be deficient. The caregiver was found to be grabbing a child by the wrist when walking with the child and grabbing a child in the classroom.
2024-07-22 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-09-13. Correction verified: 2024-09-06.
This Minimum Standard was found to be out of compliance through an investigation. Pediatric CPR was found to be out of date for an employee of the daycare.
2024-06-21 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: Yes. Correction date: 2024-06-21. Correction verified: Not recorded.
During the walk through a television was observed inside one of the care rooms on a cart not anchored down. This was corrected at inspection when staff removed the television from the classroom.
2024-06-18 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2024-07-12. Correction verified: 2024-07-26.
This standard was found to be out of compliance through an investigation. It was determined that an infant was left unsupervised in their classroom.
2023-08-24 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2023-09-11. Correction verified: 2023-09-11.
This standard was reviewed in relation to the reported allegations and found to be deficient. The parents were not notified of the incident until the next day.
2023-08-24 · 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: 2023-09-18. Correction verified: 2023-09-27.
This standard was reviewed in relation to the reported allegations and found to be deficient. The caregiver did not observe the children as they wandered off and down the hallway and out the front door alone unsupervised.
2023-06-15 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-06-15. Correction verified: 2023-06-28.
During the inspection a caregiver was obsesrved swatting a child on the leg in the lunch room when the child was not obeying.
2022-07-08 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-07-15. Correction verified: 2022-07-15.
The operation has not been completing the grounds checklist.
2022-07-08 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-07-15. Correction verified: 2022-07-29.
The staff files were reviewed and were not maintained. The personnel files missing the orientation statements.
2022-07-08 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-07-12.
The emergency preparedness plan was not available for review.
2022-07-08 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-07-15. Correction verified: 2022-07-15.
The infant care sheets were reviewed and the sheets were not current and updated.
2022-07-08 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2022-07-15. Correction verified: 2022-07-15.
The operation could not provide the documentation of the fire drills that have been completed.
2022-04-21 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-04-21. Correction verified: 2022-05-05.
During inspection an infant was observed sleeping in a restrictive device with an empty bottle in their lap. This was corrected when I advised the caregiver of the standards and asked caregiver to remove child from device.
2022-04-21 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2022-04-21. Correction verified: Not recorded.
During inspection, an infant was in the high chair table without straps. This was brought into compliance when the infant was removed from the table.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1127577
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.