2026-04-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Three of the infants in care did not have update infant feeding instructions.
Correction date recorded: 2026-04-29
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.
Texas HHSC records list 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated April 22, 2026.
The same records list 15 cited deficiencies dated January 29, 2024 to April 22, 2026 (HHSC risk levels: 9 High, 3 Medium High, 2 Medium, 1 Low).
Correction status recorded by HHSC: 0 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 15 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 15 cited deficiencies for North Custer KinderCare in the 3 years before October 10, 2026 (9 High, 3 Medium High, 2 Medium, 1 Low).
Records list 12 inspections in this window. Most recent inspection: 2026-04-22.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 3 |
| Medium | 2 |
| Medium Low | 0 |
| 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.
2026-04-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Three of the infants in care did not have update infant feeding instructions.
Correction date recorded: 2026-04-29
2025-05-21 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
One caregiver has a CPR training that does not adhere to American Heart Association guidelines.
Correction date recorded: 2025-06-06
2024-07-11 · 746.5405 · Medium High
Documentation of Gas Leak Inspection
The last gas leak test at the operation was dated 9/17/21, therefore another inspection would have been required as of 9/18/23, the operation did not have an inspection after 9/17/21 on file.
Correction date recorded: 2024-07-26
2026-04-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-04-29. Correction verified: 2026-04-27.
Three of the infants in care did not have update infant feeding instructions.
2025-05-21 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2025-06-06. Correction verified: 2025-05-29.
One caregiver has a CPR training that does not adhere to American Heart Association guidelines.
2024-07-11 · 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: 2024-08-14. Correction verified: 2024-08-14.
Three caregivers did not have current CPR/First Aid training.
2024-07-11 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-07-26. Correction verified: 2024-07-24.
Three of 10 children's files reviewed did not have immunization records or did not have current immunization records.
2024-07-11 · 746.5405 · Medium High
Documentation of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2024-07-26. Correction verified: 2024-07-24.
The last gas leak test at the operation was dated 9/17/21, therefore another inspection would have been required as of 9/18/23, the operation did not have an inspection after 9/17/21 on file.
2024-02-05 · 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: 2024-02-05. Correction verified: 2024-02-16.
There was one caregiver present without an active background check.
2024-01-29 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
The operation did not immediately notify a parent that their child had been left on the operation vehicle.
2024-01-29 · 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: 2024-05-15. Correction verified: 2024-05-29.
It was determined that the operation did not have physical proximity to and auditory or visual awareness of a child for an extended period of time.
2024-01-29 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2024-05-24. Correction verified: 2024-05-29.
It was determined that the child safety alarm on one of the buses at the operation is not in working order.
2024-01-29 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
Based on a DFPS investigation this standard was evaluated and found to be deficient. A child was neglected while in care.
2024-01-29 · 746.5605(4) · High
AP Safety Precautions for Loading and Unloading Children - No Child Unattended
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
It was determined that a child was left unattended on a vehicle.
2024-01-29 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
The operation did not notify licensing of a situation that placed a child at risk within the 2 day period.
2024-01-29 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
A caregiver did not demonstrate good judgement in not following transportation policies and procedures while transporting children.
2024-01-29 · 746.603(b) · Low
Children's Records - Storage
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
A child's record was not kept for 3 months post unenrollment.
2024-01-29 · 746.5605(3) · High
Safety Precautions for Loading and Unloading Children - Account for All Children
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-29.
A driver at the operation did not ensure each child was accounted for before exiting the vehicle.
2023-07-28 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2023-08-25. Correction verified: 2023-07-28.
The last fire inspection the operation had documentation for was completed on 3/18/22.
2023-07-28 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2023-08-04. Correction verified: 2023-09-22.
The operation had not completed a fire drill since November of 2022.
2023-07-28 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2023-08-25. Correction verified: 2023-07-28.
The last sanitation inspection completed for the operation was 12/06/21.
2022-11-17 · 746.303(a)(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2022-11-17. Correction verified: 2022-11-29.
The acting director of the operation has been in the position since 10/24/2022 without any notification to licensing until 11/16/2022.
2022-11-17 · 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: 2022-11-17. Correction verified: 2022-11-29.
The acting director does not have an eligible background check determination from the background check unit.
2022-08-08 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: Yes. Correction date: 2022-08-08. Correction verified: Not recorded.
According to doumentation provided by the operation the operation had not conducted a fire drill since 8/2021. The operation was able to bring this standard into compliance by conducting a fire drill today.
2022-08-08 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: Yes. Correction date: 2022-08-08. Correction verified: Not recorded.
The infant room was observed to have 13 infants present with 3 caregivers. The specified age group of the classroom was 11 months according to birthday documents of the children present.The operation did bring the standard into compliance by splitting the group.
2022-08-08 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-08-18.
Eight staff who have been employed over 12 months did not have all of their required training hours. Training hours provided by the operation fro review were dated year 2020.
2022-08-08 · 746.5101(b) · Medium High
Annual Fire Inspection - Conducted by Fire Marshal
Corrected at inspection: No. Correction date: 2022-08-31. Correction verified: 2022-08-15.
The operation did not have a recent fire inspection on fire for review only documenation of an invoice that was date 3/25/2022.
2022-03-08 · 746.1203(6) · Medium High
Responsibilities of Caregivers - Free of other activities
Corrected at inspection: No. Correction date: 2022-03-24. Correction verified: 2022-03-31.
Based on the information gathered during the investigation, it has been determined that the caregiver was conducting janitorial duties (sweeping/cleaning) while children were in care.
2022-03-08 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-03-24. Correction verified: 2022-03-31.
Based on the information gathered during the investigation, it has been determined that child was able to walk outside the operation due to the caregiver not having physical proximity that allowed visual and/or auditory awareness of the child 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=113727
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.