2026-01-16 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
During the inspection, it was observed that an infant caregiver changed a child's diaper without washing their hands immediately afterward.
Corrected at inspection
Licensed Center
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State records list 17 cited deficiencies dated August 15, 2024 to January 16, 2026 (4 High, 10 Medium High, 3 Medium risk). Correction status: 1 corrected at inspection, 16 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 17 cited deficiencies for Cornerstone/The Ranch in the 3 years before October 10, 2026 (4 High, 10 Medium High, 3 Medium).
Records list 10 inspections in this window. Most recent inspection: 2026-03-04.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 10 |
| Medium | 3 |
| 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.
2026-01-16 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
During the inspection, it was observed that an infant caregiver changed a child's diaper without washing their hands immediately afterward.
Corrected at inspection
2026-01-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
During a physical inspection CCR observed mold on the ceiling of the infant room.
Correction date recorded: 2026-02-23
2025-07-10 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
At the time of inpsection Fire Drills are not being conducted monthly.
Correction date recorded: 2025-07-18
2026-01-16 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: Yes. Correction date: 2026-01-16. Correction verified: Not recorded.
During the inspection, it was observed that an infant caregiver changed a child's diaper without washing their hands immediately afterward.
2026-01-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-02-23. Correction verified: 2026-02-25.
During a physical inspection CCR observed mold on the ceiling of the infant room.
2025-07-10 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, the loose fill on the schooler's playground is not maintained at standard requirements.
2025-07-10 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, certification documentaion was not available for review.
2025-07-10 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection documentation is not available for review.
2025-07-10 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, expired medication had not been returned to parent.
2025-07-10 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, childrren's records had not been updated.
2025-07-10 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, documentation was not available for review.
2025-07-10 · 746.4601(5) · High
Safety Requirements for Active Play Equipment - Securely Anchored
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
Play structure on Schooler's Playground is not securely anchored. Play structure on Toddler Playground has four producing anchoring bolts approximately three inches in length from base of structure.
2025-07-10 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
Bicycle play structure's seat on toddler's playground is broken.
2025-07-10 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inspection, certification documentation was not available for review.
2025-07-10 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-24.
At the time of inpsection Fire Drills are not being conducted monthly.
2025-06-25 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2025-08-29. Correction verified: 2025-09-03.
Based on the information gathered by DFPS, multiple children confirmed that they were hit on their hands with rulers by their teachers.
2025-06-25 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2025-08-29. Correction verified: 2025-09-03.
The standard was evaluated as related a DFPS investigation. As a result of the DFPS investigation this standard was found to be in deficient.
2025-06-25 · 746.1203(1) · High
Responsibilities of Caregivers - Know Minimum Standards
Corrected at inspection: No. Correction date: 2025-08-29. Correction verified: 2025-09-03.
Based on the information gathered during the DPFS investigation, the caregivers are not complying with minimum standard requirements.
2025-05-23 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2025-05-30. Correction verified: 2025-06-25.
Operation did not provide parent notification of incident.
2024-08-15 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-08-16.
A current gas inspection was not available for review.
2023-08-18 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-08.
6 of the 12 children did not have the emergency care contact information
2023-08-18 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-08-30.
Director unable to show annual training required. The director was 11 hours short for annual training.
2023-08-18 · 746.5205(3) · Medium High
Sheltering Drills for Lock-Down-4 times in a calendar year
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-08.
The operation did not have documentation to show they have been practicing lockdown and severe weather drills
2023-08-18 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-08.
2 of 12 children did not have emergency contact person's phone number
2023-08-18 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-08.
5 of 12 children did not have current immunization records.
2023-06-05 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: Yes. Correction date: 2023-06-05. Correction verified: Not recorded.
A caregiver in the school age classroom was observed pushing the hands of two children in care. The caregiver was also observed yelling at children. This was corrected at inspection when the director talked to the caregiver.
2023-06-05 · 746.2415(a)(1) · Medium High
Prohibited Equipment for Infants - Baby Walkers
Corrected at inspection: Yes. Correction date: 2023-06-05. Correction verified: Not recorded.
The infant room was observed to have a baby walker with wheels. This item was removed from the room during the inspection byt the director.
2023-06-05 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2023-06-30. Correction verified: 2023-06-20.
The operation did not have at least 6 inches of loose fill surfacing on the playgrounds around the fall zones.
2023-06-01 · 746.705 · Low
Incident/Illness Report Form Signed
Corrected at inspection: Yes. Correction date: 2023-06-05. Correction verified: Not recorded.
This standard was tasked as part of an investigation and was determined to be deficient. The operation did not have a signed incident and illness report form available for review. This was corrected at inspection because the child is no longer enrolled at the operation.
2023-06-01 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2023-06-12. Correction verified: 2023-06-05.
This standard was tasked as part of an investigation and was determined to be deficient. The incident/illness report form was not shared with the parent.
2023-06-01 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: Yes. Correction date: 2023-06-05. Correction verified: Not recorded.
This standard was tasked as part of an investigation and was determined to be deficient. The operation did not report a child's injury that required medical treatment. Operation was made aware that the child was taken to a doctor and dentist. This was corrected at inspection when inspector reviewed standard 746.305 with director.
2023-06-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-06-12. Correction verified: 2023-06-12.
This standard was tasked as part of an investigation and was determined to be deficient. A caregiver did not use good judgement when allowing a child to play on a seesaw that was meant to be used by two children. This resulted in an injury to the child that was in care.
2022-08-08 · 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: 2022-08-08. Correction verified: 2022-08-08.
A caregiver was observed in a class with school aged children without a current background check.
2022-08-08 · 746.3403 · Medium High
Documentation of Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-09-22. Correction verified: 2022-09-13.
There was no health inspection document available for review.
2022-08-08 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2022-08-29. Correction verified: 2022-08-22.
The operation did not have a current gas leak inspection.
2022-08-08 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: Yes. Correction date: 2022-08-08. Correction verified: Not recorded.
3 out of 7 infants were observed in cribs sleeping with bottles or training cups. This was corrected at inspection when the infant caregiver removed all bottles and training cups from the cribs.
2022-05-13 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
Investigation was completed by DFPS and it was determined that a child was neglected by caregiver while being transported.
2022-05-13 · 746.5617(a)(4) · High
Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
Caregiver did not have emergency contacting formation while transporting children.
2022-05-13 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
Caregiver did not use good judgment while transporting children and reporting a serious incident resulting in child injury.
2022-05-13 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
Director allowed a caregiver to transport children without a valid drivers license.
2022-05-13 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
During the DFPS investigation Walworth it was observed that one caregiver supervised seventeen two-year olds in outdoor playtime.
2022-05-13 · 746.5617(b) · High
Driver Has Current Driver's License
Corrected at inspection: No. Correction date: 2022-06-28. Correction verified: 2022-07-14.
Caregiver transporting children without a current drivers license.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=113729
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.