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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 8 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 26, 2026.
The same records list 2 cited deficiencies dated September 17, 2024 to December 20, 2024 (HHSC risk levels: 1 High, 1 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 2 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 2 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 2 cited deficiencies for AlphaBEST @ Prestwick ? Little Elm in the 3 years before October 10, 2026 (1 High, 1 Medium High).
Records list 8 inspections in this window. Most recent inspection: 2026-08-26.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 1 |
| 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.
2024-12-20 · 744.1205(a)(5) · High
Responsibilities of Caregivers - Intervene when necessary
Staff did not position themselves adequately while supervising children, which resulted in them not being able to intervene when a child inappropriately touched another child on more than one occasion.
Correction date recorded: 2025-01-16
2024-09-17 · 744.2669 · Medium High
Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent
Food action plans were observed during the inspection and missing the following: Two children are missing medication listed on the action plan. One of the action plans is not signed by the parent and doctor.
Correction date recorded: 2024-09-24
2024-12-20 · 744.1205(a)(5) · High
Responsibilities of Caregivers - Intervene when necessary
Corrected at inspection: No. Correction date: 2025-01-16. Correction verified: 2025-01-28.
Staff did not position themselves adequately while supervising children, which resulted in them not being able to intervene when a child inappropriately touched another child on more than one occasion.
2024-09-17 · 744.2669 · Medium High
Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent
Corrected at inspection: No. Correction date: 2024-09-24. Correction verified: 2024-10-22.
Food action plans were observed during the inspection and missing the following: Two children are missing medication listed on the action plan. One of the action plans is not signed by the parent and doctor.
2023-10-03 · 744.2655(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-18.
Two children with food allergies, do not have the medication on site.
2022-10-06 · 744.1315(a) · Medium High
Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.
Corrected at inspection: No. Correction date: 2022-10-25. Correction verified: 2022-10-24.
Two staff are missing current training in First aid.
2022-10-06 · 744.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-10-14. Correction verified: 2022-10-10.
Four staff files were observed and missing the following: One staff file is missing a notarized affidavit, Four staff files are missing that the staff have signed off on receiving the operational policies, Four staff files are missing that the staff have signed off on receiving the personnel policies, and Four staff are missing that the orientation statement for Abuse and Neglect Training.
2022-10-06 · 744.1315(b) · Medium High
Each caregiver, operation director, program director, and site director Pediatric CPR
Corrected at inspection: No. Correction date: 2022-10-25. Correction verified: 2022-10-24.
Two staff are missing current training in CPR.
2022-10-06 · 744.2413(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: No. Correction date: 2022-10-13. Correction verified: 2022-10-31.
Snack menus are not up to date and snack substitutions are not being made on the snack menu.
2022-10-06 · 744.2753(b) · Medium
First Aid Kit - Supplies Not Expired
Corrected at inspection: No. Correction date: 2022-10-13. Correction verified: 2022-10-10.
The operations first aid kit has an antiseptic solution that expired March of 2020.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1154105
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.