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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 11 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 17, 2026.
The same records list 27 cited deficiencies dated October 27, 2023 to August 17, 2026 (HHSC risk levels: 5 High, 4 Medium High, 18 Medium).
Correction status recorded by HHSC: 2 corrected at inspection, 25 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 25 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 27 cited deficiencies for Stepping Stones in the 3 years before October 10, 2026 (5 High, 4 Medium High, 18 Medium).
Records list 11 inspections in this window. Most recent inspection: 2026-08-17.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 4 |
| Medium | 18 |
| 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.
2026-08-17 · 746.501(a)(26) · Medium
Written Operational Policies - Preventing and Responding to Abuse and Neglect
Operational policies are missing the following: (26)(C) Methods for increasing employee and parent awareness of prevention techniques for child abuse and neglect; (26)(D)Strategies for coordination between the center and appropriate community organizations; and (26)(E) Actions…
Correction date recorded: 2026-08-24
2026-08-17 · 746.603(a) · Medium
Children's Records Maintained
Two of the children are no longer enrolled and health statement for two children are missing.
Correction date recorded: 2026-08-24
2026-07-20 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Emergency practices form was reviewed: last fire drill and Fire Extinguisher / CO - Smoke detectors checks were completed on 03/24/2026.
Correction date recorded: 2026-08-03
2026-08-17 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2026-08-24. Correction verified: 2026-08-20.
Two of the children are no longer enrolled and health statement for two children are missing.
2026-08-17 · 746.501(a)(26) · Medium
Written Operational Policies - Preventing and Responding to Abuse and Neglect
Corrected at inspection: No. Correction date: 2026-08-24. Correction verified: 2026-08-19.
Operational policies are missing the following: (26)(C) Methods for increasing employee and parent awareness of prevention techniques for child abuse and neglect; (26)(D)Strategies for coordination between the center and appropriate community organizations; and (26)(E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention.
2026-07-20 · 746.501(a)(11) · Medium
Written Operational Policies - Immunizations
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-17.
Operational policies were reviewed and missing th following information: (11) immunization requirements; (12) hearing and vision screening requirements; (13) enrollment procedures; (18)(a)(b)(c)(d)(e)(f) and (g) indoor and outdoor physical activity policy; (20) parent's rights; (23)(a) how parents may access the minimum standards online; (23)(c) how parents may access HHSC website; (26)(A) Abuse / Neglect required annual training for employees; (26)(B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect; (26)(C) Methods for increasing employee and parent awareness of prevention techniques for child abuse and neglect; (26)(D)Strategies for coordination between the center and appropriate community organizations; (26)(E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention; and (3) Procedures for supporting inclusive services for children with special needs.
2026-07-20 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-05.
Records for the last full training year for two out of two staff files reviewed were not available at the time of inspection.
2026-07-20 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-17.
Four children's records were reviewed. One file was not available for review. Three files are missing health statement. One file is missing start date and another file is missing clarification regarding an allergy.
2026-07-20 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2026-07-20. Correction verified: 2026-08-17.
One caregiver was providing care for 10 children: three children 0-17mo, five 18mo-4yo, and two 5yo and up.
2026-07-20 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-04.
Emergency practices form was reviewed: last fire drill and Fire Extinguisher / CO - Smoke detectors checks were completed on 03/24/2026.
2026-04-08 · 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: 2026-04-08. Correction verified: 2026-04-16.
One caregiver was providing care for 9 children, however, 3 of the children were in separate classroom with the lights off.
2026-04-08 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2026-04-08. Correction verified: 2026-04-16.
One caregiver was providing care for nine children; three children 0-17mo and six children 18mo-4yo.
2026-04-02 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2026-04-02. Correction verified: 2026-04-08.
One caregiver was providing care for six children; 3 children 0-17mo and 3 children 18mo-4yo.
2026-03-23 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-04-02.
An infant under 12mo was observed asleep in play-yard with two blankets and two cuddle plush blankets.
2026-03-23 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-04-02.
One caregiver was providing care for eight children; 3 children 0-17mo and 4 children 18mo-4yo.
2026-03-13 · 746.2203(b) · Medium
Written Activity Plans - Plan Followed by Caregiver
Corrected at inspection: No. Correction date: 2026-03-13. Correction verified: 2026-03-23.
Staff and children were not observed participating / following the daily schedule.
2026-03-13 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2026-03-13. Correction verified: 2026-03-23.
An infant-age child remained in high chair and exerciser for over 15 minutes.
2025-09-22 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-09-29. Correction verified: 2025-09-29.
Vinyl baseboards in restrooms remain detached and there is a broken floor tile in the main room. Note: Broken toy-car was removed from playground. No dead insects were observed during inspection. Electric panel in the infant room was covered.
2025-09-12 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-09-22.
Last fire drill and Smoke Detector / Fire Extinguisher checks were conducted on 05/2025. Prior drills were completed within 5-10 minutes.
2025-09-12 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2025-09-14. Correction verified: 2025-09-22.
Operation does not have a carbon monoxide detector. Infant room does not have a smoke detector.
2025-09-12 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-22.
Food items served during the day do not match the menu posted.
2025-09-12 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2025-09-14. Correction verified: 2025-09-22.
Infant play-yards are not labeled and napping mats are labeled by number but assignment list is not up to date.
2025-09-12 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-09-14. Correction verified: 2025-09-22.
There is a broken toy-cart in the playground. A dead roach, spider webs and an uncovered eletric panel were observed in the infant room. Vinyl baseboards in one of the restrooms are detached.
2025-09-12 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-09-22.
Children's Products Certification form was last signed / certified on 08/25/2022.
2025-09-12 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-09-12. Correction verified: 2025-09-22.
Three out of four children's files reviewed are missing immunization records.
2024-10-17 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-10-21.
There were no records available for review for two children in care. A child's record reviewed was missing the immunization documentation.
2024-10-17 · 746.2205(a)(1) · Medium
Written Activity Plan - Group Name and Dates
Corrected at inspection: Yes. Correction date: 2024-10-17. Correction verified: Not recorded.
The activity plans posted in the infant room and toddler/pre-k room did not include the age group the activity plan is designed for and the dates (daily, weekly, or monthly) the plan covers. Note: This was CORRECTED during the inspection as the missing information was documented on the activity plans.
2024-10-17 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-25.
The operational policies reviewed were missing the followng information: (1) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; (F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. (2) Parent rights; (3) Preventing and responding to abuse and neglect of children, including: (A) Required annual training for employees; (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect; (D) Strategies for coordination between the center and appropriate community organizations; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect; (4) Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in minimum standard rule ?746.2202
2023-10-27 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: Yes. Correction date: 2023-10-27. Correction verified: Not recorded.
The daily menu posted in the front lobby and kitchen were not current. The menu was from the month of August and did not match the food items served during lunch. Note: This was CORRECTED during the inspection as the current menu was printed and posted in the front lobby and kitchen.
2023-10-27 · 746.801(1) · Medium
Required Records Maintained and Made Available - Children's Records
Corrected at inspection: No. Correction date: 2023-11-03. Correction verified: 2023-11-10.
A record was not available for review for a child in care. 1 of 4 children's records reviewed was missing the child's immunization record.
2023-04-10 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Corrected at inspection: No. Correction date: 2023-04-10. Correction verified: 2023-04-20.
An additional employee was not present in the building during naptime when more than 13 children were in care.
2023-04-10 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-04-10. Correction verified: 2023-04-20.
There was more than an 18 month difference when older children of varying ages and an infant were combined during naptime. The oldest child in the group was 4 years of age and the youngest child was 15 months old.
2022-10-21 · 746.801(1) · Medium
Required Records Maintained and Made Available - Children's Records
Corrected at inspection: No. Correction date: 2022-10-24. Correction verified: 2022-12-02.
There were no records available for review for two children in care.
2022-10-21 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2022-10-21. Correction verified: 2022-12-02.
Child/Caregiver ratios were not met when a caregiver was caring for 8 children of varying ages. The children in the group were an infant between 0-12 months of age and 7 children between 18 months to 3 years of age. Based on the ratio chart the number of children one caregiver may supervise when 12 or fewer children are present at the child-care center is 1 infant between 0-17 months of age and a maximum of 5 children between the ages of 18 months to 4 years age. The group was of ratio by 2 children.
2022-10-21 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-11-04. Correction verified: 2022-11-08.
A caregiver was missing 24 of 24 clock hours in required annual training for the training year 11/25/2020 - 11/24/2021.
2022-10-21 · 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: 2022-10-25. Correction verified: 2022-10-26.
The emergency practices form was not maintained. The last fire drill document was on April 2022. The safety documentation for fire extinguishers, smoke detectors, and Carbon Monoxide detector was not maintained. The last date documented on the form was April 2022.
2022-10-21 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-10-24. Correction verified: 2022-10-24.
The caregivers personal purse was observed on top of a children's shelf. The purse posed a safety hazard as it was within children's reach. A fence in the outdoor playground enclosing the air conditioner unit was not maintained. The fence was observed with an exposed screw. This posed a safety hazard as the thread and tip of the screw were exposed and accessible to children. Note: The purse was removed and stored in an area out of children's reach.
2022-10-21 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2022-11-04. Correction verified: 2022-11-08.
The directorr was missing 30 of 30 clock hours in required annual training for the training year 11/25/2020 - 11/24/2021.
2022-01-13 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-01-18. Correction verified: 2022-01-20.
The metal door leading into the center from the outdoor playground was observed with rust and significant amounts of loose corrosion. The rust at the bottom part of the door ate through the metal, leaving holes in the door which pose a safety hazard to children during outdoor play. Plastic bags containing soiled diapers were observed hanging from the door handle in the outdoor playground. Note: The plastic bags with soiled diapers were removed and discarded.
2022-01-13 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: No. Correction date: 2022-01-13. Correction verified: 2022-01-17.
Soiled diapers were observed in the same trash can with no cover next to the infant room. This standard was re-cited. Note: This was addressed with the director and the trash bag containing the soiled diapers was removed and disposed of.
2021-11-22 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2022-01-13.
An infant was observed sitting on a high chair without the safety straps fastened.
2021-11-22 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2022-01-13.
A caregiver did not properly sanitize the diaper changing table after conducting a diaper change. The caregiver was observed only spraying a mixture of clorox and water to sanitize the diaper changing mat. A soiled diaper was observed in a trash can with no cover next to the infant room. Note: This was addressed with the operation and the trash bag containing the soiled diapers was removed and disposed of.
2021-11-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2021-11-22. Correction verified: Not recorded.
A water hose was observed on the floor in the outdoor playground within children's reach posing as a tripping hazard. Note: This was CORRECTED during the inspection as the water hose was stored out of children's reach.
2021-11-22 · 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: 2021-11-29. Correction verified: 2021-12-02.
The director and a caregiver did not have current training in pediatric first aid with rescue breathing and choking. The expiration dates on the certificates were July 2021 and August 2021.
2021-11-22 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2021-11-29. Correction verified: 2022-01-13.
The operational policies reviewed were missing the following information: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
2021-11-22 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2021-11-29. Correction verified: 2021-12-01.
The food allergy emergency plan reviewed for a child with a known food allergy was incomplete and missing the child's heath care professional's signature.
2021-11-22 · 746.2411(2)(B) · Medium High
Safety Requirements for Play Yards - Snug Fitting Sheets
Corrected at inspection: Yes. Correction date: 2021-11-22. Correction verified: Not recorded.
There was no sheet covering the mattress of a play yard that was in use for an infant. Note: This was CORRECTED during the inspection as a fitted sheet was provided and placed on the play yard's mattress.
2021-11-22 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2021-12-10. Correction verified: 2022-01-10.
A caregiver was missing 14 of 24 clock hours in required annual training for the training year 11/25/2019 - 11/24/2020.
2021-11-22 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2021-11-29. Correction verified: 2021-12-02.
The director and a caregiver did not have current training in pediatric CPR. The expiration dates on the certificates were July 2021 and August 2021.
2021-11-22 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2021-11-23. Correction verified: 2021-12-29.
There were no records available for review for two children in care. One of 4 records reviewed was missing the child's immunization record.
2021-11-22 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2021-12-10. Correction verified: 2022-01-10.
The director was missing 9 of 30 clock hours in required annual training for the training year 11/25/2019 - 11/24/2020.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1165663
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.