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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 17 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 20, 2026.
The same records list 11 cited deficiencies dated October 19, 2023 to June 19, 2026 (HHSC risk levels: 4 High, 5 Medium High, 1 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 11 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 11 cited deficiencies for A+ Kidz Care Learning Center 2, LLC in the 3 years before October 10, 2026 (4 High, 5 Medium High, 1 Medium, 1 Medium Low).
Records list 17 inspections in this window. Most recent inspection: 2026-07-20.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 5 |
| Medium | 1 |
| Medium Low | 1 |
| 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.
2026-06-19 · 746.3425(1) · Medium High
Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
During the investigation, it was found that staff did not wear gloves when handling blood from a child who was injured.
Correction date recorded: 2026-07-08
2026-04-07 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
The fire extinguishers were last serviced February 2025.
Correction date recorded: 2026-04-17
2025-06-05 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Two out of ten children's files evaluated lacked an updated immunization record on file.
Correction date recorded: 2025-07-14
2026-06-19 · 746.3425(1) · Medium High
Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Corrected at inspection: No. Correction date: 2026-07-08. Correction verified: 2026-06-26.
During the investigation, it was found that staff did not wear gloves when handling blood from a child who was injured.
2026-04-07 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
Corrected at inspection: No. Correction date: 2026-04-17. Correction verified: 2026-04-09.
The fire extinguishers were last serviced February 2025.
2025-06-05 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-06-13. Correction verified: 2025-06-06.
A caregiver caring for children under the age of 24 months lacked documentation of current SIDS/Shaken Baby Training.
2025-06-05 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-07-14. Correction verified: 2025-07-09.
Two out of ten children's files evaluated lacked an updated immunization record on file.
2025-01-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-02-11. Correction verified: 2025-02-13.
Based on information gathered, a caregiver failed to use good judgment when she is seen on video forcefully sliding a child's chair, resulting in the child falling and hitting the table. In addition, the caregiver and another caregiver failed to use good judgment by using a pointer "stick" to hit the table to scare the children.
2024-10-08 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-10-14. Correction verified: 2024-10-14.
On a playground, the metal covering around the drinking fountain was detached from the wall, exposing sharp metal. Note: This was corrected when the metal was attached back to the wall. Some drains on the playground were lacking appropriate sealant/ caulking, which resulted in gaps being exposed.
2024-06-11 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2024-06-11. Correction verified: 2024-06-24.
The operation did not follow the background check provisional conditions of a caregiver. Note: This was corrected when a second caregiver was added to the class.
2024-02-07 · 746.907(c) · Medium Low
Personnel Record Storage- Location
Corrected at inspection: No. Correction date: 2024-02-07. Correction verified: 2024-02-15.
Personnel files were not complete/available within a reasonable amount of time. Inspectors waited over three hours and all files were not completely provided.
2023-11-02 · 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: 2023-11-02. Correction verified: 2023-11-07.
A two month old was observed sleeping with a burp rag in the crib. Note: The burp rag was removed when it was brought to the caregivers attention.
2023-11-02 · 746.2427(a) · High
AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
Corrected at inspection: No. Correction date: 2023-11-02. Correction verified: 2023-11-07.
A two month old, who is unable to roll over was observed sleeping on his stomach. Note: The caregiver rolled the child to his back when it was brought to her attention.
2023-10-19 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-10-19. Correction verified: 2023-11-02.
One caregiver was briefly observed with eleven children at nap time with a specified age group 12m-17m. Note: This was corrected when a second caregiver entered the room.
2023-06-20 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2023-06-21. Correction verified: 2023-06-26.
The consumer product safety recall was last certified January 3, 2022.
2023-06-20 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-26.
A caregiver was observed grabbing several children by the arm.
2023-06-20 · 746.3501(6) · Medium High
Diaper Changing Steps-Supplies Kept Out of Child's Reach
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-26.
Diaper cream and sunscreen were observed in the bathroom and were accessible to the children. Note: This was corrected when the caregiver removed the items.
2023-02-13 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2023-02-15. Correction verified: 2023-02-27.
Two caregivers lacked an employee affidavit on file.
2023-02-13 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2023-02-15. Correction verified: 2023-02-27.
Two out of ten children's files evaluated lacked a special needs statement.
2023-02-13 · 746.1301(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Corrected at inspection: No. Correction date: 2023-02-20. Correction verified: 2023-02-27.
Two out of ten personnel files evaluated lacked current first aid/CPR training.
2023-02-13 · 746.2803(4)(B) · Medium High
Positive Methods of Discipline and Guidance - Use Clear, Positive Statements
Corrected at inspection: No. Correction date: 2023-02-13. Correction verified: 2023-02-27.
Caregivers did not use positive statements when redirecting children from climbing on the tables.
2023-02-13 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2023-02-15. Correction verified: 2023-02-27.
One out of ten personnel files evaluated lacked current SIDS/Shaken Baby training.
2023-02-13 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2023-02-20. Correction verified: 2023-02-13.
One out of ten children's files evaluated lacked an updated shot record on file.
2022-10-04 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-10-11.
One child did not wash their hands after having their diaper changed.
2022-10-04 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-10-11.
One caregiver did not wash their hands after changing a child's diaper.
2022-10-04 · 746.1203(3) · Medium High
Responsibilities of Caregivers - Know Children's Names and Ages
Corrected at inspection: No. Correction date: 2022-11-09. Correction verified: 2022-11-28.
Based on information gathered through a DFPS investigation, a caregiver did not know the names of the children she was responsible for. A child was crying when two other children were on top of him. The caregiver did not know the names of the children involved and did not check the child for any injuries.
2022-08-02 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2022-08-09. Correction verified: 2022-08-04.
Two out of ten children's records evaluated lacked an updated shot record on file.
2022-08-02 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: Yes. Correction date: 2022-08-02. Correction verified: Not recorded.
The infant classroom was not utilizing their individual storage when all backpacks/ diaper bags were stored on the floor, accessible to the children. Note: This was corrected when the caregiver removed the backpacks/ diaper bags from the floor and placed them on hooks.
2022-08-02 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2022-08-02. Correction verified: Not recorded.
The caterpillar play structure on the playground was observed to be cracked. Note: This was corrected when a caregiver removed the caterpillar from the playground.
2022-06-15 · 746.2905(1) · Medium
Children Not Required to Sleep - May Not Force Child to Sleep
Corrected at inspection: No. Correction date: 2022-07-19. Correction verified: 2022-08-02.
Based on information gathered during a DFPS investigation, a caregiver was observed and admitted to draping her leg over children who were laying on their cots to force them to remain still and stop getting up during naptime in order to control their behavior.
2022-06-15 · 746.2805(6) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2022-07-19. Correction verified: 2022-08-02.
Based on information gathered during a DFPS investigation, a caregiver was observed by other caregivers and admitted to yelling at children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1168799
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.