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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 August 26, 2026.
The same records list 21 cited deficiencies dated June 20, 2024 to July 30, 2026 (HHSC risk levels: 4 High, 13 Medium High, 4 Medium).
Correction status recorded by HHSC: 3 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 18 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 21 cited deficiencies for Kiddie Patch Daycare Center in the 3 years before October 10, 2026 (4 High, 13 Medium High, 4 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-08-26.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 13 |
| Medium | 4 |
| 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.
2026-07-30 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
One caregiver had a group of twenty children that had a specified age of four years old. Four-year-old classes can only have eighteen children per one caregiver. This was corrected during the inspection when two of the three-year-olds in that class were transferred to another…
Correction date recorded: 2026-07-30
2026-07-30 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Two caregivers were missing multiple required training topics for their annual training.
Correction date recorded: 2026-08-13
2026-07-30 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One caregiver was unable to provide a copy of their current first aid and CPR card.
Correction date recorded: 2026-08-21
2026-07-30 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2026-08-13. Correction verified: 2026-08-13.
The sand around the climbing structures and merry-go-round had compacted and was no longer shock-absorbing.
2026-07-30 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2026-08-06. Correction verified: 2026-08-17.
Out of four staff files reviewed, one staff member was missing a pre-employment affidavit and another was missing statements that they received the employee handbook and parent handbook, and that they attended orientation with an overview on the center's abuse neglect policies.
2026-07-30 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2026-08-13. Correction verified: 2026-08-03.
The director was missing 3.5 hours of annual training, including training in management, communicable diseases, administering medications, food allergies, understanding building and physical premises safety, and handling hazardous materials.
2026-07-30 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2026-08-06. Correction verified: 2026-08-03.
Out of the four children's records reviewed, two children were missing an admission date, one child was missing an emergency contact and persons the child could be released to, two school-age children were missing their school's information, and one parent had not acknowledged that they received the parent handbook.
2026-07-30 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2026-08-21. Correction verified: 2026-08-14.
One caregiver was unable to provide a copy of their current first aid and CPR card.
2026-07-30 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-08-13. Correction verified: 2026-08-19.
Two caregivers were missing multiple required training topics for their annual training.
2026-07-30 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-07-30. Correction verified: 2026-08-06.
One caregiver had a group of twenty children that had a specified age of four years old. Four-year-old classes can only have eighteen children per one caregiver. This was corrected during the inspection when two of the three-year-olds in that class were transferred to another class.
2026-05-06 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2026-05-06. Correction verified: 2026-05-11.
A caregiver changed a child's diaper and did not wash the child's hands afterwards. This was corrected during the inspection when the caregiver was reminded that children's hands must be washed after diaper changes.
2026-05-06 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2026-05-06. Correction verified: 2026-05-11.
A caregiver changed a child's diaper and did not sanitize the diapering surface before moving on to the next child. This was corrected during the inspection when the caregiver was reminded to sanitize the surface between diaper changes and the caregiver did so before changing the next child
2026-05-06 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2026-05-06. Correction verified: 2026-05-11.
A caregiver changed a child's diaper and did not wash hands before changing the next child's diaper. This was corrected during the inspection when the caregiver was reminded about washing hands, and they washed their hands before changing the next child.
2026-05-06 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-05-06. Correction verified: 2026-05-11.
A a sixteen-month-old was cmobined with the pre-k class in the front area of the operation. This was corrected during the inspection when the infant was taken to the toddler room with the toddlers.
2026-04-30 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-04-30. Correction verified: 2026-05-06.
During the investigation, it was found that an infant who is sixteen months old was being combined with children up to four years old in the mornings during drop-off.
2026-04-26 · 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: 2026-05-22. Correction verified: 2026-06-04.
During the investigation, it was determined that caregivers have been supervising two classes at once by standing in the doorway between the classrooms.
2025-05-01 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: Yes. Correction date: 2025-05-01. Correction verified: Not recorded.
Two caregivers were using their iPads for personal use. This was corrected during the inspection when the caregivers were informed that electronic devices can't be used for personal use and the devices were turned off.
2025-04-15 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2025-04-22. Correction verified: 2025-04-18.
The parent handbook was missing field trip procedures, information on parent's rights, benefits of physical activity, critera for extreme weather that will prohibit outdoor play, and a plan for indoor physical activity to occur when the children cannot go outside.
2025-04-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-04-16.
One infant had feeding instructions that were last updated in January.
2025-04-15 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2025-04-15. Correction verified: Not recorded.
The children's product certfiication form was last signed in January 2024. This was corrected during the inspection when a new certification form was signed.
2025-04-15 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2025-04-22. Correction verified: 2025-04-16.
One caregiver who was past her first 90 days was missing an hour of pre-service training.
2025-04-15 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: Yes. Correction date: 2025-04-15. Correction verified: Not recorded.
The first aid kit in the operation's vehicle had antiseptic solution and cream that had expired. This was corrected during the inspection when the expired supplies were removed from the first aid kit.
2025-04-15 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-04-29. Correction verified: 2025-04-29.
One caregiver did not have any annual training for the 2023-2024 training year.
2024-06-20 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-06-20. Correction verified: 2024-06-25.
There was an infant sleeping in a swing. This was corrected during the inspection when the infant was removed from the swing.
2023-06-29 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2023-06-29. Correction verified: 2023-07-07.
There were 4 infants observed with bottles in their cribs while they were sleeping. The bottles were removed during the inspection.
2023-06-29 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2023-07-13. Correction verified: 2023-07-07.
The 2 caregivers are drivers for the operation did not have current transportation on file.
2023-06-29 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-07-07. Correction verified: 2023-07-07.
There were 3 infants in care that did not have updated infant feeding instructions.
2023-06-29 · 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: 2023-06-29. Correction verified: 2023-07-07.
There were 3 infants that had blankets in the crib. One infant also had a boppy pillow in the crib. The blankets and boppy pillow were reviewed by a caregiver.
2023-06-29 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2023-07-13. Correction verified: 2023-07-10.
There were 2 caregivers that did not have pre-service or orientation on file for review.
2023-06-29 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2023-07-27. Correction verified: 2023-07-17.
There were 2 caregivers that did not complete the required annual training for the previous year. One caregiver only completed 12 hours and one caregiver did not have any trainings on file.
2023-06-29 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2023-07-27. Correction verified: 2023-07-11.
The director had only completed 15 hours of annual training for the previous year.
2023-06-29 · 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: 2023-06-29. Correction verified: 2023-06-30.
There was one person observed at the operation in a classroom that did not have a background check on file. The person was sent home during the inspection, bringing the deficiency into compliance.
2022-08-18 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-08-25.
During the inspection the tires on an piece of active playground equipment was observed with rips exposing the wire.
2022-08-18 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-08-25.
During the inspection a caregiver responsible for children under 24 months did not have a current training in the topics sudden infant death syndrome and early childhood brain development.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1192599
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.