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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.
State records list 2 cited deficiencies dated April 27, 2026 (1 Medium High, 1 Medium risk). Correction status: 0 corrected at inspection, 2 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.
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 AVANCE-Houston, Inc.-Donna C. Lewis Head Start-Spring ISD in the 3 years before October 10, 2026 (1 Medium High, 1 Medium).
Records list 6 inspections in this window. Most recent inspection: 2026-08-10.
| Risk weight | Citations |
|---|---|
| High | 0 |
| Medium High | 1 |
| Medium | 1 |
| 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.
2026-04-27 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Of the six personnel records evaluated, two have not completed and orientation to operation.
Correction date recorded: 2026-05-04
2026-04-27 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Of the six personnel records evaluated, three lacked training in administering medications, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials.
Correction date recorded: 2026-05-11
2026-04-27 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2026-05-11. Correction verified: 2026-05-06.
Of the six personnel records evaluated, three lacked training in administering medications, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials.
2026-04-27 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2026-05-04. Correction verified: 2026-05-06.
Of the six personnel records evaluated, two have not completed and orientation to operation.
2022-03-02 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-05. Correction verified: 2022-03-08.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1204598
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.