Kiddie Academy of Little Elm

Summary of the record

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 23 cited deficiencies for Kiddie Academy of Little Elm in the 3 years before October 10, 2026 (5 High, 8 Medium High, 8 Medium, 2 Medium Low).

Records list 18 inspections in this window. Most recent inspection: 2026-09-10.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (62)

• 2026-09-10 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-10-08.

  The fire inspection has expired since February 2026.

• 2025-12-10 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2025-12-22. Correction verified: 2026-01-12.

  One child's immunization record was not up to date.

• 2025-12-10 · 746.603(a)(3) · Medium

  Children's Records - Health Statement

  Corrected at inspection: No. Correction date: 2025-12-22. Correction verified: 2025-12-11.

  One child was missing a health statement.

• 2025-12-10 · 746.201(9) · Medium High

  Complying with Laws and Rules

  Corrected at inspection: No. Correction date: 2025-12-10. Correction verified: 2026-01-12.

  Compliance with the Minimum Standards was not maintained during the Plan of Action.

• 2025-12-10 · 746.1013(a) · Medium High

  Director's Absence - Qualified Caregiver in Charge

  Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2025-12-11.

  There was no individual in charge during the director's absence. The operation proceeded without a designated person in charge for a duration of 45 minutes.

• 2025-11-05 · 746.901(4) · Medium Low

  Required Personnel Records - Required Affidavit (Form 2985)

  Corrected at inspection: No. Correction date: 2025-11-10. Correction verified: 2025-11-10.

  One caregiver was missing a notarized Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home (Form 2985).

• 2025-11-05 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2025-11-14. Correction verified: 2025-11-13.

  A caregiver was missing 9h30 min in training in the required topics: 1309(d)(3), 1309(e)(1, 2, 3,4,5).

• 2025-11-05 · 746.201(9) · Medium High

  Complying with Laws and Rules

  Corrected at inspection: No. Correction date: 2025-11-05. Correction verified: 2025-11-14.

  Compliance with the Minimum Standards was not maintained during the Plan of Action.

• 2025-11-05 · 746.901(5) · Medium Low

  Required Personnel Records - Required Affidavit (Form 2912)

  Corrected at inspection: No. Correction date: 2025-11-10. Correction verified: 2025-11-10.

  One caregiver was missing a Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) as

• 2025-08-28 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2025-09-11. Correction verified: 2025-09-16.

  8 out of 10 caregivers didn't complete the required annual training hours.

• 2025-04-24 · 746.2805(1) · High

  Prohibited Punishments - Corporal Punishment

  Corrected at inspection: No. Correction date: 2025-05-02. Correction verified: 2025-05-07.

  Based on the evidence gathered during the investigation, a caregiver employed inappropriate disciplinary measures against a child.

• 2025-01-31 · 746.1311(e) · Medium

  Director Annual Training - Additional required topics

  Corrected at inspection: No. Correction date: 2025-02-14. Correction verified: 2025-02-10.

  The director was missing training in Preventing and responding to emergencies due to food or an allergic reaction.

• 2025-01-31 · 746.1309(e) · Medium

  Documented Annual Training- Required Content

  Corrected at inspection: No. Correction date: 2025-02-20. Correction verified: 2025-02-19.

  Seven caregiver were missing training in Preventing and responding to emergencies due to food or an allergic reaction.

• 2024-11-21 · 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: 2024-12-16. Correction verified: 2024-12-18.

  Based on the evidence gathered during the investigation, the caregiver failed to adequately supervise the children. The caregiver's insufficient physical presence, along with a lack of visual and auditory awareness, directly played a role in the incident.

• 2024-11-21 · 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: 2024-12-20. Correction verified: 2024-12-18.

  Based on the evidence gathered during the investigation, that the caregiver involved in the incident had unsupervised access to a child under their care prior to complete the First-aid training.

• 2024-07-25 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2024-07-29. Correction verified: 2024-07-25.

  The sink in the 3- and 4-year-old classroom is clogged, causing water to not drain. As a result, the children do not have an extra sink in the classroom for washing their hands.

• 2024-07-15 · 745.8411(b)(3) · High

  Responsibilities - Provides access to all records

  Corrected at inspection: No. Correction date: 2024-07-16. Correction verified: 2024-07-17.

  Based on the evidence gathered during the investigation, video footage of the incident was accessible, but the childcare center did not provide it.

• 2024-07-15 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2024-08-14. Correction verified: 2024-09-09.

  The tent above the playground is in disrepair and poorly maintained, preventing children from using the playground equipment.

• 2024-07-03 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2024-07-24. Correction verified: 2024-07-15.

  The tent above the playground is in disrepair and poorly maintained, preventing children from using the playground equipment.

• 2024-06-28 · 746.1205(a)(5) · High

  Responsibilities of Caregivers - Intervene to ensure each child's safety

  Corrected at inspection: No. Correction date: 2024-07-22. Correction verified: 2024-07-25.

  Based on the evidence gathered during the investigation, the caregiver was not properly supervising the children. The caregiver's lack of attention and failure to intervene created an unsafe environment, resulting in the child's injury.

• 2024-05-30 · 746.3809 · Medium

  Medication No Longer Used

  Corrected at inspection: Yes. Correction date: 2024-05-30. Correction verified: Not recorded.

  An expired EpiPen, which had been expired since April 2024, was found among the medication box. During the inspection, this issue was addressed when the director removed the expired medication.

• 2024-05-30 · 746.603(a)(3) · Medium

  Children's Records - Health Statement

  Corrected at inspection: No. Correction date: 2024-06-14. Correction verified: 2024-05-31.

  One out of 10 children's files reviewed did not contain current health statements from the child's physician after the child had been enrolled for 12 months.

• 2024-05-30 · 746.5205(4) · Medium

  Documentation of Drills

  Corrected at inspection: No. Correction date: 2024-06-07. Correction verified: 2024-07-03.

  The operation lacks information regarding the duration of the drills. This information was not recorded. The operation also lacks documentation for smoke detectors and fire extinguishers since February/2024.

• 2023-07-31 · 746.5319 · High

  Smoke Detectors Testing

  Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-07.

  Since January 2023, the operation has failed to inspect the smoke detector system and the carbon monoxide detector system.

• 2023-07-31 · 746.5307(a) · Medium High

  Inspect Fire Extinguishers Monthly

  Corrected at inspection: No. Correction date: 2023-09-08. Correction verified: 2023-09-07.

  Since January 2023, the operation has failed to document any fire extinguishers inspection.

• 2023-01-20 · 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: 2023-02-27. Correction verified: 2023-02-22.

  A caregiver has an expired pediatric CPR/FIRST AID certification.

• 2023-01-20 · 746.1311(a) · Medium

  Director Annual Training 30 Hours Required

  Corrected at inspection: No. Correction date: 2023-02-10. Correction verified: 2023-02-03.

  The director has 18.5 hours of the required 30 hours of annual training.

• 2022-11-03 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2023-01-20.

  Three caregivers have not completed 24 hours of annual training.

• 2022-11-03 · 746.1311(a) · Medium

  Director Annual Training 30 Hours Required

  Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2023-01-20.

  The director has 16.5 hours of the required 30 hours of annual training.

• 2022-10-31 · 746.1203(4) · High

  Responsibilities of Caregivers - Supervision of Children

  Corrected at inspection: No. Correction date: 2022-11-17. Correction verified: 2022-12-01.

  Based on information gathered during the course of the investigation, a caregiver left a child unsupervised inside of a classroom.

• 2022-09-22 · 746.603(a)(3) · Medium

  Children's Records - Health Statement

  Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-11-01.

  Six children that required health statements do not have them on file.

• 2022-09-22 · 746.801(1) · Medium

  Required Records Maintained and Made Available - Children's Records

  Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-11-01.

  The operation does not have the following records for review: personnel & training.

• 2022-09-22 · 746.1329(c)(2) · Low

  Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

  Corrected at inspection: No. Correction date: 2022-10-06. Correction verified: 2022-10-21.

  Only 7 caregivers and the director's CPR/First Aid documentation was available during inspection.

• 2022-09-22 · 746.5617(a)(6) · High

  Required Equipment in Vehicles - First-aid Kit

  Corrected at inspection: No. Correction date: 2022-10-06. Correction verified: 2022-10-21.

  The operations two buses have incomplete first aid kits: scissor, thermometer, and antiseptic solution.

• 2022-09-22 · 746.2421(a) · Medium

  Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

  Corrected at inspection: No. Correction date: 2022-10-06. Correction verified: 2022-10-21.

  Six infants in care do not have infant feeding plans.

• 2022-09-22 · 746.3301(b) · Medium High

  Nutrition and Food Service - Follow Meal Patterns

  Corrected at inspection: No. Correction date: 2022-09-22. Correction verified: 2022-10-21.

  The operation has only been servicing one component during AM and PM snack.

• 2022-09-22 · 746.605(12) · High

  Required Admission Information - Emergency Medical Authorization

  Corrected at inspection: No. Correction date: 2022-09-22. Correction verified: 2022-10-21.

  One child's record does not have emergency medical authorization section completed.

• 2022-09-22 · 746.603(a)(6) · Low

  Children's Records - Vision and Hearing Screening

  Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-11-01.

  Four children that require vision and hearing screening do not have results on file at the operation.

• 2022-09-22 · 746.613(a) · High

  Required Immunizations

  Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-11-01.

  One child enrolled at the operation does not have immunization records on file. Four children at the operation immunization records are not current.

• 2022-09-18 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2022-10-17. Correction verified: 2022-11-03.

  A caregiver did not use good judgment when lifting a 19-month-old up off a nap cot by her tricep and placing the child on the floor. The caregiver also, walked passed the same child and touched her head in a matter that resulted in the child falling face-first into a nap cot. The child was not checked on by the caregiver following either incident.

• 2022-09-09 · 746.4913 · Medium

  Required Documentation for Unitary Surfacing Materials

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  The operation does not have required documentation for unitary surfacing materials.

• 2022-09-09 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-09-22.

  The operation's 18-24 month classroom has a hole in the wall.

• 2022-09-09 · 746.2421(a) · Medium

  Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

  Corrected at inspection: No. Correction date: 2022-09-16. Correction verified: 2022-09-22.

  Six infants in care do not have infant feeding plans.

• 2022-09-09 · 746.4135(b) · Medium

  Children's Products- Annual Certification

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  The operations does not have a annual certification for the children's product safety.

• 2022-09-09 · 746.5207(a) · Medium High

  Emergency Evacuation and Relocation Diagram

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  The operation does not have any evacuation or relocation diagrams post or in the emergency preparedness plan.

• 2022-09-09 · 746.3313(2) · Medium

  Daily Menus - May Rotate if Keep Record of Dates Menus Used

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-22.

  The operation has no documentation of menus for the last three months.

• 2022-09-09 · 746.5205(1) · Medium High

  Fire Drill Monthly - Exit in 3 Minutes

  Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-22.

  The operation has not conducted a fire drill since June of 2022.

• 2022-09-09 · 746.401(9) · Medium Low

  Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

  Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-22.

  The operation does not have a list of current employees and was not able to provide CCR with a total staff number during inspection.

• 2022-09-09 · 746.3819 · Medium High

  Food Allergy Emergency Plan Signed by Parents and Health Care Professional

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  One child with a known food allergy does not have a food allergy emergency plan nor medication at the operation for review.

• 2022-09-09 · 746.5617(a)(6) · High

  Required Equipment in Vehicles - First-aid Kit

  Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-22.

  The operations two buses have incomplete first aid kits: no tweezer, scissor, cotton balls, and antiseptic solution. The operation does not have medical emergency information for children being transported.

• 2022-09-09 · 746.3401(a) · Medium High

  Annual Sanitation Inspection

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-22.

  The operation's sanitation inspection expired in April of 2022.

• 2022-09-09 · 746.1329(c)(2) · Low

  Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

  Corrected at inspection: No. Correction date: 2022-09-16. Correction verified: 2022-09-22.

  No CPR/First Aid documentation was available during inspection.

• 2022-09-09 · 746.401(10) · Medium High

  Required Postings-Child's Food Allergies

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  The operation does not have a food allergy list posted. The operation does not have knowledge of what children have food allergies, as audits are being conducted.

• 2022-09-09 · 746.4751(b) · Medium

  Maintenance Procedures for Active Play - Monthly Maintenance Checklist

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-30.

  The operation has not been conducting monthly playground checks and documenting with a checklist.

• 2022-09-09 · 746.801(1) · Medium

  Required Records Maintained and Made Available - Children's Records

  Corrected at inspection: No. Correction date: 2022-09-16. Correction verified: 2022-09-22.

  The operation does not have the following records for review: Children records, personnel & training, and attendance for each employee.

• 2022-09-09 · 746.501(a)(8) · Medium High

  Written Operational Policies - Suspension and Expulsion

  Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-22.

  The operation's operational policies are missing the following sections: Suspension and expulsion, Instructions on how parents can contact local licensing office, and procedures for parents to review most recent inspection.

• 2022-09-09 · 746.1203(4) · High

  Responsibilities of Caregivers - Supervision of Children

  Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-22.

  The infant classroom is divided by a half wall. During the inspection a child was in the back sleep and was not visible to caregivers.

• 2022-02-23 · 746.3415(4) · Medium High

  Employee Handwashing After Diapering a Child

  Corrected at inspection: No. Correction date: 2022-02-23. Correction verified: 2022-03-29.

  A caregiver in the Toddler classroom was observed not changing her gloves and washing her hands in between diaper changing.

• 2022-02-09 · 746.1203(4) · High

  Responsibilities of Caregivers- Supervision of Children

  Corrected at inspection: No. Correction date: 2022-02-09. Correction verified: 2022-02-23.

  The infant classroom is divided by a half wall. During the inspection a child was in the back sleep and was not visible to caregivers.

• 2022-02-09 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: No. Correction date: 2022-02-09. Correction verified: 2022-02-23.

  A caregiver in the Room 10 was observed placing a child down on the floor to play without washing the child's hands after changing the child's diaper.

• 2022-02-08 · 746.4103(b) · Medium High

  Policies for Release of Children - Record Identity of Person

  Corrected at inspection: No. Correction date: 2022-02-22. Correction verified: 2022-02-23.

  Based on information gathered during investigation, the operation did not follow their policies for releasing children. It was determined that a person was not properly identified during evening pick up.

• 2022-02-08 · 746.305(a)(4) · Medium High

  Report Outbreak of Communicable Illness

  Corrected at inspection: No. Correction date: 2022-02-22. Correction verified: 2022-02-23.

  During the course of the investigation it was determined that the operation has not reported any COVID-19 positive cases to Child Care Regulations.