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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 May 5, 2026.
The same records list 36 cited deficiencies dated December 8, 2023 to May 5, 2026 (HHSC risk levels: 10 High, 12 Medium High, 13 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 36 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 36 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 36 cited deficiencies for Kids R Kids #60 in the 3 years before October 10, 2026 (10 High, 12 Medium High, 13 Medium, 1 Medium Low).
Records list 17 inspections in this window. Most recent inspection: 2026-05-05.
| Risk weight | Citations |
|---|---|
| High | 10 |
| Medium High | 12 |
| Medium | 13 |
| 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.
2026-05-05 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One of the designated drivers for the operation did not have their current 2 clock hours of annual transportation safety training. The staff member's most recent transportation safety training on file was dated 01/13/2025.
Correction date recorded: 2026-05-11
2026-05-05 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The loose-fill surfacing material on the playground for toddlers was not at the required depth of six inches based on the highest designated play surface or five feet or less.
Correction date recorded: 2026-05-11
2025-07-07 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
During investigation inspection, director could not provide infant feeding instruction sheets for one infant.
Correction date recorded: 2025-08-12
2026-05-05 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2026-05-11. Correction verified: 2026-05-11.
The loose-fill surfacing material on the playground for toddlers was not at the required depth of six inches based on the highest designated play surface or five feet or less.
2026-05-05 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2026-05-11. Correction verified: 2026-05-11.
One of the designated drivers for the operation did not have their current 2 clock hours of annual transportation safety training. The staff member's most recent transportation safety training on file was dated 01/13/2025.
2025-07-07 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-09-05.
During investigation inspection, director could not provide infant feeding instruction sheets for one infant.
2025-06-20 · 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: 2025-07-14. Correction verified: 2025-07-18.
An unsupervised child in care was able to exit the operation.
2025-05-21 · 746.3805(c)(4) · Medium High
Medication Records - Name of Employee Who Administered
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
Medication log did not have staff who administered medications full name.
2025-05-21 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
Two children's medication expired October 2024 and March 2025.
2025-05-21 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: No. Correction date: 2025-05-22. Correction verified: 2025-05-23.
Fire extinguishers were not checked for the month of April 2024.
2025-05-21 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-05-23.
One child did not have immunizations on file.
2025-05-21 · 746.605(10) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-05-23.
One child did not have physician or hospital information documented on admission form.
2025-05-21 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-05-23.
One child did not have current immunization on file.
2025-05-21 · 746.2419(1) · Medium High
Requirements for Feeding Infants-Hold through 6-months
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
Caregiver was observed feeding two infants bottles while in bouncers.
2025-05-21 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-05-22. Correction verified: 2025-05-23.
Fire Drill for the month of April 2025 was not conducted.
2025-05-21 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
During inspection, one of the playgrounds observed had a loose screw for barrier that keeps loose fill on play structure.
2025-05-21 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
During inspection, one caregiver was observed not talking to the children in a positive way during lunch.
2025-05-21 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2025-06-04. Correction verified: 2025-06-05.
Four medications reviewed were not in original container.
2025-04-23 · 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: 2025-05-22. Correction verified: 2025-05-21.
Based on video footage received caregiver was unaware a child was left in the classroom closet for 3 to 4 minutes.
2025-04-17 · 745.621(a)(3) · High
AP Initial background checks submitted - At the time you contract with someone who requires a background check
Corrected at inspection: No. Correction date: 2025-04-17. Correction verified: 2025-04-29.
Two people who are contracted to provide extra curricular activities for students were present supervising children outside on a see-through bus without background checks.
2025-04-07 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2025-06-02. Correction verified: 2025-06-05.
Based on information gathered during investigation and from inspection conducted staff was observed rejecting and yelling at the children in their care.
2025-02-11 · 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: 2025-03-19. Correction verified: 2025-04-07.
Based on information provided visual supervision was not maintained for children who were behaving inappropriately.
2025-02-05 · 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: 2025-04-11. Correction verified: 2025-04-07.
Based on video footage received, four children were left unattended while caregiver was in the restroom with another child.
2025-02-05 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2025-04-11. Correction verified: 2025-04-10.
Based on documents received, incident report was not signed by parent.
2024-09-18 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-09-23.
During inspection, children with birth dates 4/30/2022, 11/9/2020, 2/6/2023, and 6/22/2020 did not have current immunization record on file.
2024-09-18 · 746.501(a)(18)(G) · Medium
Written Operational Policies - Plan for extreme weather conditions
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not explain how operation plans to continue outdoor physical activity when extreme weather conditions occur.
2024-09-18 · 746.501(a)(18)(B) · Medium
Written Operational Policies - Duration
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies were missing how long the child should be outside during outdoor play.
2024-09-18 · 746.501(a)(23) · Medium
Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not have procedures on how parents can access minimum standards online. Operational Policies had DFPS website but did not have HHSC website in policies.
2024-09-18 · 746.501(a)(18)(A) · Medium
Written Operational Policies - Benefits
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies were missing the benefits of outdoor play.
2024-09-18 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not state how operation will support inclusive services to children in their care.
2024-09-18 · 746.501(a)(18)(D) · Medium
Written Operational Policies - Setting
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not state in which setting physical activity will be held.
2024-09-18 · 746.501(a)(18)(C) · Medium
Written Operational Policies - Type of Physical Activity
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies were missing the type of outdoor physical activity the children will engage in.
2024-09-18 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not have Parents Rights listed.
2024-09-18 · 746.501(a)(22) · Medium Low
Written Operational Policies - Procedures for Parent Participation
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not provide procedures for parents to participate in the operations activities during school hours.
2024-09-18 · 746.501(a)(18)(F) · Medium
Written Operational Policies - Criteria for Extreme Weather
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-07.
During inspection, Operational Policies did not state how the operation defines extreme weather for when children can and cannot go outside.
2024-06-18 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2024-08-19. Correction verified: 2024-08-15.
Based on CPR training card provided. One out of the two reviewed conducted CPR training online.
2023-12-08 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-02-26. Correction verified: 2024-03-04.
This standard was found deficient as part of a DFPS Investigation. Based on the evidence obtained during the DFPS investigation, there is sufficient evidence to support the allegation of neglectful supervision by a caregiver causing a child to receive an injury that required medical attention.
2023-12-08 · 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: 2024-02-26. Correction verified: 2024-03-04.
Based on the evidence obtained during the DFPS investigation there is sufficient evidence to prove that although the caregiver was in close proximity of the children, the caregiver did not intervene to remove the children from standing on the table, which resulted in a child pushing another child off of the table.
2023-12-08 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-02-26. Correction verified: 2024-03-04.
Based on the evidence obtained during the DFPS investigation, there is sufficient evidence to support that the caregiver was not using good judgement by allowing children to climb on the tables.
2023-06-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-07-11. Correction verified: 2023-07-31.
Based on video footage, infants were not being removed from play equipment properly.
2023-06-01 · 746.2417(3) · Medium High
Activities for Infants - Physical Activity including Supervised Tummy Time and Safe, Clean, Uncluttered Area
Corrected at inspection: No. Correction date: 2023-07-11. Correction verified: 2023-07-31.
Based on video footage, activities such as tummy time was not observed.
2023-03-08 · 745.651(2)(A) · Medium
Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
Corrected at inspection: Yes. Correction date: 2023-03-15. Correction verified: Not recorded.
Validation of employee list was conducted on 12/14/2022. Noted: Director validated people list during inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1250504
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.