2025-10-14 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Diploma was missing on file for one out of four staff files checked.
Correction date recorded: 2025-10-24
Licensed Center
View the official HHSC recordOfficial HHSC provider profile
Report an issue with this page · Corrections and removal process
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 35 cited deficiencies dated December 5, 2023 to October 14, 2025 (12 High, 10 Medium High, 7 Medium, 6 Medium Low risk). Correction status: 5 corrected at inspection, 30 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 35 cited deficiencies for Little Thinkers of West Oaks, LLC in the 3 years before October 10, 2026 (12 High, 10 Medium High, 7 Medium, 6 Medium Low).
Records list 13 inspections in this window. Most recent inspection: 2026-10-05.
| Risk weight | Citations |
|---|---|
| High | 12 |
| Medium High | 10 |
| Medium | 7 |
| Medium Low | 6 |
| 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.
2025-10-14 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Diploma was missing on file for one out of four staff files checked.
Correction date recorded: 2025-10-24
2025-10-14 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
First aid and CPR training was missing on file for one staff. This was corrected during inspection.
Corrected at inspection
2025-10-14 · 746.603(a)(3) · Medium
Children's Records - Health Statement
There was no health statement on file for one out of three files check.
Correction date recorded: 2025-10-17
2025-10-14 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: Yes. Correction date: 2025-10-14. Correction verified: Not recorded.
Date of admission was missing on one one file out of four files checked. This was corrected during inspection.
2025-10-14 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-10-17. Correction verified: 2025-10-22.
There was no health statement on file for one out of three files check.
2025-10-14 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: Yes. Correction date: 2025-10-14. Correction verified: Not recorded.
First aid and CPR training was missing on file for one staff. This was corrected during inspection.
2025-10-14 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-10-23.
Diploma was missing on file for one out of four staff files checked.
2025-02-18 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-02-27.
The operation has not received their annual fire inspection. Last dated inspection was 12/26/2023.
2025-02-13 · 746.2207(c)(1) · Medium
Screen Time Activities - Related to Planned Activities
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
A group of children was observed to be watching Paw Patrol on tv. The show was not related to an activity.
2025-02-13 · 746.2409(a)(2) · Medium High
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
Crinbs in the infant room were not observed to have snug fitted sheets.
2025-02-13 · 746.3505(a) · Medium High
Diapering Procedures - Caregiver's Hands Washed
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
A caregiver was observed changing 2 diapers. The caregiver wore a glove one one hand. The caregiver did not remove the glove after either diaper change and did not wash their hands in between the diaper changes.
2025-02-13 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
An 11 month old infant was observed to be sleep in a ctib with a pacificer clipped to them. A 12 month old was observed to be sleeping with a stuffed animal.
2025-02-13 · 746.3505(b) · Medium High
Diapering Procedures - Wash Infant's Hands
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
A caregiver did not wash the hands of two infants after a diaper change.
2025-02-13 · 746.2207(c)(4) · Medium
Screen Time Activities - Not Used During Eating or Rest Times
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
A group of 2yrs old was observed to be watching Frozen during nap time.
2025-02-13 · 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: 2025-02-13. Correction verified: 2025-02-18.
A 7yr old child was observed to be unservised in a kitchen/cafeteria area. The child was observed climbing on a sink to plug something into an outlet located behind the refrigerator.
2025-02-13 · 746.2505(4)(C) · Medium
Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
A 2yr old was observed to be sleeping with a training cup.
2025-02-13 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-03-20. Correction verified: 2025-02-18.
The operation has not received their annual fire inspection. Last dated inspection was 12/26/2023.
2025-02-13 · 746.5209(c) · High
No Blocked or Locked Doors as Exits
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
Multiple shelves were observed to be used to create a separate area for your youngest infants. The shelves blocked to only path to the door.
2025-02-13 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-02-13. Correction verified: 2025-02-18.
6 infants between 8mo-11mo were observed with 1 caregiver. The caregiver was over ratio by 2.
2025-02-13 · 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: 2025-02-13. Correction verified: 2025-02-18.
Upon arrival, an 11 month old was observed to be sleep with several toys in the cdrib. NOTE: The child was asleep for the duration of the inspection. The toys were observed in the crib for 15 mintues before being removed by the caregiver.
2025-02-02 · 746.2805(8) · High
Prohibited Punishments - Restrictive device for time out
Corrected at inspection: No. Correction date: 2025-02-25. Correction verified: 2025-03-06.
Based on DFPS investigation there is enough evidence to validate that a six-year-old child was placed in a highchair as a form of discipline.
2025-02-02 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2025-03-17. Correction verified: 2025-03-31.
Based on DFPS investigation there is enough evidence to validate that a caregiver humiliated a child when a six-year-old child was not treated with respect due to being placed in a highchair for discipline.
2025-02-02 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-03-17. Correction verified: 2025-03-31.
Based on DFPS investigation there is enough evidence to validate that a caregiver did not intervene to keep one child from hitting another child.
2025-01-23 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-30. Correction verified: 2025-02-18.
All Licensed childcare centers must annually report to CCR the number of employees who left employment the previous year by January 15. The deadline for entering the number of employees who left employment in 2023 is 1/15/2024. If you have not already you must log in to your childcare regulation account and report the number of employee that left your employment in 2023
2024-11-27 · 746.3001(1) · Medium High
Field Trips - Signed Permission
Corrected at inspection: No. Correction date: 2025-02-21. Correction verified: 2025-02-18.
Based on the investigation conducted by DFPS and the follow up conducted by Licensing representative nothing was posted to notify parent of the field trip to director's home and the operation did not receive any signed permission from parents who went on this field trip.
2024-11-27 · 746.3003 · Medium High
Field Trips - Notification to Parents
Corrected at inspection: No. Correction date: 2025-02-21. Correction verified: 2025-02-18.
Notification of field trip was not posted in a prominent place were parents and others may view it. This notice must remain posted until all children on the field trip have returned to the daycare.
2024-11-12 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-18.
Proof of education was missing on file for one out of four staff files checked.
2024-11-12 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-18.
There was no Emergency medical authorization on file for one out of four files checked.
2024-11-12 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-18.
Notarized affidavit was missing on file for two out of four files checked.
2024-11-12 · 746.901(1) · Medium Low
Required Personnel Records - Dates of Employment
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-18.
Date of employment was missing on file for one out of four staff files checked.
2023-12-05 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: Yes. Correction date: 2023-12-05. Correction verified: Not recorded.
Date of admission was missing on one out of five files checked. This was corrected during inspection.
2023-12-05 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-12-12. Correction verified: 2023-12-11.
A copy of immunization for one child was not on record.
2023-12-05 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2023-12-05. Correction verified: Not recorded.
Three children seated at the highchair table did not have their safety straps on. This was corrected when director replaced all the safety straps for proper use and convinience.
2023-12-05 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-12-05. Correction verified: Not recorded.
One child did not wash his hands after toileting. This was corrected when caregiver washed his hands.
2023-12-05 · 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: 2023-12-08. Correction verified: 2023-12-06.
Director was missing first aid and Cpr training. She said she has it but could not find at the moment.
2023-12-05 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-12-06.
Three out of four staff files checked did not have any notarized affidavit. Two were corrected during inspection.
2023-12-05 · 746.605(7) · High
Required Admission Information - Release Information
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-12-06.
Release information was missing on one out of five files checked.
2023-12-05 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-12-06.
Emergency medical authorization information was missing on file for one out of five files checked.
2022-12-13 · 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: 2022-12-23. Correction verified: 2023-01-04.
First and CPR training was missing on file for one out of four staff files checked.
2022-12-13 · 746.901(8) · Medium
Required Personnel Records- Photo Identification
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-21.
One caregiver was missing photo identification on file.
2022-12-13 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-15.
Four infant feeding sheet were not up dated.
2022-12-13 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-19.
Immunization record was missing on file for one out of six records checked.
2022-12-13 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-15.
I did not observe any transportation training for the director of this operation.
2022-12-13 · 746.605(11) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-16.
Physician information and Emergency medical authorization information was missing on file for one out of six records checked.
2022-12-13 · 746.1301(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-15.
There is no acknowledgement that one caregiver received orientation or preservice training.
2022-12-13 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-12-16. Correction verified: 2022-12-16.
There was no documentation of monthly fire drill for the month of November, the last fire drill documented was in October and we are now in December.
2022-12-13 · 746.203(1) · Medium
Liability Insurance Requirements - Have Coverage of at Least $300,000 For Each Occurrence of Negligence
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-16.
I did not observe any current liability insurance.
2022-12-13 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-19.
I did not observe any current annual sanitation inspection. The one on file had expired since 8/13/2022.
2022-12-13 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-16.
Health statement was missing on file for one out of six records checked.
2022-12-13 · 746.901(6)(B) · Medium Low
Required Personnel Records-signed dated statement that employee received child care center's personnel policies
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2022-12-23.
One caregiver did not have the acknowledgement that she received any center policies on file.
2022-12-13 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-12-30. Correction verified: 2022-12-15.
One caregiver had two out of twenty four hours of annually training. This caregiver was hired 6/28/2021. Another caregiver hired 3/1/21 also did not have any training hours for the period of 3/1/2021 to 3/1/2022.
2022-01-14 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: Yes. Correction date: 2022-01-14. Correction verified: Not recorded.
One of the classrooms was not observed to have adequate lighting during naptime. The number of children present could not be seen. NOTE: Corrected at inspection. A light in the hallway was turned on to provide more lighting in the classroom.
2021-12-21 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2021-12-29. Correction verified: 2022-01-14.
Based on the information obtained during the investigation, there is sufficient evidence to support the allegation of a child being dragged by the arm by a caregiver.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1259669
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.