2025-12-05 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
This investigation found that a child was served their identified food allergy.
Correction date recorded: 2025-12-19
Licensed Center
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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 September 9, 2026.
The same records list 9 cited deficiencies dated April 5, 2024 to December 5, 2025 (HHSC risk levels: 5 High, 3 Medium High, 1 Low).
Correction status recorded by HHSC: 0 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 9 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 9 cited deficiencies for Stepping Stone School XXI in the 3 years before October 10, 2026 (5 High, 3 Medium High, 1 Low).
Records list 17 inspections in this window. Most recent inspection: 2026-09-09.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 3 |
| Medium | 0 |
| Medium Low | 0 |
| Low | 1 |
| 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.
2025-12-05 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
This investigation found that a child was served their identified food allergy.
Correction date recorded: 2025-12-19
2025-03-14 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
This investigation has found that the operation has been out of ratio for infant's multiple times during early morning drop off.
Correction date recorded: 2025-04-10
2025-03-14 · 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
This investigation found that there has been issues with supervision at the operation.
Correction date recorded: 2025-04-10
2025-12-05 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2025-12-19. Correction verified: 2025-12-29.
This investigation found that a child was served their identified food allergy.
2025-03-14 · 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: 2025-04-10. Correction verified: 2025-04-21.
This investigation found that there has been issues with supervision at the operation.
2025-03-14 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-21.
This investigation has found that the operation has been out of ratio for infant's multiple times during early morning drop off.
2025-01-24 · 746.705 · Low
Incident/Illness Report Form Signed
Corrected at inspection: No. Correction date: 2025-02-18. Correction verified: 2025-02-28.
The incident report for the injury was not signed within 48 hours, the incident happened on a Friday and the report was signed the following Tuesday.
2024-08-06 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-08-14. Correction verified: 2024-08-28.
This investigation found that the operation did not notify the parents immediately following the incident.
2024-08-06 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-08-14. Correction verified: 2024-08-28.
This investigation found that a caregiver was yelling at a child.
2024-08-06 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-08-14. Correction verified: 2024-08-28.
This investigation found that a caregiver had put her hands on a child causing them to hit their head into a wall.
2024-05-22 · 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: 2024-06-18. Correction verified: 2024-06-27.
The investigation found that the operation has had supervision issues.
2024-04-05 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-06.
The investigation found that the operation has been out of ratio on more than one occasion.
2023-01-12 · 746.2431(2) · Medium High
Infant Daily Report - Times and Amount of Food
Corrected at inspection: No. Correction date: 2023-02-15. Correction verified: 2023-02-13.
It was found through investigation that the operation did not correctly report the amount of food eaten by an infant on the daily report given to the parents
2022-12-30 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2023-01-25. Correction verified: 2023-02-13.
It was found an infant was fed a bottle that was not theirs.
2022-12-30 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2023-01-25. Correction verified: 2023-02-13.
It was found that an infant was allowed to sleep with a bottle.
2022-09-15 · 746.2409(a)(8) · High
Safety Requirements for Cribs - Drop gates, if present fasten securely and cannot be opened by a child
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
A child was placed in a crib that did not have a safely secured drop down gate, causing the child to fall out.
2022-09-15 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
The caregivers did not demonstrate good judgment when the caregiver's wrote an incident reported that stated that a child was walking and fell on a toy. The investigation showed the child was placed in a crib and fell out. The incident report did not match the incident that occurred.
2022-09-15 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
It was found through an investigation that parents were not informed of the actual injury their child sustained in care.
2022-09-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
7 of the 9 infant feeding instructions reviewed were more than 30 days old or did not include a date.
2022-09-15 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
During an inspection it was found that an infant classroom had 11 children in one classroom with two caregivers. This was corrected at the inspection when the infant was moved to another room putting the classroom into compliance.
2022-09-08 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-14.
The operation is found to have a class of 18?23-month-old children over ratio.
2022-06-23 · 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: 2022-06-23. Correction verified: 2022-06-30.
During inspection a nine month infant was observed to be sleeping in a crib with a blanket. This was corrected when the director removed the blanket.
2022-05-25 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-05-25. Correction verified: 2022-06-08.
During the inspection a school age child was observed wandering around the operation alone. The child was looking for a caregiver unsupervised until a caregiver came and got the child.
2022-05-25 · 746.1013(a) · Medium High
Director's Absence - Qualified Caregiver in Charge
Corrected at inspection: No. Correction date: 2022-05-25. Correction verified: 2022-06-08.
The director did not designate a caregiver in charge in her absence.
2022-05-16 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-05-25. Correction verified: 2022-06-08.
During the inspection caregivers were observed walking out of classrooms for up to three minutes leaving the classrooms out of ratio.
2022-02-18 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-03-04.
During inspection, in the Publisher classroom, there were 15 2yo-3yo children outside on the playground with both caregivers. There were two children observed walking away from the group and stood by the playground entry door. One child was observed climbing the window seal and running inside. The caregivers were unaware the two children left the group. The assistant director informed one of the caregivers to retrieve the children.
2021-12-07 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2021-12-07. Correction verified: 2021-12-21.
It was found during the inspection that a caregiver said they had 13 children in the classroom and there were 17.
2021-11-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2021-11-24. Correction verified: 2021-12-14.
During a walk through of the operation, it was observed that a caregiver left the classroom to assist a parent in the lobby. Leaving that classroom out of ratio.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1279134
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.