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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 18 cited deficiencies dated November 27, 2023 to November 19, 2025 (2 High, 8 Medium High, 7 Medium, 1 Medium Low risk). Correction status: 1 corrected at inspection, 17 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 18 cited deficiencies for A to Z Preschool/Daycare Center in the 3 years before October 10, 2026 (2 High, 8 Medium High, 7 Medium, 1 Medium Low).
Records list 4 inspections in this window. Most recent inspection: 2025-11-19.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 8 |
| Medium | 7 |
| 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.
2025-11-19 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Director and employees were missing the following annual trainings:Director did not have the certificates for Health and Safety audit trainings as follows: Director and 7 caregivers missing a) (1)Emergency preparedness b) (2)Preventing and controlling the spread of communicable…
Correction date recorded: 2025-12-03
2025-01-28 · 746.303(b) · Medium Low
Report Number of Employees
Operation has not reported their staffing changes for the year 2024 by the due date of 1/15/2025. NOTE: Director provided proof of compliance same day.
Correction date recorded: 2025-01-30
2024-12-12 · 746.901 · Medium
Required Personnel Records
Regarding employee records, 2 employees did not have translated education requirements and have yet to be submitted.
Correction date recorded: 2024-12-27
2025-11-19 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-12-03. Correction verified: 2025-11-25.
Director and employees were missing the following annual trainings:Director did not have the certificates for Health and Safety audit trainings as follows: Director and 7 caregivers missing a) (1)Emergency preparedness b) (2)Preventing and controlling the spread of communicable diseases, including immunizations c) (3)Administering medication, if applicable, including compliance with ?746.3803 of this chapter (4)Preventing and responding to emergencies due to food or an allergic reaction (5)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic (6)Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?)
2025-01-28 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-30. Correction verified: 2025-01-28.
Operation has not reported their staffing changes for the year 2024 by the due date of 1/15/2025. NOTE: Director provided proof of compliance same day.
2024-12-12 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-12-27. Correction verified: 2024-12-24.
Regarding employee records, 2 employees did not have translated education requirements and have yet to be submitted.
2024-11-20 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-04.
The underliner for the loose fill in the outdoor play area is sticking out near some of the play structure, creating a tripping hazard.
2024-11-20 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-04.
Fire Marshal inspection report was not current. Last available Inspection was 6/6/2023.
2024-11-20 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-12.
Regarding employee records, 6 Employees were reviewed. The following items were missing: 6 employees were missing a notarized affidavit of employment form2985, 6 employees were missing the pre-employment affidavit, 5 employees were missing their background eligibility, 2 employees have no copy of IDs, 2 employee did not have translated education requirements.
2023-11-27 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-08.
3 out of 4 children's files did not contain a completed health statement as they were not signed by parents and the health care professionals name and address were missing. It has been over 12 months for 2 out of 3 children's files evaluated and a signed health statement from a health care professional is needed.
2023-11-27 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-06.
Children could not be seen upon entering the infant room due to inadequate lighting duirng naptime.
2023-11-27 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-09.
2 out of 4 staff files evaluated did not contain proof of education documentation.
2023-11-27 · 745.635(2) · High
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
Corrected at inspection: No. Correction date: 2023-11-27. Correction verified: 2023-11-28.
A caregiver was observed alone with children in the infant room during the inspection and has an ineligible background check status.
2023-11-27 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-11-28.
A caregiver was observed during the inspection who was counted in ratio. The caregiver has not completed the full 24 hours of pre-service training. An additional 16 hours is needed.
2023-11-27 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2023-11-27. Correction verified: Not recorded.
Bottles were stored on the hand washing sink in the infant room. Note: The provider removed the bottles during the inspection.
2023-11-27 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-06.
The nap mat list is not updated in the Pre-K classroom. Children were observed sleeping on the incorrect nap mats labeled with a different cild's name.
2023-11-27 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-11-28.
1 out of 4 caregivers files evaluated did not contain Pediatric CPR training.
2023-11-27 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-08.
The operation has not been conducting monthly maintenance checklists.
2023-11-27 · 746.801(12) · Medium
Required Records Maintained and Made Available - Sanitation Inspection Report
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-06.
Documentation of the annual sanitation inspection report was not available for review upon request.
2023-11-27 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-08.
18 out of 21 children present during the inspection were signed in. 3 children had not been signed in for the day.
2023-11-27 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-08.
The ceiling in the boys restroom contains a leak and is beginning to cave in posing a risk to children. The door to the infant room is missing screws and cannot be opened properly.
2022-11-29 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2022-12-27.
Records were evaluated for six children enrolled and the following was determined: Five children needed a special needs statement. Five children needed emergency contact information such as name, address, and phone number. Five children needed a health statement. Three children needed immunization records. One child needed emergency care information such as physician name, address, and phone number. One child needed school information such as name and phone number of school.
2022-11-29 · 746.1301(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2022-12-26.
Six caregivers need Pediatric CPR training.
2022-11-29 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2022-12-08.
The operation is in need of an annual fire inspection.
2022-11-29 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2022-12-07.
The emergency preparedness plan did not include procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency.
2022-03-01 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-11.
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 eft employment in 2021 by February 22, 2022, as required.
2021-12-01 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2021-12-15. Correction verified: 2021-12-06.
Operation did not have the most recent fire inspection report available upon request.
2021-12-01 · 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: 2021-12-15. Correction verified: 2021-12-06.
Operation did not provide proof of insurance at the time of inspection.
2021-12-01 · 746.3427 · Medium High
Pest Extermination
Corrected at inspection: No. Correction date: 2021-12-15. Correction verified: 2021-12-13.
Operation had numerous mosquitoes in the building and in classrooms with children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1279650
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.