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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 20 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated May 7, 2026.
The same records list 6 cited deficiencies dated May 8, 2024 to May 7, 2026 (HHSC risk levels: 2 High, 3 Medium High, 1 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 6 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 6 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 6 cited deficiencies for Betty's Day Care LLC in the 3 years before October 10, 2026 (2 High, 3 Medium High, 1 Medium).
Records list 20 inspections in this window. Most recent inspection: 2026-05-07.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 3 |
| Medium | 1 |
| Medium Low | 0 |
| 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.
2026-05-07 · 746.1311(c) · Medium
Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment
Training for the following topics regarding annual training on child maltreatment was not observed for director: (1)Factors indicating a child is at risk for abuse or neglect (2)Warning signs indicating a child may be a victim of abuse or neglect (3)Procedures for reporting…
Correction date recorded: 2026-05-11
2025-06-19 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Walls in the kitchen were observed with yellow residue. Doors leading to the classrooms and walls were observed discolored. Fans and walls were observed with dust and debris.
Correction date recorded: 2025-06-26
2025-04-03 · 746.613(a) · High
Required Immunizations
2 out of 4 children's files were observed missing up to date immunizations.
Correction date recorded: 2025-04-18
2026-05-07 · 746.1311(c) · Medium
Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment
Corrected at inspection: No. Correction date: 2026-05-11. Correction verified: 2026-05-11.
Training for the following topics regarding annual training on child maltreatment was not observed for director: (1)Factors indicating a child is at risk for abuse or neglect (2)Warning signs indicating a child may be a victim of abuse or neglect (3)Procedures for reporting child abuse or neglect (4)Community organizations that have training programs available to employees, children, and parents. Transportation training for director was also observed expired.
2025-06-19 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-06-26. Correction verified: 2025-07-08.
Walls in the kitchen were observed with yellow residue. Doors leading to the classrooms and walls were observed discolored. Fans and walls were observed with dust and debris.
2025-04-03 · 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: 2025-04-30. Correction verified: 2025-05-02.
Outdoor play structure with a platform of 5ft was observed with less then 1/2 an inch of surfacing.
2025-04-03 · 746.4601(2) · Medium High
Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-04-14.
Outdoor play structure was observed altered and only intended for residential use.
2025-04-03 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-04-03.
2 out of 4 children's files were observed missing up to date immunizations.
2024-05-08 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-05-22. Correction verified: 2024-05-09.
Updated annual fire inspection was not avialble, Last inspection dated 5/4/23.
2023-09-29 · 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: 2023-09-29. Correction verified: 2023-10-13.
Infant observed in play yard with blanket around infant. CORRECTED when blanket was removed from infant.
2023-09-29 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-13.
Two individuals with pending background checks were in operation in contact with children.
2023-04-20 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2023-04-20. Correction verified: 2023-05-10.
Observed 10 children in care of 1 caregiver with 6 children being 18-4yrs.
2023-02-02 · 746.1505(1) · Medium
Placement of Groups - Groups Kept Separate
Corrected at inspection: No. Correction date: 2023-02-02. Correction verified: 2023-02-14.
Oberseved infant and toddler area with a removable wall mount division open and accesiible to acces between age groups. Children and caregivers observed to be walking back and forth through open space of room.
2022-12-16 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-12-19. Correction verified: 2022-12-27.
One employee records observed to be missing 20 annual training hours.
2022-12-01 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-12-01. Correction verified: 2022-12-16.
One Infant observed unsupervised on highchiar in multipurpose room while caregiver assisted that other children in restrooms to wash hands.
2022-12-01 · 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: 2022-12-15. Correction verified: 2022-12-16.
Loose fill surfacing observed for slide, surfacing was less than the 6 inches required. When digging into the surfacing observed how the rocks have compressed and compacted making it a harder solid surface in the bottom.
2022-12-01 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-12-15. Correction verified: 2022-12-16.
One employee records observed to be missing 20 annual training hours.
2022-12-01 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2022-12-01. Correction verified: 2022-12-16.
Paint cans and cleaning products observed in cabinets accessible to children, 3 different cabinets did not have a secured lock in the.
2022-11-22 · 746.2909(5) · High
Arrangement of Napping Equipment -All Children Supervised
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-12-01.
One caregiver supervising three different rooms for nap time. One room had 2 infants, second room had 5 children and third room toward back of building has 4 children.
2022-11-22 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-12-01.
Lights during nap time were off in classrooms. eyes needed adjusting when entering a lighted area into the dimmed light classroom.
2022-11-22 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-12-01.
One caregiver observed supervising 11 children. . 12mo,15mo,2y,2y,2y,4y,4y,6y,10y,10y,11y. Operation was out of ratios based on number of children supervised for one caregiver when 12 or fewer children are in care.
2022-09-29 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-11-29. Correction verified: 2022-12-01.
Based on the information gathered during the investigation caregiver did not exercise self-control as a child was disciplined in front of the whole class humiliating the child.
2022-09-29 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2022-11-08. Correction verified: 2022-11-22.
Based on the information gathered during the investigation it was determined caregiver poured a bottled water down a child back as a form of punishment.
2022-08-02 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: Yes. Correction date: 2022-08-02. Correction verified: Not recorded.
School age room observed durring naptime. room was dark with no lights and windows covered. CORRECTED at inspection when a curtian was opened to let some natural light in and when the restroom light was turned on with the door open.
2022-08-02 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: Yes. Correction date: 2022-08-02. Correction verified: Not recorded.
5 children observed in classroom unsupervised during nap time. CORRECTED when teacher entered classroom and was walking actively supervising.
2022-08-02 · 746.1613(a)(6) · Medium High
Naptime Child/Caregiver Ratio - Caregivers Physically Present
Corrected at inspection: No. Correction date: 2022-08-02. Correction verified: 2022-08-16.
A total of 21 children were counted in nap time ratio, but divided into two separate classroom areas with 2 caregivers for naptime. One classroom was left unsupervised by caregiver. CORRECTED at inspection when caregiver was actively supervising the clasroom.
2022-08-02 · 746.623(1)(A) · Medium Low
Immunizations-Immunization record must include the child's name and birth date
Corrected at inspection: No. Correction date: 2022-08-02. Correction verified: 2022-08-16.
One child records reviewed missing immunization record in file.
2022-05-13 · 746.2411(2)(I) · Medium High
Safety Requirements for Play Yards - Label for Each Infant
Corrected at inspection: No. Correction date: 2022-05-13. Correction verified: 2022-05-26.
Infant area observed, Play yard were not labeled with children names.
2022-05-13 · 746.607 · Low
Signed Admission Form
Corrected at inspection: No. Correction date: 2022-05-16. Correction verified: 2022-05-26.
Record evaluated, a parent or guardian signature was missing in admission form. Admission date of 1/10/2022.
2022-04-11 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2022-04-15. Correction verified: 2022-04-21.
Director missing hours for Preventing and controlling the spread of communicable diseases, including immunizations.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?).
2022-04-11 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: Yes. Correction date: 2022-04-11. Correction verified: Not recorded.
One caregiver was carring for 13 children in total 4 of those children were under 17 months of age. CORRECTED at inspection when two other caregivers came into operation to work.
2022-04-11 · 746.605(1) · Medium High
Required Admission Information - Name and Birthdate
Corrected at inspection: No. Correction date: 2022-04-12. Correction verified: 2022-04-14.
One child record was not avialble for review,
2022-04-11 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2022-04-22. Correction verified: 2022-04-28.
Record evaulauted no Highschool diploma or GED in file.
2022-03-21 · 746.901(1) · Medium Low
Required Personnel Records - Dates of Employment
Corrected at inspection: No. Correction date: 2022-03-21. Correction verified: 2022-03-23.
One of the three files reviewed did not have an employee start date.
2022-03-21 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2022-03-28. Correction verified: 2022-03-24.
Loose Fill surfacing observed for play structure that measured 4Ft of height for highest play surface on the structure. Surfacing measures 1inch in depth.
2022-03-21 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: No. Correction date: 2022-03-22. Correction verified: 2022-03-23.
One of the three files observed was missing child's admission date.
2022-03-21 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-03-22. Correction verified: 2022-03-23.
Updated feeding instructions were not available for review.
2022-03-21 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2022-03-21. Correction verified: Not recorded.
Caregiver observed during diaper change, child's hand were not washed after change. CORRECTED at inspection when instructed caregiver regarding the diapering changing instruction that are available for review on wall and caregiver took child to sink to have their hands washed.
2021-11-30 · 746.4701(c) · Medium High
Requirements for Swings - Not Attached to a Composite Structure
Corrected at inspection: No. Correction date: 2021-12-01. Correction verified: 2021-12-07.
Composite play structure observed with slides and swings
2021-11-30 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2021-12-14. Correction verified: 2021-12-17.
Playground Structure observed, structure higher that five feet did not have requiered depth of loose fill surfacing, depth was less than 2 inches.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1282874
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.