AlphaBEST @ Cox -Northwest

Licensed Center

Provider details

City / County / ZIP: Roanoke / Denton / 76262
Street address: 1100 Litsey Rd
Phone: (979) 571-1665
Capacity: 120
Ages served: Pre-Kindergarten, School
Hours / Days: 02:30 PM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: February 14, 2018
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

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.

Summary of state inspection records

Texas HHSC records list 8 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated March 6, 2026.

The same records list 17 cited deficiencies dated October 11, 2023 to March 6, 2026 (HHSC risk levels: 6 High, 9 Medium High, 2 Medium).

Correction status recorded by HHSC: 0 corrected at inspection, 17 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 17 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

Summary of the record

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 17 cited deficiencies for AlphaBEST @ Cox -Northwest in the 3 years before October 10, 2026 (6 High, 9 Medium High, 2 Medium).

Records list 8 inspections in this window. Most recent inspection: 2026-03-06.

HHSC risk weights of citations
Risk weight	Citations
High	6
Medium High	9
Medium	2
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.

Recent citations in the summary window

2026-03-06 · 744.1315(b) · Medium High

Each caregiver, operation director, program director, and site director Pediatric CPR

One caregiver has not taken a CPR training course and it's past the 90 days.

Correction date recorded: 2026-03-20

2026-02-03 · 744.1315(b)(1) · Medium High

CPR Training and Recertification Adhere to Guidelines

The caregiver in charge of the group CPR is online only.

Correction date recorded: 2026-02-25

2026-02-03 · 744.707 · Medium High

Incident/Illness Report Form Shared with Parent

Correction date recorded: 2026-02-25

Full citation history from HHSC (22)

2026-03-06 · 744.1315(b) · Medium High
Each caregiver, operation director, program director, and site director Pediatric CPR
Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-20.
One caregiver has not taken a CPR training course and it's past the 90 days.
2026-02-03 · 744.707 · Medium High
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-03.
No narrative recorded.
2026-02-03 · 744.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-26.
The caregiver in charge of the group CPR is online only.
2026-01-13 · 744.1205(a)(1) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2026-02-05. Correction verified: 2026-02-05.
It was determined that staff were unaware of which child was in care when during attendance the wrong child was signed in.
2026-01-13 · 744.1201(1) · High
Responsibilities of Employees and Caregivers - Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-02-05. Correction verified: 2026-02-05.
The operation did not demonstrate appropriate competency in the attendance verification and child identification process when the wrong child was signed in.
2025-05-09 · 745.8311(b) · High
Waiver/Variance - Comply w/ each condition while in effect
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-05-22.
Management and the site director have not followed the conditions CCR outlined for a waiver issued 11/22/2024. The operation has not completed weekly site observation forms and documented observations of the site director and overall program performance.
2025-04-08 · 745.8311(b) · High
Waiver/Variance - Comply w/ each condition while in effect
Corrected at inspection: No. Correction date: 2025-04-22. Correction verified: 2025-05-09.
Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
2025-03-26 · 744.1315(b) · Medium High
Each caregiver, operation director, program director, and site director Pediatric CPR
Corrected at inspection: No. Correction date: 2025-03-27. Correction verified: 2025-04-08.
One caregiver that has been employed for over 90 days does not have a CPR/First Aid card on file.
2025-03-26 · 744.2659 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2025-03-27. Correction verified: 2025-04-08.
The operation has expired medication on file that is required to treat children in care with food allergies.
2025-03-26 · 745.8311(b) · High
Waiver/Variance - Comply w/ each condition while in effect
Corrected at inspection: No. Correction date: 2025-03-27. Correction verified: 2025-04-08.
Management and the site director have not been following the conditions outlined by CCR for a waiver issued 11/22/2024.
2025-03-26 · 744.403(b) · Medium High
Posting Requirements-List of Child's Food Allergies
Corrected at inspection: No. Correction date: 2025-03-27. Correction verified: 2025-04-08.
The operation has three children with allergies that are not posted nor in the licensing binder.
2025-03-26 · 744.1301(a)(5)(A) · Medium High
Training Requirements for Employees - 15 clock hours Annual Training for Caregivers & Site Directors
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-04-08.
Two caregivers that have been employed for over a year do not have 15 hours of training and do not have the required topics.
2025-03-26 · 744.401(4) · Medium High
Posting Requirements-Emergency Evacuation and Relocation Diagram
Corrected at inspection: No. Correction date: 2025-04-11. Correction verified: 2025-04-08.
The operation does not have an emergency evacuation and relocation diagram in the binder or posted at the operation.
2025-03-26 · 744.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-03-27. Correction verified: 2025-04-08.
One caregiver does not have the required staff records on file.
2024-10-17 · 745.8311(b) · High
Waiver/Variance - Comply w/ each condition while in effect
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-11-08.
Based on external documentation and information obtained during follow-up inspection the operation has not met the conditions outlined by CCR for a variance on file.
2024-09-06 · 744.1301(a)(3)(A) · Medium High
Training Requirements for Employees - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2024-09-30. Correction verified: 2024-10-17.
The operation allowed a caregiver to be alone with a group before completing the First Aid.
2023-10-11 · 744.201(4) · Medium High
Designating Director
Corrected at inspection: No. Correction date: 2023-11-11. Correction verified: 2023-10-24.
A qualified site director has not been designated since the start of school in August.
2023-05-17 · 744.2669 · Medium High
Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent
Corrected at inspection: No. Correction date: 2023-05-19. Correction verified: 2023-05-22.
3 children who have allergies indicated on their enrollment paperwork do not have emergency food allergy plans available for review at the time of the inspection. 2 children have medication present for the allergy and 1 does not.
2023-05-17 · 744.2659 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2023-05-19. Correction verified: 2023-05-22.
3 children have present medication that is no longer needed or used. 2 children have been unenrolled and 1 child no longer has an allergy.
2023-01-24 · 744.303(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2023-01-24. Correction verified: 2023-01-26.
The old site director was no longer employed as a site director for this operation as of January 2nd, 2023. A new site director was hired by January 9th. Licensing was not notified of either change within 5 days as required.
2022-08-25 · 744.605(16) · Medium High
Required Admission Information-Food Allergy Emergency Plan
Corrected at inspection: No. Correction date: 2022-09-01. Correction verified: 2022-09-21.
4 of 10 children's files reviewed have indicated food allergies with no emergency food allergy plan.
2022-08-25 · 744.201(4) · Medium High
Designating Director
Corrected at inspection: No. Correction date: 2022-09-26. Correction verified: 2022-09-21.
The governing body has failed to designate a qualified site director since director since June of 2022.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1283399

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.