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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 5 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 30, 2026.
The same records list 8 cited deficiencies dated October 31, 2023 to October 2, 2025 (HHSC risk levels: 1 High, 2 Medium High, 5 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 7 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 7 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.
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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 8 cited deficiencies for St. Mary of the Miraculous Medal Early Childhood Center in the 3 years before October 10, 2026 (1 High, 2 Medium High, 5 Medium).
Records list 5 inspections in this window. Most recent inspection: 2026-09-30.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 2 |
| Medium | 5 |
| 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.
2025-10-02 · 746.201(1) · High
Policies Comply with Rules
During the inspection, the operational policy was viewed and the following information was missing: (9)Safe sleep policy for infants from birth through 12 months old that is consistent with the rules in subchapter H of this chapter (relating to Basic Requirements for Infants)…
Correction date recorded: 2025-10-10
2025-04-29 · 745.651(2)(A) · Medium
Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
Operation people list has not been validated since 10-17-2024. Note: This was corrected at inspection.
Corrected at inspection
2024-10-02 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Caregivers with hire date 04/05/2024 and 08/22/2022 do not have the required annual training: - Emergency preparedness - Preventing and controlling the spread of communicable diseases, including immunizations ; - Administering medication; - Preventing and responding to…
Correction date recorded: 2024-10-09
2025-10-02 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2025-10-10. Correction verified: 2025-10-03.
During the inspection, the operational policy was viewed and the following information was missing: (9)Safe sleep policy for infants from birth through 12 months old that is consistent with the rules in subchapter H of this chapter (relating to Basic Requirements for Infants) that relate to sleep requirements and restrictions, including sleep positioning, and crib requirements and restrictions, including mattresses, bedding, blankets, toys, and restrictive devices; (22) Procedures for parents to participate in the child-care center's operation and activities; (23) Instructions on how a parent may access the (A) Minimum standards online; (B) Texas Abuse and Neglect Hotline; and (C) HHSC website. During the inspection, the operational policy was viewed and the following information was missing: (25) Your provisions to provide a comfortable place with an adult sized seat in your center or within a classroom that enables a mother to breastfeed her child. In addition, your policies must inform parents that they have the right to breastfeed or provide breast milk for their child while in care. (30) (b)You must also inform the parents that any area within 1,000 feet of a child-care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to a harsher penalty under the Texas Penal Code. You may inform the parents by: (A) Providing this information in the operational policies; (B) Distributing the information in writing to the parents; or (C) Informing the parents verbally as part of an individual or group parent orientation.
2025-04-29 · 745.651(2)(A) · Medium
Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
Corrected at inspection: Yes. Correction date: 2025-04-29. Correction verified: Not recorded.
Operation people list has not been validated since 10-17-2024. Note: This was corrected at inspection.
2024-10-02 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-10-09. Correction verified: 2024-10-18.
Caregivers with hire date 04/05/2024 and 08/22/2022 do not have the required annual training: - Emergency preparedness - Preventing and controlling the spread of communicable diseases, including immunizations ; - Administering medication; - Preventing and responding to emergencies due to food or an allergic reaction; - 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; and - Handling, storing, and disposing of hazardous materials
2023-10-31 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2023-11-07. Correction verified: 2023-11-13.
Follow Up: One of the Admission Information Form 2935 has not been updated with the information for a child s reasonable accommodation or modifications.
2023-10-31 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2023-11-07. Correction verified: 2023-11-13.
In the Doodlebug classroom the ceiling tiles were stained and the floor had 2 holes in it. The repair have been completed.
2023-10-31 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2023-11-07. Correction verified: 2023-11-13.
Follow up: The operational policies have not been updated with the procedures for supporting inclusive services to children with special care needs.
2023-10-31 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-11-03. Correction verified: 2023-11-01.
Follow Up: One infant feeding sheet still has not updated within the 30-day requirements.
2023-10-31 · 746.605(10) · Medium
Required Admission Information - Water Activity Permission
Corrected at inspection: No. Correction date: 2023-11-07. Correction verified: 2023-11-13.
Follow Up: One of the Admission Information Form 2935 has not been updated with the information on a child s ability to swim without assistance.
2023-10-03 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-31.
Three infant feeding sheets were not updated within the 30-day requirements.
2023-10-03 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-31.
The operational policies have not been updated with the procedures for supporting inclusive services to children with special care needs.
2023-10-03 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-31.
The Admission Information Form 2935 has not been updated with the information for a child s reasonable accommodation or modifications.
2023-10-03 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-10-31.
In the Doodlebug classroom the ceils were stained and the floor had 2 holes in it. Also in Mudbugs classroom the ceiling was leaking. Photos were taken.
2023-10-03 · 746.605(10) · Medium
Required Admission Information - Water Activity Permission
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-31.
The Admission Information Form 2935 has not been updated with the information on a child s ability to swim without assistance.
2023-10-03 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-31.
Four out of eight files reviewed did not have the completed address for the emergency contact.
2023-10-03 · 746.501(a)(29) · High
Written Operational Policies - Unassigned Epinephrine Auto-Injectors
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-31.
Operational Policies did state if operation will administer unassigned epinephrine auto injectors.
2022-10-04 · 745.651(2)(A) · Medium
Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-10-04.
The operation last validated the background check list on 04/12/2022.
2022-10-04 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-12.
The changing mat in the infant classroom was observed with a tear.
2022-10-04 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2022-10-11. Correction verified: 2022-10-12.
The operational policy did not contain a completed promotion of physical activity section.
2022-10-04 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-10-06. Correction verified: 2022-10-06.
The operations last fire inspection is dated 4/9/2021. SN: Operation has scheduled a fire inspection 10/6/2022.
2022-10-04 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-12.
One student record did not contain immunizations.
2022-05-18 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-06-02.
Based on the information obtained during the investigation, the incident report did not receive a parent signature.
2022-05-18 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-05-26.
Based on the information obtained during the investigation, there was sufficient evidence to indicate a child injury on 5/11/22 was not reported to statewide intake.
2021-10-18 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2021-10-21. Correction verified: 2021-11-01.
During inspection, notarized affidavit was not in file.
2021-10-18 · 746.1301(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2021-10-25. Correction verified: 2021-11-01.
During inspection, taff hired on 7/31/2018 had invaild CPR training.
2021-10-18 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: No. Correction date: 2021-10-21. Correction verified: 2021-11-03.
During inspection, 1 out of the 8 classrooms observed did not have children's name on cubbies.
2021-10-18 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2021-10-25. Correction verified: 2021-11-01.
During inspection, staff hired on 9/1/2020 had 18 hours of annual training.
2021-10-18 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2021-10-21. Correction verified: 2021-11-03.
During inspection, staff hired on 9/1/2020 did not have high school diploma or degree to show that they meet education requirements.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1293323
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.