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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 17 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 8, 2026.
The same records list 26 cited deficiencies dated January 13, 2024 to April 1, 2026 (HHSC risk levels: 9 High, 10 Medium High, 7 Medium).
Correction status recorded by HHSC: 3 corrected at inspection, 23 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 23 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 26 cited deficiencies for The Childrens Courtyard in the 3 years before October 10, 2026 (9 High, 10 Medium High, 7 Medium).
Records list 17 inspections in this window. Most recent inspection: 2026-10-08.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 10 |
| Medium | 7 |
| 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.
2026-04-01 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Two classrooms had epi pens in lock med bags which were not locked. These bags were located inside a first aid bag in a rolling cart on the floor of the classroom.
Correction date recorded: 2026-04-01
2026-04-01 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
One caregiver who cares for children and has been employed for over 90 days needed the hands on CRP and First Aid training. One caregiver was missing CPR and First Aid training and has been employed for over 90 days.
Correction date recorded: 2026-04-01
2025-08-06 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Based on the gatherings during the investigation, it was determined concrete evidence exists to support that the school have not followed the instructions on the sanitizing solution.
Correction date recorded: 2025-08-12
2026-04-01 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2026-04-01. Correction verified: 2026-04-14.
One caregiver who cares for children and has been employed for over 90 days needed the hands on CRP and First Aid training. One caregiver was missing CPR and First Aid training and has been employed for over 90 days.
2026-04-01 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: No. Correction date: 2026-04-01. Correction verified: 2026-04-14.
Two classrooms had epi pens in lock med bags which were not locked. These bags were located inside a first aid bag in a rolling cart on the floor of the classroom.
2025-08-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-08-19.
Based on the information gathered during the investigation, it has been determined that child was grabbed by the arms (extremities) to be moved to a different location. This may result in the child's arm being pulled from socket.
2025-08-06 · 746.2401(4) · Medium High
Basic Requirements for Infants - Prompt Attention to Needs
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-08-19.
Based on the information gathered during the investigation, it has been determined that child was not attended to, and caregiver attending to other children and other chores instead of a child that required immediate attention.
2025-08-06 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-08-19.
Based on the gatherings during the investigation, it was determined concrete evidence exists to support that the school have not followed the instructions on the sanitizing solution.
2025-07-08 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-08-05. Correction verified: 2025-08-19.
Based on the gatherings during the investigation, it was determined there is concrete evidence to support the school was over ratio.
2025-06-10 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-24.
There were 3 infants cared for at the front office by the director. Director was caring for children at the front to avoid being out of ratio in infant room. This is the third time occurrence during visits.
2025-06-10 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-24.
One staff that were present onsite during the visit were not shown to have background check in the system.
2025-06-10 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-24.
There were 3 infants cared for at the front office by the director. Director was caring for children at the front as there was no extra staff.
2025-05-27 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-24.
Staff files did not have trainings available for review during the visit.
2025-05-07 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2025-05-21. Correction verified: 2025-05-09.
Three out of five classrooms did not have the cots labeled.
2025-05-07 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2025-05-07. Correction verified: 2025-05-27.
Staff files did not have trainings available for review during the visit.
2025-05-07 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2025-05-07. Correction verified: Not recorded.
A caregiver had a total of 10 children in care. Five were ages 18M-23M and 5 were 2 years. Making the specified age group 18-23M.
2024-08-14 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-10.
Two out of ten childrens files did not have updated immunizations available for review.
2024-08-14 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-06.
The staff files were missing trainings as well as required docomentation that was not available during the visit. Nine files were reviewed and 5 out of 9 were missing abuse neglect training. 5 out of 9 were missing orientation.
2024-07-31 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2024-07-31. Correction verified: Not recorded.
There was 6 infants cared for at the front office by 1 caregiver. There was 12 children ages 2 years old cared by 1 caregiver.
2024-07-31 · 746.4601(3) · High
Safety Requirements for Active Play Equipment - No Entrapment Openings
Corrected at inspection: No. Correction date: 2024-08-14. Correction verified: 2024-08-14.
The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards. 7/31/24-The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.
2024-07-31 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: Yes. Correction date: 2024-07-31. Correction verified: Not recorded.
A caregiver with conditions was left unsupervised in the 2 year old classroom.
2024-07-31 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2024-07-31. Correction verified: 2024-08-14.
There were 6 infants cared for at the front office by a caregiver and director. Director was caring for children while caregiver not present.
2024-07-16 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2024-07-23. Correction verified: 2024-07-31.
The emergency preparness plan did not include the name and the address of the location where the school will evacuate away from the premises.
2024-07-16 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2024-07-23. Correction verified: 2024-07-31.
The recall form has not been updated since 1/3/2022.
2024-07-16 · 746.4601(3) · High
Safety Requirements for Active Play Equipment - No Entrapment Openings
Corrected at inspection: No. Correction date: 2024-07-30. Correction verified: 2024-07-31.
The turf in the toddler playground was ripped under a play structure resulting in possible tripping or entanglement hazards.
2024-07-16 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2024-07-30. Correction verified: 2024-07-31.
The cots in 4 classrooms were not labeled with names or numbers.
2024-01-13 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2024-02-09. Correction verified: 2024-02-29.
This standard was evaluated as part of an investigation and was determined deficient. A caregiver served food to a child that was identified as food to which the child was allergic.
2024-01-13 · 746.403(b) · Medium High
Posting Requirements - Child's Food Allergy Plans
Corrected at inspection: No. Correction date: 2024-02-09. Correction verified: 2024-02-29.
This standard was evaluated as part of an investigation and determined to be deficient. A child with a diagnosed food allergy, emergency food allergy plan was not posted in the kitchen and was not posted in the child's classroom.
2024-01-13 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2024-02-09. Correction verified: 2024-02-29.
This standard was evaluated as part of an investigation and was determined to be deficient. A child registered for a Discovery Day did not have a completed food allergy plan while in care.
2023-10-06 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2023-10-27. Correction verified: 2023-10-24.
The director nor Designee has not tested the smoke detectors at the operation for several months.
2023-10-06 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-10-13. Correction verified: 2023-10-10.
One child not have a valid exemption affidavit in their file at the time of inspection.
2023-10-06 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-10-13. Correction verified: 2023-10-13.
One Child with a known food allergy did not have a Food Allergy Plan in their file at the time of inspection.
2023-09-21 · 746.5537(a)(2) · Medium High
Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Corrected at inspection: No. Correction date: 2023-09-21. Correction verified: 2023-10-06.
The operation does not test their carbon monoxide detectors.
2023-09-21 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-06.
Two Children did not have Food Allergy Plans in the their files at the time of inspection.
2023-09-21 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-06.
Three caregivers did not have proof of education in their files at the time of inspection.
2023-09-21 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-06.
Two children did not have updated immunizations in their files at the time of inspection.
2023-09-21 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2023-09-21. Correction verified: 2023-10-06.
The director or designee has not tested the smoke detectors at the operation for several months.
2022-10-03 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-10-03. Correction verified: 2022-10-31.
One teacher was observed supervising 21 children with a specified age group of 4 years old.
2022-10-03 · 746.3403 · Medium High
Documentation of Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-10-21. Correction verified: 2022-10-31.
The operation did not have a current annual sanitation inspection report at the time of inspection.
2022-10-03 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-10-31.
The first aid kit for the school bus did not contain tweezers, cotton balls or a thermometer. The operation's first aid kit did not contain tweezers.
2022-07-06 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-07-06. Correction verified: 2022-07-21.
The caregiver in Infant room I did not have required training to care for infants under the age of 24 months.
2022-07-06 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2022-07-06. Correction verified: 2022-07-21.
A caregiver did not wash their hands after changing an infants diaper.
2022-07-06 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2022-07-06. Correction verified: 2022-07-21.
A caregiver did not wash an infant's hands after completing a diaper change.
2022-06-27 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-07-20. Correction verified: 2022-07-21.
Based on information gathered through interviews and observations, it was determined that a child sustained an injury that required medical attention when a caregiver did not intervene when two children were running around in the classroom during a scheduled activity.
2022-06-27 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Children in Control
Corrected at inspection: No. Correction date: 2022-07-20. Correction verified: 2022-07-21.
Based on information gathered and observations, it was determined that a caregiver allowed children to wrestle, jump off of furniture, and run around a classroom. Putting children at risk for injuries.
2022-01-25 · 746.1013(a)(3) · Medium
Director's Absence - Caregiver in Charge Has Access to All Records
Corrected at inspection: No. Correction date: 2022-01-31. Correction verified: 2022-02-18.
The person designated by the director did not have access to all essential information required by licensing during multiple inspections.
2022-01-25 · 746.4913 · Medium
Required Documentation for Unitary Surfacing Materials
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-02-18.
The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.
2022-01-25 · 746.801(5) · Medium
Required Records Maintained and Made Available - Employees' Attendance
Corrected at inspection: No. Correction date: 2022-01-31. Correction verified: 2022-02-18.
Attendance Records for all employees were not available in the time of inspection.
2021-12-22 · 746.4801 · Medium Low
Definition- What does Licensing mean by the term ?use zone??
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-21.
Children were climbing on a play structure while tricycles were underneath the structure blocking surfacing needed to protect the children from falls.
2021-12-22 · 746.3421(a) · Medium High
Infant Handwashing - Individual Cloth
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-21.
A caregiver in room Infant I did not clean an infants hands after a diaper change.
2021-12-22 · 746.3419 · Medium High
Handwashing Procedures
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-21.
A caregiver in the Toddler room I did not wash a child's hand after a diaper change.
2021-12-10 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-01-13. Correction verified: 2022-01-25.
The caregivers were not in proximity to intervene when the child broke his arm.
2021-12-10 · 746.4913 · Medium
Required Documentation for Unitary Surfacing Materials
Corrected at inspection: No. Correction date: 2022-01-13. Correction verified: 2022-01-25.
The operation did not provide test data from the manufacturer showing the impact rating of the unitary surfacing materials nor the installation and maintenance requirements of the surfacing materials at the time of inspection.
2021-12-10 · 746.4605(a)(2) · Medium High
Equipment Prohibited for Younger Than 5 Yrs - Free Standing Climbing
Corrected at inspection: No. Correction date: 2022-01-13. Correction verified: 2022-01-25.
Children under the age of five were allowed to use a prohibited piece of playground equipment.
2021-12-10 · 746.4601(2) · Medium High
Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Corrected at inspection: No. Correction date: 2022-01-13. Correction verified: 2022-01-25.
A three year old child was allowed to play on playground equipment that is designed for children ages five through twelve, resulting in an injury that required medical attention.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1295745
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.