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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 21 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 46 cited deficiencies dated January 9, 2024 to September 21, 2026 (HHSC risk levels: 13 High, 25 Medium High, 7 Medium, 1 Medium Low).
Correction status recorded by HHSC: 1 corrected at inspection, 45 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 45 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 46 cited deficiencies for Little Saints Pre-School in the 3 years before October 10, 2026 (13 High, 25 Medium High, 7 Medium, 1 Medium Low).
Records list 21 inspections in this window. Most recent inspection: 2026-09-30.
| Risk weight | Citations |
|---|---|
| High | 13 |
| Medium High | 25 |
| 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.
2026-09-21 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
A caregiver had twelve children in the classroom. The specified age group was two years old, therefore the caregiver was over child/caregiver ratio by one child.
Correction date recorded: 2026-09-21
2026-09-09 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A one month old was observed sleeping in the crib with a burp rag covering the infant's legs.
Correction date recorded: 2026-09-09
2026-08-31 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
A television in one of the toddler rooms was not anchored.
Correction date recorded: 2026-08-31
2026-09-21 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-09-21. Correction verified: 2026-09-30.
A caregiver had twelve children in the classroom. The specified age group was two years old, therefore the caregiver was over child/caregiver ratio by one child.
2026-09-09 · 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: 2026-09-09. Correction verified: 2026-09-21.
A one month old was observed sleeping in the crib with a burp rag covering the infant's legs.
2026-08-31 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2026-08-31. Correction verified: 2026-09-09.
RECITE: Two caregivers were observed utilizing their cell phones while caring for a group of children.
2026-08-31 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2026-08-31. Correction verified: 2026-09-09.
A television in one of the toddler rooms was not anchored.
2026-08-25 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-08-31.
One of the eight children's files reviewed did not have a parent's signature of authorization for emergency medical care.
2026-08-25 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-08-31.
Two of the eight caregiver files reviewed did not include a notarized employment affidavit available for review.
2026-08-25 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2026-09-01. Correction verified: 2026-08-31.
One of the eight children's files reviewed documented that the child had diagnosed food allergies, but there was no allergy action plan available.
2026-08-25 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-08-31.
A caregiver was observed utilizing their cell phone while caring for a group of sleeping children.
2026-08-25 · 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: 2026-09-01. Correction verified: 2026-08-31.
Six of the eight staff files reviewed had BLS certifications and did not include first aid certifications or training certificates.
2026-08-25 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-08-31.
In several of the rooms, including the pre-k, toddler twos, and toddler rooms, the rooms were observed to be very dark and did not allow for proper supervision.
2026-08-25 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-08-31.
Two staff members left their napping groups unaccompanied during the inspection.
2026-08-25 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2026-09-01. Correction verified: 2026-08-31.
A caregiver was observed in a classroom, counted in ratio, but did not have at least eight hours of pre-service training available for review.
2026-08-25 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: No. Correction date: 2026-09-01. Correction verified: 2026-08-31.
Six of the eight children's files reviewed were missing information, including admission dates, emergency contact information, healthcare information, emergency care authorization, special care statements, physician-signed health statements, updated immunization records, verification of receipt of the operational policies, and emergency contact information.
2026-05-27 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2026-05-27. Correction verified: 2026-06-22.
A caregiver was observed utilizing a cell phone watching videos that did not relate to children.
2026-05-27 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: No. Correction date: 2026-05-27. Correction verified: 2026-06-22.
Two children were observed in seats that required safety straps not buckled in.
2026-05-27 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2026-05-27. Correction verified: 2026-06-22.
Three classrooms that had children under 2 years old present were using the television.
2026-05-22 · 746.4135(a) · Medium High
Children's Products- Review list and Remove unsafe products
Corrected at inspection: Yes. Correction date: 2026-05-22. Correction verified: Not recorded.
There were two recalled poppy pillow loungers in the infant room. NOTE: This was corrected when CCR removed the pillows.
2026-05-22 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-27.
The two year classroom was left unsupervised during naptime.
2026-04-22 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-04-22. Correction verified: 2026-05-22.
One caregiver was responsible for 21 children. The specified age of the children was 4 years old. One caregiver is allowed to care for 18 children with the specified age of group being 4 years old. The caregiver was over ratio by 3 children.
2026-04-22 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-04-24. Correction verified: 2026-05-22.
The rugs in the infant/toddlers room were dirty.
2026-04-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2026-04-22. Correction verified: 2026-05-22.
In one room there was an electrical outlet that was not covered and accessible to children. In the same classroom there was an AC window unit operating that was accessible to children. In a separate classroom there was a portable AC unit operating accessible to children.
2025-11-03 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-11-17.
Four out of eight staff files did not have the required 24 hours of training.
2025-11-03 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-11-13.
The operational policies lacked #18,20,23,24,26, and 28.
2025-10-15 · 746.2405(4) · Medium High
Infant Care Area Furnishings and Equipment - Hand-washing Sink
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-03.
The infant room sink was not working.
2025-10-15 · 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: 2025-10-31. Correction verified: 2025-11-03.
One out of eight files laked current first aid.
2025-10-15 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2025-10-31. Correction verified: 2025-11-03.
One out of eight files laked current CPR.
2025-10-15 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-03.
The operations floors, toilets, and sinks were observed dirty.
2025-10-15 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-10-31. Correction verified: 2025-11-03.
Four out of eight staff files did not have the required 24 hours of training.
2025-10-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-03.
Seven out of nine infant feeding schedules were not updated for the month of October.
2025-10-15 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-03.
The operational policies lacked # 9, 18,20,23,24,26, and 28.
2024-10-10 · 746.401(5) · Medium
Posting Requirements - Activity Plans for each group of children in the child care center
Corrected at inspection: No. Correction date: 2024-10-11. Correction verified: 2024-10-10.
The toddler room activty plan was not posted.
2024-10-10 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-10-23.
Two out of ten children records lacked current immunization record.
2024-10-10 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-10-10.
One out of ten children files lacked an address for the emergency contact.
2024-10-10 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-10-10. Correction verified: 2024-10-10.
A highchair used by children is stained and the top layer of the highchair tray is peeling off.
2024-07-24 · 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: 2024-07-24. Correction verified: 2024-08-01.
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.
2024-07-24 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-07-24. Correction verified: 2024-08-01.
Operation staff displayed poor judgement when the director and a caregiver present stated that a caregiver who was present without an eligible background check was a different individual who did have a background check.
2024-07-19 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-07-19. Correction verified: 2024-08-01.
School age children were in a classroom alone while a caregiver briefly stepped out of the room.
2024-06-18 · 746.2805(2) · High
Prohibited Punishments - Associated with Food, Naps, or Toilet Training
Corrected at inspection: No. Correction date: 2024-07-11. Correction verified: 2024-07-19.
During the course of an investigation, it was determined that a caregiver restricted food as punishment.
2024-05-14 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2024-05-24. Correction verified: 2024-06-03.
All operational polices were not available for review.
2024-05-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-05-30.
One out of seven personnel files lacked CPR/FA training.
2024-01-17 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-01-23.
Two caregivers were caring for 11 children. The specified age was 0m-11m. This put the classroom over ratio by one child. NOTE: This was corrected at the inspection.
2024-01-17 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-01-23.
An infant feel asleep in a swing and the caregivers did not remove the child immediately.
2024-01-09 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2024-01-09. Correction verified: 2024-01-17.
An infant was observed sitting in bucket chair not strapped in.
2024-01-09 · 746.1309(c) · Medium
Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Corrected at inspection: No. Correction date: 2024-01-23. Correction verified: 2024-01-23.
Five out of six training records observed lacked training in prevention, recognition, and reporting of child maltreatment.
2024-01-09 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-17.
Two diaper changing pads had tears.
2024-01-09 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-01-27. Correction verified: 2024-02-01.
Five out of 6 training records observed lacked the required 6 topics.
2023-08-16 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-08-25. Correction verified: 2023-08-25.
Two out of nine children files checked did not have current immunizations.
2023-03-01 · 746.2411(2)(A) · High
Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads
Corrected at inspection: No. Correction date: 2023-03-01. Correction verified: 2023-03-08.
Pack n plays in the infant room had a mattress added that did not come with the pack n play and also is not made by the same manufacture.
2023-03-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-03-01. Correction verified: 2023-03-08.
One caregiver had 30 children in her care with the specified age being 3 years old. This caregiver was over ratio by 15 children.
2023-03-01 · 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: 2023-03-01. Correction verified: 2023-03-08.
One infant 4 months old was observed with a baby activity mat in the pack n play.
2023-03-01 · 746.4305 · Medium High
Fenced Outdoor Activity Space
Corrected at inspection: No. Correction date: 2023-03-01. Correction verified: 2023-03-08.
Multiple children under the age of 5 were observed in a play area that does not have a fence on all sides .
2023-01-26 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: Yes. Correction date: 2023-01-26. Correction verified: Not recorded.
In the 18month-24month room multi purpose spray was on the sink accessible to children. Also in this room there were one electrical outlet that did not have a cover. Note: Both of these were corrected at inspection.
2023-01-26 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2023-02-10. Correction verified: 2023-01-30.
Three out of eight staff files were lacking CPR.
2022-08-02 · 746.3701(3) · Medium High
Safety - Air Conditioners, Fans, Heaters Safeguarded
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-17.
Two fans were not mounted in the three and four year old classroom and were accessible to the children in care.
2022-08-02 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: No. Correction date: 2022-08-09. Correction verified: 2022-08-17.
At the time of inspection there were four nap mats that were ripped and the foam was protruding.
2022-08-02 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2022-08-02. Correction verified: 2022-08-17.
At the time of inspection a three year old child was in the infant room during nap time. This was corrected when the child was returned to the three year old class.
2022-05-17 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
At the time of inspection there were 16 two year old children with one caregiver. This was corrected when a second caregiver joined the group.
2022-05-17 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
At the time of inspection, the caregiver in the infant room did not wash the child's hands after diaper change.
2022-05-17 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
At the time of inspection the caregiver in the infant room did not wash their hands after diaper change. This was corrected when the caregiver washed their hands.
2022-05-17 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
The base board in the infant room, three and four year old classroom, two year old classroom, and the 12 to 18 month old classroom was coming off the wall. There was one spot on the wall where the sheet rock was broken in the three and four year old classroom.
2022-05-17 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
The diaper changing mat was not sanitized after the diaper change. This was corrected when the diaper changing mat was sanitized.
2022-05-17 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
At the time of inspection one child in care did not have an admission form on file. This was corrected when the child was removed from care.
2022-05-17 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
There was two screws protruding in the two year old classroom where the cabinet door was removed. There were two screws protruding from the doorway where the gate was removed, accessible to children. These were all removed and corrected. There were three hearing aid batteries on the floor in the front entrance of the center, accessible to the children in care. This was corrected when they were discarded.
2022-05-17 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-05-17. Correction verified: 2022-06-06.
One infant feeding schedule was expired at the tie of inspection. This was corrected when the parent signed and dated the feeding schedule.
2022-03-09 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-20.
Annual Fire Inspection has not been completed. The last Fire Inspection was conducted on 01/05/21.
2022-03-09 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2022-03-10. Correction verified: 2022-03-14.
Several Infant Bottles were observed not being labeled with the infants name on them.
2022-03-09 · 746.2415(a)(4) · High
Prohibited Equipment for Infants - Toys Choking Hazard
Corrected at inspection: No. Correction date: 2022-03-09. Correction verified: 2022-03-14.
Toddler was observed to be wearing an Amber Teething Necklace which is a choking hazard.
2022-03-09 · 746.3317(6) · Medium High
Food Service and Preparation Requirement - Use Sanitary Holders
Corrected at inspection: Yes. Correction date: 2022-03-09. Correction verified: Not recorded.
Infants were served snack on the bare table without a napkin or papertowel. NOTE: This was corrected at inspection with the caregiver using paper towels during snack time.
2022-03-09 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-03-11. Correction verified: 2022-03-14.
Nap mats in one infant room were observed to be torn exposing the foam material posing a hazard.
2021-10-18 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2021-10-22. Correction verified: 2021-11-05.
RECITE: Eight caregivers did not have the required 24 hours of annual training complete at the time of my inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1299186
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.