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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 6 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated June 4, 2026.
The same records list 9 cited deficiencies dated October 12, 2023 to May 18, 2026 (HHSC risk levels: 3 High, 3 Medium High, 3 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 8 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 9 cited deficiencies for Lil' Elks Early Learning Center in the 3 years before October 10, 2026 (3 High, 3 Medium High, 3 Medium).
Records list 6 inspections in this window. Most recent inspection: 2026-06-04.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 3 |
| Medium | 3 |
| 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.
2026-05-18 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
It was observed that the bottle of a 5 month old infant was propped with a blanket. The bottle was removed during the inspection.
Correction date recorded: 2026-05-18
2026-05-08 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Infant feeding instructions for two infants were last updated in March.
Correction date recorded: 2026-05-22
2026-05-08 · 746.613(a) · High
Required Immunizations
Two of four children's files reviewed were lacking updated immunization records.
Correction date recorded: 2026-05-22
2026-05-18 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
Corrected at inspection: No. Correction date: 2026-05-18. Correction verified: 2026-06-01.
It was observed that the bottle of a 5 month old infant was propped with a blanket. The bottle was removed during the inspection.
2026-05-08 · 745.621(a)(7) · High
AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
Corrected at inspection: No. Correction date: 2026-05-08. Correction verified: 2026-05-18.
A group of individuals without background checks were observed to have access to children in care. The group was observed leaving during the inspection.
2026-05-08 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-06-01.
One of four personnel files reviewed was observed to be missing a valid photo ID, Affidavits 2985 & 2912, and a high school diploma.
2026-05-08 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-06-01.
Two of four children's files reviewed were lacking physician signed health statements.
2026-05-08 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-06-01.
Two of four children's files reviewed were lacking updated immunization records.
2026-05-08 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-06-01.
Infant feeding instructions for two infants were last updated in March.
2023-10-12 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: Yes. Correction date: 2023-10-12. Correction verified: Not recorded.
One infant, 4 months old was observed in a classroom with a 2 year old child creating an age gap over 18 months. The two year old was moved up to the older classroom during the inspection bringing the deficiency into compliance.
2023-10-12 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2023-11-27. Correction verified: 2024-01-24.
A small slide was observed on the playground without the required loose fill. The operation will be receiving loose fill for the playground.
2023-10-12 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2023-10-19. Correction verified: 2023-10-31.
Multiple infant bottles and cups were observed to be unlabeled.
2022-10-28 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-11-11. Correction verified: 2022-11-15.
One caregiver was found to be missing photo identification and documentation of education on file.
2022-10-28 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-11-11. Correction verified: 2022-11-15.
One of three children's files was found to be missing a health statement.
2021-10-28 · 746.4307 · Medium
Fenced Outdoor Activity Space -Exits Required
Corrected at inspection: No. Correction date: 2021-11-11. Correction verified: 2021-11-24.
It was observed that the outdoor play yard had one exit gate.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1313600
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.