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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 16 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 2, 2026.
The same records list 9 cited deficiencies dated January 4, 2024 to January 20, 2026 (HHSC risk levels: 4 High, 5 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 9 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 9 cited deficiencies for Kids R Kids Learning Academy of Little Elm in the 3 years before October 10, 2026 (4 High, 5 Medium High).
Records list 16 inspections in this window. Most recent inspection: 2026-10-02.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 5 |
| Medium | 0 |
| 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.
2026-01-20 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Based on the information gathered throughout the investigation, it was concluded that the caregiver grabbed the child by the leg during naptime, which resulted in visible red marks on the child?s thigh.
Correction date recorded: 2026-01-22
2025-11-15 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information gathered throughout the investigation, it was concluded that the operation failed to timely report to CCR that a child was injured and required medical treatment by a health-care professional.
Correction date recorded: 2025-11-21
2025-10-14 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Based on the information gathered throughout the investigation, it was concluded that the caregivers did not implement appropriate redirection or use positive guidance methods when addressing the child?s behavior during naptime.
Correction date recorded: 2025-10-31
2026-01-20 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2026-01-22. Correction verified: 2026-01-30.
Based on the information gathered throughout the investigation, it was concluded that the caregiver grabbed the child by the leg during naptime, which resulted in visible red marks on the child?s thigh.
2025-11-15 · 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: 2025-11-21. Correction verified: 2025-12-03.
Based on the information gathered throughout the investigation, it was concluded that the operation failed to timely report to CCR that a child was injured and required medical treatment by a health-care professional.
2025-10-14 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2025-10-31. Correction verified: 2025-11-18.
Based on the information gathered throughout the investigation, it was concluded that the caregivers did not implement appropriate redirection or use positive guidance methods when addressing the child?s behavior during naptime.
2025-07-22 · 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: 2025-08-05. Correction verified: 2025-08-18.
According to the information collected throughout the investigation, it was concluded that a caregiver did not adequately supervise the children during a tattoo activity and failed to remain aware of the children's on going activity, compromising safety while engaged in a board game with two other children.
2025-07-22 · 746.4101(a) · Medium High
Release of Children
Corrected at inspection: No. Correction date: 2025-08-05. Correction verified: 2025-08-18.
According to the information collected throughout the investigation, it was concluded that the center failed by allowing a child to be released to an individual not included on the approved pick-up list. Regardless of any familiarity with the person or verbal instructions provided by another family member, only the legal guardian has the authority to permit such arrangements.
2024-11-13 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-11-27. Correction verified: 2024-11-27.
A hole was noted in the hallway wall. Additionally, the turf in the playground area, specifically at the base of the slide, showed signs of damage. Photographs were captured for documentation.
2024-06-17 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2024-07-01. Correction verified: 2024-07-15.
Based on information gathered during the investigation, it was determined that the caregivers involved in the incident did not intervene to remove the victim from a dangerous situation, speak up to prevent harm, or provide additional help for the victim.
2024-01-04 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-01-11. Correction verified: 2024-01-09.
Two children with food allergies did not have a complete plan on file that was signed by the parent and/or doctor.
2024-01-04 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2024-01-18. Correction verified: 2024-01-17.
The emergency medical transport and treatment authorization forms for each child being transported was missing information.
2023-09-14 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-09-14. Correction verified: Not recorded.
During the inspection, it was noted that in the 18-23 months classroom, one child did not wash their hands after a diaper change. This issue was promptly addressed during the inspection when the caregiver was instructed to wash the child's hands.
2023-08-24 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2023-08-24. Correction verified: Not recorded.
The operation allowed two caregivers to be present at the operation before receiving notice from the CBCU regarding their eligibility. The operation immediately removed the caregivers from the operation.
2023-08-24 · 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: 2023-09-11. Correction verified: 2023-09-14.
A child was left unsupervised on the playground for 10 minutes.
2023-02-09 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2023-02-09. Correction verified: Not recorded.
Five children ages 18 to 23 months were observed watching a video on a tablet in the classroom during the inspection. Note: it was corrected during the inspection when the caregiver turned the tablet off.
2023-01-24 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2023-02-03. Correction verified: 2023-02-09.
A caregiver has an expired pediatric CPR/FIRST AID certification.
2023-01-24 · 746.4913 · Medium
Required Documentation for Unitary Surfacing Materials
Corrected at inspection: No. Correction date: 2023-02-03. Correction verified: 2023-02-09.
The documentation for the unitary surfacing material (turf) was not available to review during the inspection.
2023-01-24 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2023-02-14. Correction verified: 2023-02-09.
One caregiver's records out of ten reviewed did not have the following training: Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials
2022-03-18 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-04-06. Correction verified: 2022-04-13.
A 5 year old child was left unsupervised in the classroom for about 6 minutes when the class transitioned to an outdoor activity and the child was unharmed.
2022-02-16 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2022-03-02. Correction verified: 2022-02-23.
During inspection the designee who is also a driver did not have the required First-Aid and CPR training.
2021-10-08 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-11-17.
The operation did not report a positive COVID-19 case to Child Care Regulation within the required timeframe.
2021-09-29 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-11-17.
A caregiver did not demonstrate self control when interacting with toddlers in care that were not sleeping during naptime. The caregiver repeatedly placed one of the children on their stomach in a sleep position and then moved the rolling cribs back and forth in a firm manner.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1314094
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.