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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 10 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated February 10, 2026.
The same records list 7 cited deficiencies dated June 6, 2024 to July 17, 2025 (HHSC risk levels: 5 High, 1 Medium High, 1 Medium Low).
Correction status recorded by HHSC: 0 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 7 cited deficiencies for Children's Choice Learning Center - Fresno in the 3 years before October 10, 2026 (5 High, 1 Medium High, 1 Medium Low).
Records list 10 inspections in this window. Most recent inspection: 2026-02-10.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 1 |
| Medium | 0 |
| 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.
2025-07-17 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed caring for a group of 22 children without an approved background during the inspection. Caregiver was observed leaving the operation during the inspection.
Correction date recorded: 2025-07-17
2025-05-09 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on information gathered during the investigation, video footage obtained supports caregiver not demonstrating good judgement when removing child by grabbing and lifting child by one arm.
Correction date recorded: 2025-07-07
2025-05-09 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Correction date recorded: 2025-07-07
2025-07-17 · 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: 2025-07-17. Correction verified: 2025-07-30.
A caregiver was observed caring for a group of 22 children without an approved background during the inspection. Caregiver was observed leaving the operation during the inspection.
2025-05-09 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2025-07-07. Correction verified: 2025-07-17.
No narrative recorded.
2025-05-09 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-07-07. Correction verified: 2025-07-17.
Based on information gathered during the investigation, video footage obtained supports caregiver not demonstrating good judgement when removing child by grabbing and lifting child by one arm.
2025-01-22 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-25. Correction verified: 2025-01-25.
A review of the Employees Who Left Employment in 2024, revealed the center had not reported the number of employees who left employment in 2024 by 11:59 p.m. on January 15, 2025, as required.
2024-06-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-09-12.
Based on the information from the DFPS investigation poor judgement was used, the caregiver used profane language in the presence of children when reacting to a child eating food from another child?s plate.
2024-06-06 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-09-12.
Based on the information from the DFPS investigation, there was one caregiver with 11-12 children 18mo-23mo old. The caregiver was alone for approx. 1.5 hours before a second caregiver arrived.
2024-06-06 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-09-12.
Based on the information form the DFPS investigation, a caregiver pulled a child by the arm and pushed them twice, causing the child to fall after the second push.
2023-07-26 · 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: 2023-08-04. Correction verified: 2023-08-02.
A caregiver with unsupervised access to children was in a classroom and does not have current CPR and First Aid training.
2023-07-26 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2023-07-26. Correction verified: 2023-08-04.
A caregiver did not know the number of children they were responsible for during the inspection. The caregiver stated there were 18 children and there were only 17 children present. Note: Discussed with the provider the importance of caregivers knowing how many children they have at all times.
2023-05-31 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2023-06-29. Correction verified: 2023-07-13.
Based upon the information obtained, there is sufficient evidence to support caregivers have yelled at the children and told them to shut up.
2023-05-31 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-06-29. Correction verified: 2023-07-13.
Based upon the information obtained, there was sufficient evidence to support caregivers grabbed a child by the arm.
2023-05-30 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2023-06-08. Correction verified: 2023-06-20.
The annual fire inspection has not been conducted since 5/26/2022.
2023-05-24 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2023-06-07. Correction verified: 2023-05-30.
3 out of 10 children's files evaluated did not contain a completed special needs statement.
2023-05-24 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-06-07. Correction verified: 2023-05-30.
2 out of 10 children's files evaluated did not contain current immunizations.
2023-05-24 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-05-30.
1 out of 10 staff records evaluated did not show current training in Pediatric CPR and First Aid.
2023-05-24 · 746.1317(c)(1) · Medium Low
Training Criteria - Learning Objectives
Corrected at inspection: No. Correction date: 2023-06-07. Correction verified: 2023-06-22.
The Pre-Service training certificates do not state learning objectives for 5 out of 10 staff records evaluated.
2023-05-24 · 746.1329(c)(2) · Low
Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-05-30.
A copy of the directors CPR and First Aid training certificate was not available for review during the inspection.
2023-05-24 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: Yes. Correction date: 2023-05-24. Correction verified: Not recorded.
11 children in the K2 classroom had not been signed in on the sign in and out log. Note: This was corrected at the inspection when the caregiver signed each child in.
2023-03-14 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2023-03-14. Correction verified: 2023-04-14.
Caregivers in charge of a group of children 4-10yrs old were not aware of the ages of children in their car. Caregivers stated they did not know the age but believed the child was in the 4th grade or 8yrs old. One caregiver was heard asking children how old they were.
2023-03-03 · 746.1203(1) · High
Responsibilities of Caregivers - Know Minimum Standards
Corrected at inspection: No. Correction date: 2023-03-03. Correction verified: 2023-03-14.
A caregiver did not know the number of children in the classroom during the inspection. Caregiver stated there were 15 children and after counting there were only 14 children accounted for.
2023-03-01 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Operation failed to notify CCR that a physical altercation occurred between two caregivers in the presence of children, which placed the children at risk.
2023-03-01 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Based on the information obtained during the investigation, a caregiver failed to interact positively with a child in their care. After a child rolled their eyes at a caregiver, the caregiver responded to the child stating they don't play with children and did not care if the child told on them. The caregiver then told the child to let their parent know they don't play with children.
2023-03-01 · 746.1201(2) · High
Responsibilities of Employees and Caregivers -Relate to Children
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Based on the information obtained during the investigation, caregivers failed to treat children with courtesy and respect when they used profane language in the presence of children.
2023-03-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Caregivers failed to use good judgement and maintain self-control when they engaged in a physical altercation in the presence of children.
2023-03-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Based on the information obtained during the investigation, there was sufficient information to support there have been times where one caregiver was left to supervised more than 11 2yr old children at one time.
2023-03-01 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Operation failed to share incident reports with parents. The incident occurred on 2/28. The first incident report created by the operation was 3/21
2023-03-01 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
The operation failed to notify parents of a situation that placed children at risk.
2023-03-01 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
incident reports were not made for children present during a situation that placed them at risk. Incident reports were not created until after notified by CCR. Once created, incident reports were made available for 11 of 17 children present.
2023-03-01 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2023-03-30. Correction verified: 2023-04-14.
Based on the information obtained during the investigation, the director provided inaccurate information to parents regarding the incident that occurred on 2/28. The director informed parents the operation had a "medical emergency."
2023-01-19 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-01-26. Correction verified: 2023-01-25.
During the inspection, the screws to the back of the toilet seat in the pre-k readiness classroom was loose and unsteady. The wall in the school-age classroom contained chipped pieces of wood and paint that was observed on the floor. Note: The provider corrected the toilet during the inspection.
2022-10-28 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-16.
Based upon the DFPS Investigation, there is sufficient evidence showing a child sustained an injury to their arm while in care.
2022-10-28 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-16.
Based on the DFPS Investigation, a caregiver failed to practice good judgment by grabbing and pulling a child up by the wrist causing them to sustain a sprained arm.
2022-09-20 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-26.
The operational policies do not contain the promotion of physical activities regarding the following: (A) The benefits of physical activity and outdoor play (C) The type of physical activity (structured and unstructured) that children may engage in at your operation (D) Each setting in which your physical activity program will take place (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
2022-09-20 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-26.
A play structure is missing 12 caps which pose a risk to children's safety.
2022-09-20 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-23.
There is paint chipping on the walls in the toddler classroom and in the restroom.
2022-09-20 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-23.
The feeding sheets for 2 infants has not been signed by the parents.
2022-09-20 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-26.
There are 4 active ant beds in the outdoor play areva.
2022-08-04 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-10-20. Correction verified: 2022-11-04.
Based on the DFPS investigation, there is sufficient evidence to suggest that a caregiver did not demonstrate good judgement when handling a child aggressively.
2022-08-04 · HRC 42.04412(a) · High
Interference with an investigation
Corrected at inspection: No. Correction date: 2022-10-20. Correction verified: 2022-11-04.
Based on the DFPS investigation, there is sufficient evidence to suggest that the operation interfered in an active investigation by not providing requested materials.
2022-03-16 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-03-30. Correction verified: 2022-03-31.
Based on the video clip of incident, there were 13 two years old with one caregiver. Class was out of ratio by two children. The maximum caregiver can have is 11 two years old with one caregiver but video showed 13 children with one caregiver.
2021-10-11 · 746.3505(b) · Medium High
Diapering Procedures - Wash Infant's Hands
Corrected at inspection: Yes. Correction date: 2021-10-11. Correction verified: Not recorded.
One infant hands were not washed after diaper change. This was corrected during inspection.
2021-10-11 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: Yes. Correction date: 2021-10-11. Correction verified: Not recorded.
Immunization record was missing on file for one out of ten records checked. This was corrected during inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1331584
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.