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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 4 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated December 29, 2025.
The same records list 7 cited deficiencies dated January 5, 2024 to December 17, 2025 (HHSC risk levels: 1 High, 1 Medium High, 4 Medium, 1 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.
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 7 cited deficiencies for Little Hands Learning Center in the 3 years before October 10, 2026 (1 High, 1 Medium High, 4 Medium, 1 Low).
Records list 4 inspections in this window. Most recent inspection: 2025-12-29.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 1 |
| Medium | 4 |
| Medium Low | 0 |
| Low | 1 |
| 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.
2025-12-17 · 746.1309(e) · Medium
Documented Annual Training- Required Content
The required annual training on the following topics were not available for review on 2 caregivers. The required training topics are 3. administering medication 4.preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing…
Correction date recorded: 2025-12-31
2025-12-17 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children's records indicated by the parent their child had a food allergy. Ther was no emergency care plan on file.
Correction date recorded: 2025-12-31
2025-12-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
One child's record lacked the updated immunization record for the child's age.
Correction date recorded: 2025-12-31
2025-12-17 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2025-12-31. Correction verified: 2025-12-23.
The required annual training on the following topics were not available for reveiw for the director; 6. handling, storing, and disposing of hazardous materials.
2025-12-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-12-31. Correction verified: 2025-12-23.
One child's record lacked the updated immunization record for the child's age.
2025-12-17 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-12-31. Correction verified: 2025-12-23.
Two children's records indicated by the parent their child had a food allergy. Ther was no emergency care plan on file.
2025-12-17 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-12-31. Correction verified: 2025-12-30.
The required annual training on the following topics were not available for review on 2 caregivers. The required training topics are 3. administering medication 4.preventing and responding to emergencies due to food or an allergic reaction and 6. handling, storing, and disposing of hazardous materials.
2024-01-05 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-10.
Two children enrolled in care did not have the required physician health statement.
2024-01-05 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-01-24.
Three staff did not have proof of education in the file for review.
2024-01-05 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2024-01-09. Correction verified: 2024-01-09.
One child enrolled in care did not have authorization for emergency medical care and consent to transport.
2023-07-05 · 746.2207(c)(4) · Medium
Screen Time Activities - Not Used During Eating or Rest Times
Corrected at inspection: Yes. Correction date: 2023-07-05. Correction verified: Not recorded.
In the schoolers classroom, 2 out of 12 children were observed sleeping, 5 were observed on electronic devices and the other children were observed watching a movie during naptime/rest time.
2023-07-05 · 746.2207(c)(4) · Medium
Screen Time Activities - Not Used During Eating or Rest Times
Corrected at inspection: Yes. Correction date: 2023-07-28. Correction verified: Not recorded.
Multiple children were observed engaged in screen time during nap/rest time. Some children were watching television, some were on tablets and one child was observed on a cell phone device.
2023-07-05 · 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: 2023-07-28. Correction verified: 2023-08-22.
Two caregivers were observed laying down in the dark during naptime and not supervising children.
2023-07-05 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-08-22.
A caregiver failed to demonstrate the use of good judgment when she threatened to call law enforcement on a small child who would not listen.
2023-01-06 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2023-01-13. Correction verified: 2023-01-13.
The operation did not have medical treatment authorization forms for each child in being transported.
2023-01-06 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2023-01-13. Correction verified: 2023-01-13.
Medication for a child in care was not in the original container labeled with the child s full name and the date it was brought into the operation.
2023-01-06 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-01-11. Correction verified: 2023-01-13.
The food allergy emergency plan form was not signed and dated by the parent.
2022-07-13 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-09-07. Correction verified: 2022-09-16.
Based on the preponderance of evidence there is sufficient evidence to prove that supervision of a child in care was not being adequately maintained. The child has been observed by staff and parent(s) outside of the classroom (roaming the building) without adult supervision.
2022-05-12 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-05-12. Correction verified: 2022-05-24.
An 11 month old infant was observed sleeping on the boucer during the investigation inspection walkthough. The infant was removed from the bouncer and was placed in the crib for napping
2022-05-09 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-05-13. Correction verified: 2022-05-24.
Based on the information obtained from the investigation, it was confirmed that children were left unsupervised when a caregiver had to leave their classroom to retrieve a child from running outside of the classroom.
2022-01-21 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2022-01-24. Correction verified: 2022-02-07.
An infant was observed sleeping with a pacifier attachment with a clip that was attached to the infant. This was removed at the time of inspection.
2022-01-21 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2022-02-04. Correction verified: 2022-02-07.
The director failed to ensure that training requirements and safe sleep practices were being met at the operation.
2022-01-21 · 746.1301(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2022-02-04. Correction verified: 2022-02-03.
Two caregivers supervising infants at the time of inspection did not have CPR/First aid training. A caregiver supervising infants did not have current CPR or First Aid training. The certification expired in May of 2021.
2022-01-21 · 746.1301(6)(A) · Medium High
Training Requirements for Directors 30- Annual Training
Corrected at inspection: No. Correction date: 2022-02-04. Correction verified: 2022-02-03.
The director had completed 15 hours of 30 hours of annual training (August 2020-August 2021) at the time of inspection.
2022-01-21 · 746.1329(d) · Low
Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
Corrected at inspection: No. Correction date: 2022-01-28. Correction verified: 2022-02-07.
An employee hired on or around July 2019 did not have a signed/dated proof of orientation and preservice at the time of inspection.
2022-01-21 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2022-01-24. Correction verified: 2022-02-07.
A group of children under the age of 2 years old were observed watching Baby Shark at the time of inspection.
2022-01-21 · 746.2428 · High
No Swaddling of Infant Unless Completed Sleep Exception Form on File
Corrected at inspection: No. Correction date: 2022-01-24. Correction verified: 2022-02-07.
A 3 month old infant was swaddled in a crib while sleeping. The swaddle was removed at the time of inspection.
2022-01-21 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-02-04. Correction verified: 2022-02-03.
An infant caregiver did not have annual training in the following topics: Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and Understanding early childhood brain development.
2022-01-21 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2022-01-24. Correction verified: 2022-02-07.
Emergency medical authorization information was not located in the vehicle used to transport children.
2022-01-21 · 746.3501(6) · Medium High
Diaper Changing Steps-Supplies Kept Out of Child's Reach
Corrected at inspection: No. Correction date: 2022-01-28. Correction verified: 2022-02-07.
A restroom used by children in care had diaper changing supplies (Caldesene Baby poweder, Honest soothing bottom wash, 2 Boogie Bottom Diaper Rash Spray) that were within reach of children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1336132
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.