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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 10 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 23, 2026.
The same records list 17 cited deficiencies dated October 31, 2023 to July 28, 2026 (HHSC risk levels: 4 High, 8 Medium High, 5 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 16 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 16 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 17 cited deficiencies for Creative Children's Academy in the 3 years before October 10, 2026 (4 High, 8 Medium High, 5 Medium).
Records list 10 inspections in this window. Most recent inspection: 2026-09-23.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 8 |
| Medium | 5 |
| 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.
2026-07-28 · 746.301(5) · Medium High
Notification of Change in Age Range of Children In Care
This standard was reviewed during an investigation and was found to be deficient. There is sufficient evidence that supports that the operation has been caring for school age children without notifying CCR.
Correction date recorded: 2026-08-21
2026-04-07 · 746.1613(a)(6) · Medium High
Naptime Child/Caregiver Ratio - Caregivers Physically Present
During the inspection there was a caregiver supervising two classroom during naptime. However, the caregiver was not physically present in the same area as both classrooms.
Correction date recorded: 2026-04-07
2026-04-07 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing her personal cellphone while caring for children.
Correction date recorded: 2026-04-07
2026-07-28 · 746.301(5) · Medium High
Notification of Change in Age Range of Children In Care
Corrected at inspection: No. Correction date: 2026-08-21. Correction verified: 2026-08-17.
This standard was reviewed during an investigation and was found to be deficient. There is sufficient evidence that supports that the operation has been caring for school age children without notifying CCR.
2026-04-07 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2026-04-07. Correction verified: Not recorded.
During the walk through it was found that the operation moved the infant classroom from the back of the building to the pre-k classroom without notifying CCR and amending the permit.
2026-04-07 · 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: 2026-04-07. Correction verified: 2026-04-14.
A caregiver was observed utilizing her personal cellphone while caring for children.
2026-04-07 · 746.1613(a)(6) · Medium High
Naptime Child/Caregiver Ratio - Caregivers Physically Present
Corrected at inspection: No. Correction date: 2026-04-07. Correction verified: 2026-04-14.
During the inspection there was a caregiver supervising two classroom during naptime. However, the caregiver was not physically present in the same area as both classrooms.
2025-09-04 · 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: 2025-10-03. Correction verified: 2025-10-06.
While reviewing personnel files 5 caregivers did not have a current certificate for CPR/ First Aid.
2025-09-04 · 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: 2025-09-04. Correction verified: 2025-09-11.
There was an infant observed asleep in their crib with a bib on.
2025-09-04 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-09-12. Correction verified: 2025-09-19.
While reviewing personnel files one caregiver was missing the following; notarized affidavit, pre-employment affidavit, and orientation statement.
2025-09-04 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-10-09.
While reviewing children files I observed 4 out of 6 files were missing required information such as; information for emergency contacts, updated immunizations, release information, acknowledgment of operational policies, water activity permissions, and transportation permissions.
2025-09-04 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2025-09-04. Correction verified: 2025-09-11.
During the inspection there was an infant observed to be left unsupervised while asleep in their crib.
2025-09-04 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-09.
The operation's fire inspection expired on 3/14/2024 and a recent fire inspection has not been conducted.
2024-02-26 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2024-03-04. Correction verified: 2024-03-25.
The first aid kit was incomplete and was missing gauze pads and the guide to first aid.
2024-02-26 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-03-11. Correction verified: 2024-03-22.
The children records were reviewed. Two records were missing updated shot records.
2024-02-26 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-03-04. Correction verified: 2024-03-25.
The food allergy alert plan for 2 children with an allergy was not available at inspection.
2024-02-26 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-03-04. Correction verified: 2024-03-25.
The children records were reviewed and one record did not have the emergency contact address.
2023-10-31 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-11-15.
Upon arrival at the operation there was one caregivere caring for 26 children ages 6m-5years at nap time. This was corrected within 30 minutes when the other caregivers arrived from lunch and for their afternoon shifts.
2023-10-31 · 746.4813(a) · Medium High
Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
Corrected at inspection: No. Correction date: 2023-11-14. Correction verified: 2023-11-15.
The use zone for the rocking piece of equipment did not have a 6 foot use zone.
2023-10-31 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-11-15.
An infant was observed sleeping in a restrictive device at nap.
2023-05-01 · 746.2431(5) · Medium
Infant Daily Report - Summary of Activities
Corrected at inspection: No. Correction date: 2023-05-08. Correction verified: 2023-05-15.
During inspection the infant daily reports were reviewed and did not have a spot for the summary of daily activities.
2023-05-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-05-01. Correction verified: 2023-05-15.
During inspection the two infant rooms were out of ratio. One infant room had 1 caregiver with 5 infants 3m-11m. The second infant room had 1 caregiver for 6 children SAG 17m. Both room ratios were corrected during inspection.
2023-05-01 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2023-05-01. Correction verified: 2023-05-15.
An infant was observed to be unbuckled in the highchair with the tray detached. The child was attempting to climb out of the highchair.
2023-05-01 · 746.2411(2)(I) · Medium High
Safety Requirements for Play Yards - Label for Each Infant
Corrected at inspection: Yes. Correction date: 2023-05-01. Correction verified: Not recorded.
During inspection it was observed that the infant play yards did not have a name for each child on the cribs.
2023-05-01 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2023-05-01. Correction verified: 2023-05-15.
During inspection it was observed that a caregiver left 6 children alone in a room ages 11m-2 years, SAG of 17m, in high chairs when the caregiver left the room to go to their car. This was corrected when the caregiver returned to the room.
2023-05-01 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-05-15. Correction verified: 2023-05-15.
Immunization records were reviewed for the HASA. Two records were not current and up to date.
2022-11-30 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2022-11-30. Correction verified: Not recorded.
During inspection one classroom was observed to be over ratio while waiting for two caregivers to arrive for work. This was corrected during inspection when the caregivers arrived.
2022-06-06 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-06-06. Correction verified: 2022-06-14.
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair.
2022-06-06 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-06-06. Correction verified: 2022-06-14.
During inspection, one classroom was over ratio. The 2 - 3 yrs old class had 16 children.
2022-06-06 · 746.201(11) · High
AP Ensure total number of children both at & away from center within capacity
Corrected at inspection: No. Correction date: 2022-06-06. Correction verified: 2022-06-14.
During a follow up inspection the operation was operating with 44 children present and capacity is 38 children for the operation total.
2022-06-06 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2022-06-06. Correction verified: 2022-06-14.
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair, 3 infants were observed in high chairs unbuckled.
2022-05-24 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-05-27.
A follow up was conducted on this day. One of the children present did not have an updated feeding instruction. The standard was re-cited.
2022-05-24 · 746.201(11) · High
AP Ensure total number of children both at & away from center within capacity
Corrected at inspection: No. Correction date: 2022-05-25. Correction verified: 2022-06-06.
During a follow up inspection the operation was operating with 41 children present and capacity is 38 children for the operation total.
2022-05-24 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-05-31. Correction verified: 2022-05-27.
A follow up was conducted on this day. The immunization record has not been provided by the parent and is not current. The standard was re-cited.
2022-05-24 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-05-31. Correction verified: 2022-05-27.
A follow up was conducted on this day. The SIDS and Shaken Baby training was not found in the employee file as complete. This standard was re-cited.
2022-05-09 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
The infant feeding instructions were reviewed and have not been updated in the last 30 days. The last date of review was on 4/1/22
2022-05-09 · 746.2505(3) · Medium
Furnishings and Equipment for Toddlers - Items Accessible to Children
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
During inspection it was observed that there were only large play items availble for the children to play with in the room and accessible.
2022-05-09 · 746.1309(c) · Medium
Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
Traning was reviewed for the HASA and one employee did not have child maltreatment training as required.
2022-05-09 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
Four children files were reviewed for the HASA and one file did not have a current immunization record.
2022-05-09 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2022-05-09. Correction verified: 2022-05-24.
During inspection Lysol wipes were obsesrved to be on a low shelf in the bathroom that the children use and have access to. This was corrected at inspection.
2022-05-09 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
Training records were reviewed for the HASA and one record was missing training for SIDS and Shaken Baby.
2022-05-09 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
The grounds checklist were observed for the HASA and had not been completed since February of 2022.
2022-05-09 · 746.2206(1) · Medium
Written Activity Plan - Outdoor Play Opportunities
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
The activity plans were reviewed and there is only one outdoor time listed for the children.
2022-05-09 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2022-05-09. Correction verified: Not recorded.
An employee was observed cleaning an infants hands after a diaper change with a baby wipe. This was corrected when the caregiver washed the infants hands with water and soap.
2022-05-09 · 746.501(a)(18)(A) · Medium
Written Operational Policies - Benefits
Corrected at inspection: No. Correction date: 2022-05-23. Correction verified: 2022-05-24.
The operational policies were reviewed and were missing the activity portion, specifically the benefits of physical activity, duration of play and where the children will go in the event of extreme weather.
2022-01-25 · 746.1401(g) · Medium
Substitutes and Volunteers - Complete Orientation Before Beginning Relevant Duties
Corrected at inspection: No. Correction date: 2022-03-03. Correction verified: 2022-03-03.
This standard was reviewed in relation to the DFPS investigation and found to be deficient. One substitute present at the operation did not have a complete orientation before being counted in child/caregiver ratio.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1337649
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.