2025-12-30 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
During the course of an investigation, it was determined that a caregiver would hit a child on the foot for discipline.
Correction date recorded: 2026-01-26
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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 19 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 21, 2026.
The same records list 15 cited deficiencies dated October 23, 2023 to December 30, 2025 (HHSC risk levels: 5 High, 7 Medium High, 2 Medium, 1 Medium Low).
Correction status recorded by HHSC: 2 corrected at inspection, 13 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 13 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 15 cited deficiencies for A+ Kidz Care Learning Center 3, LLC in the 3 years before October 10, 2026 (5 High, 7 Medium High, 2 Medium, 1 Medium Low).
Records list 19 inspections in this window. Most recent inspection: 2026-08-21.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 7 |
| Medium | 2 |
| 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.
2025-12-30 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
During the course of an investigation, it was determined that a caregiver would hit a child on the foot for discipline.
Correction date recorded: 2026-01-26
2025-11-10 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
One out of ten personnel files evaluated lacked documentation of current SIDS/Shaken Baby training.
Correction date recorded: 2025-11-17
2025-04-04 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Two children who were forty-six months old were combined with a thirteen month old. There is more than an eighteen months difference between the youngest and the oldest child. Note: This was corrected when the children were moved to another classroom.
Correction date recorded: 2025-04-04
2025-12-30 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2026-01-26. Correction verified: 2026-02-02.
During the course of an investigation, it was determined that a caregiver would hit a child on the foot for discipline.
2025-11-10 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-11-17. Correction verified: 2025-11-10.
One out of ten personnel files evaluated lacked documentation of current SIDS/Shaken Baby training.
2025-04-04 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2025-04-04. Correction verified: 2025-04-16.
Two children who were forty-six months old were combined with a thirteen month old. There is more than an eighteen months difference between the youngest and the oldest child. Note: This was corrected when the children were moved to another classroom.
2024-08-05 · 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: 2024-08-05. Correction verified: Not recorded.
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.
2024-08-05 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-08-07. Correction verified: 2024-08-06.
One infant feeding instructions had not been updated since May 2024.
2024-06-07 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-12.
A caregiver was observed telling two children not to go into the staff lounge because there are monsters in there.
2024-04-11 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2024-04-16. Correction verified: 2024-04-16.
Three out of ten personnel records evaluated lacked an employee affidavit.
2024-04-11 · 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: 2024-05-09. Correction verified: 2024-05-09.
Two out of ten personnel records evaluated lacked current first aid training.
2024-04-11 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: Yes. Correction date: 2024-04-11. Correction verified: Not recorded.
Four items were missing from two first aid kits on the buses used to transport children. Note: This was corrected when the director obtained the items for the kit.
2024-04-11 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2024-04-17. Correction verified: 2024-04-17.
One out of ten personnel records evaluated lacked documentation of having a high school diploma, GED, or equivalent.
2024-04-11 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2024-04-17. Correction verified: 2024-04-17.
Three out of ten personnel files evaluated lacked acknowledgment of receiving orientation to the operation.
2024-04-11 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-04-30. Correction verified: 2024-04-18.
One out of ten personnel records evaluated lacked current CPR training.
2024-04-11 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2024-04-18. Correction verified: 2024-04-17.
Three out of ten children's files evaluated lacked a current shot record on file.
2024-02-29 · 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: 2024-02-29. Correction verified: 2024-03-08.
A child was observed coming out of the restroom unsupervised.
2023-10-23 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-10-25. Correction verified: 2023-10-25.
Three infant feeding instructions have not been updated within the past thirty days.
2023-08-03 · 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: 2023-08-24. Correction verified: 2023-08-29.
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.
2023-05-31 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-07-14. Correction verified: 2023-07-24.
Based on information gathered during the investigation, a caregiver threatened to "pop" another employee's child, at that employee's request when they were misbehaving while in care. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.
2023-05-31 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2023-07-14. Correction verified: 2023-07-24.
Based on information gathered during the investigation, caregivers have reportedly been observed yelling at children. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.
2023-04-25 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-04-27. Correction verified: 2023-04-25.
One out of ten children's files evaluated lacked an address for the emergency contact.
2023-04-25 · 746.503 · Medium
Provide Parents With Copy of Policies
Corrected at inspection: No. Correction date: 2023-04-27. Correction verified: 2023-04-25.
One out of ten children's files evaluated lacked parent acknowledgment of receiving the operational policies.
2023-03-09 · 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: 2023-03-09. Correction verified: 2023-03-09.
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility. The person's background check is listed as inactive.
2023-01-10 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2023-01-19. Correction verified: 2023-01-30.
A caregiver failed to wash children's hands after changing their diapers.
2023-01-10 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2023-01-19. Correction verified: 2023-01-30.
A caregiver failed to wash her hands after changing a child's diaper.
2023-01-10 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2023-01-19. Correction verified: 2023-01-30.
A caregiver failed to sanitized the diaper changing table after changing children's diapers.
2023-01-10 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: No. Correction date: 2023-01-19. Correction verified: 2023-01-30.
Soiled diapers were stored in tied bag and placed on a counter where food is served in the classroom.
2023-01-02 · 746.2909(4) · Medium High
Arrangement of Napping Equipment - Provides Access to Walkway
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-09.
Based on information gathered through a DFPS investigation, cots were observed to be touching one another, leaving no walkway or way for children to exit the room without stepping over cots.
2022-11-10 · 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: 2022-11-10. Correction verified: 2022-11-10.
Operation allowed a person to be present at the operation with an inactive background check.
2022-10-26 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Children in Control
Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-11-08.
Children in the two year old room were observed to be out of control. Note: This was corrected when the director stepped in to get the room back in control.
2022-10-12 · 745.635(2) · High
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
Corrected at inspection: No. Correction date: 2022-10-12. Correction verified: 2022-10-26.
Based on information gathered, the operation allowed a person to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
2022-10-09 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2022-11-07. Correction verified: 2022-11-08.
Based on information gathered during the investigation, infants are seated in car seats for more than fifteen minutes at a time.
2022-05-12 · 746.3503(c)(3) · Medium High
Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm's Length of Child
Corrected at inspection: No. Correction date: 2022-06-12. Correction verified: 2022-06-01.
A caregiver in the infant room was observed turning her back to a child who was on the changing table.
2022-05-12 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Corrected at inspection: Yes. Correction date: 2022-05-12. Correction verified: Not recorded.
In the toddler classroom, a bottle of Clorox bleach and a bottle of "Scrubbing Bubbles" (bathroom cleaner) was stored in the children's bathroom, in an unsecured cabinet under the sink making it accessible to children. NOTE: CORRECTED AT TIME OF INSPECTION
2022-02-25 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2022-03-18. Correction verified: 2022-03-23.
Through information received with this investigation;the documentation provided by the operation does not have the parent's signature acknowledging they received a copy of the incident report.
2022-01-26 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2022-01-26. Correction verified: Not recorded.
Child was observed laying on his mat which was blocking an emergency exit doorway posing a hazard. NOTE: This was corrected at inspection with the child's mat being moved out of the doorway.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1346875
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.