2026-09-11 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Animals dropping were observed on the ground of the playground. Note: This was corrected during inspection when provider clean up the area.
Corrected at inspection
Licensed Center
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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 9 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 16, 2026.
The same records list 8 cited deficiencies dated June 17, 2024 to September 11, 2026 (HHSC risk levels: 2 High, 2 Medium High, 4 Medium).
Correction status recorded by HHSC: 1 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 8 cited deficiencies for Small Hands Big Hopes Academy in the 3 years before October 10, 2026 (2 High, 2 Medium High, 4 Medium).
Records list 9 inspections in this window. Most recent inspection: 2026-09-16.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 2 |
| Medium | 4 |
| 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.
2026-09-11 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Animals dropping were observed on the ground of the playground. Note: This was corrected during inspection when provider clean up the area.
Corrected at inspection
2026-09-11 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Two children under 12 months were asleep in rockers.
Correction date recorded: 2026-09-11
2026-09-11 · 746.2911 · Medium High
Adequate Lighting During Naptime
Lights in the infant room were off during naptime, there was insufficient light to view the room and the children present in the room.
Correction date recorded: 2026-09-11
2026-09-11 · 746.2603(1) · Medium
Space Requirements for Pre-Kindergarten Age - Does Not Limit Movement
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
A four year old child was awake and placed on a high chair after waking from naptime.
2026-09-11 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Corrected at inspection: No. Correction date: 2026-09-18. Correction verified: 2026-09-22.
Three out of four staff records reviewed are missing training certificates for health and safety related topics.
2026-09-11 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
Lights in the infant room were off during naptime, there was insufficient light to view the room and the children present in the room.
2026-09-11 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
Two children under 12 months were asleep in rockers.
2026-09-11 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: Yes. Correction date: 2026-09-11. Correction verified: Not recorded.
Animals dropping were observed on the ground of the playground. Note: This was corrected during inspection when provider clean up the area.
2025-09-29 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-10-09. Correction verified: 2025-10-23.
Four staff files were reviewed. Two files are missing preemployment affidavit (Form 2912), one file is missing valid high school diploma and one file is missing SIDS/Shaken Baby training certificate.
2024-10-23 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-11-07.
An infant was observed asleep on a floor bouncer for an undetermined amount of time. Note: The caregiver moved the infant to a crib during the inspection.
2024-06-17 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2024-06-18. Correction verified: 2024-06-18.
The director did not have a complete training record available for review at the operation.
2023-04-19 · 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: 2023-04-19. Correction verified: 2023-05-04.
Proper supervision was not established as there was only one caregiver in the building caring for 10 children of varying ages. The children were divided into two groups and in different rooms. The caregiver was observed in the infant room supervising 5 children and leaving 5 other children in the pre-k area unsupervised. This prevented the caregiver from having adequate physical proximity and auditory or visual awareness of each child in care.
2023-04-19 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2023-04-19. Correction verified: 2023-05-04.
Ratios were not met when a caregiver was caring for a total of 10 children of varying ages. The ages of the children were One infant, and Nine children between 18 months-4 years of age. According to the ratio chart when 12 or fewer children are present two caregivers were required with the group of children based on the number of children and age of children.
2022-10-24 · 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: 2022-10-24. Correction verified: 2022-10-24.
A caregiver was allowed to be present in the operation and have director contact with children in care prior to the operation receiving notice from the CBCU (Centralized Background Check Unit) regarding the person s eligibility. Note: The Person left the operation during the inspection.
2022-10-24 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2022-10-24. Correction verified: 2022-11-10.
A group of children including a child under the age of 2 were watching television during breakfast.
2022-10-24 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2022-10-24. Correction verified: 2022-11-10.
A group of children of varying ages did not have their hands washed before eating the morning snack. NOTE: This was addressed during inspection and children's hands were washed.
2022-10-24 · 746.801(1) · Medium
Required Records Maintained and Made Available - Children's Records
Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-11-10.
There were no records available for review for two children in care. 3 of 5 children's immunization records reviewed were not current. Note: The records missing for the two children were brought to the center and were reviewed.
2021-12-29 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: Yes. Correction date: 2021-12-29. Correction verified: Not recorded.
Soiled diapers were being disposed of in a trash can with no lid/cover in the infant room. Note: This was CORRECTED during the inspection as the trash can was replaced with one that had a lid.
2021-12-16 · 746.1701 · Medium
Child/Caregiver Ratio - 12 or Fewer Children
Corrected at inspection: No. Correction date: 2021-12-16. Correction verified: 2021-12-29.
Ratios were not met when a caregiver was caring for a total of 11 children of varying ages. The ages of the children were Four infants 0-17 months old, and Seven children between 18 months-4 years of age. According to the ratio chart two caregivers were required with the group of children based on the number of children in each age category.
2021-12-16 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2021-12-16. Correction verified: 2021-12-29.
Proper supervision was not established as there was only one caregiver in the building caring for 11 children of varying ages. The children were divided into two groups and in different rooms. Four infants and a toddler were observed in the infant room. Four toddlers and two pre-k children were observed in the pre-k area asleep on floor mats. The caregiver was observed in the infant room leaving the children in the pre-k area unsupervised.
2021-11-30 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2021-12-08. Correction verified: 2021-12-16.
A caregiver's record was not available for review during the inspection. 1 of 3 records reviewed was missing the caregiver's education documentation.
2021-11-30 · 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: 2021-12-07. Correction verified: 2021-12-07.
A caregiver did not have current training in pediatric first aid with rescue breathing and choking.
2021-11-30 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2021-11-30. Correction verified: 2021-12-16.
A small television in the infant room was not anchored or strapped to prevent from tipping over. A sand box in the outdoor area was not properly maintained as the sand box was filled with standing water. Note: The television was removed and stored away. The sand box containing water was emptied during the inspection.
2021-11-30 · 746.501(a)(18)(A) · Medium
Written Operational Policies - Benefits
Corrected at inspection: No. Correction date: 2021-12-07. Correction verified: 2021-12-07.
The operational policies reviewed were missing the following information: Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities) your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (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; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physicalactivities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
2021-11-30 · 746.5209(c) · High
No Blocked or Locked Doors as Exits
Corrected at inspection: No. Correction date: 2021-11-30. Correction verified: 2021-12-16.
A designated fire exit door was blocked with children's equipment. Note: This was addressed with director and the equipment was removed.
2021-11-30 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2021-12-07. Correction verified: 2021-12-07.
A caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1348273
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.