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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.
State records list 30 cited deficiencies dated October 24, 2023 to July 9, 2026 (9 High, 12 Medium High, 7 Medium, 1 Medium Low, 1 Low risk). Correction status: 2 corrected at inspection, 28 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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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 30 cited deficiencies for LSP Four Points, Inc. in the 3 years before October 10, 2026 (9 High, 12 Medium High, 7 Medium, 1 Medium Low, 1 Low).
Records list 16 inspections in this window. Most recent inspection: 2026-08-05.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 12 |
| Medium | 7 |
| Medium Low | 1 |
| 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.
2026-07-09 · 746.623(1)(A) · Medium Low
Immunizations-Immunization record must include the child's name and birth date
During an audit of immunization records, it was determined that 39 children were missing the medical professional's signature and/or did not have the required immunization frequency documented.
Correction date recorded: 2026-08-03
2026-05-08 · 746.3803(b) · Medium High
Medication Authorization Expires on First Anniversary
A child's Allergy Action plan had expired.
Correction date recorded: 2026-05-22
2026-05-08 · 746.3701(8) · Medium High
Safety-Hinged Lid Storage Containers Safe
The outdoor storage box(s) did not have ventilation holes.
Correction date recorded: 2026-05-22
2026-07-09 · 746.623(1)(A) · Medium Low
Immunizations-Immunization record must include the child's name and birth date
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-05.
During an audit of immunization records, it was determined that 39 children were missing the medical professional's signature and/or did not have the required immunization frequency documented.
2026-05-08 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-22.
Two medications were out of date.
2026-05-08 · 746.3701(8) · Medium High
Safety-Hinged Lid Storage Containers Safe
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-22.
The outdoor storage box(s) did not have ventilation holes.
2026-05-08 · 746.3803(b) · Medium High
Medication Authorization Expires on First Anniversary
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-22.
A child's Allergy Action plan had expired.
2025-06-18 · 746.1613(a) · Medium
Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met
Corrected at inspection: Yes. Correction date: 2025-06-18. Correction verified: Not recorded.
Ratio was reduced at nap time in a classroom that included and infant aged child.
2025-06-18 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2025-07-02. Correction verified: 2025-06-27.
Medical authorization forms were missing parent signature and had expired signature from a medical professional.
2025-06-18 · 746.605(12)(B)(i) · Medium High
Required Admission Information - Reasonable Accommodations or Modifications
Corrected at inspection: No. Correction date: 2025-07-02. Correction verified: 2025-06-27.
Admission information did not include information on special needs.
2025-06-18 · 746.605(16) · Medium High
Required Admission Information - Water Activity Permission
Corrected at inspection: No. Correction date: 2025-07-02. Correction verified: 2025-06-27.
Admission information was missing the required information for water safety.
2024-10-31 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-12-05.
A caregiver pinched a child, twisted a child's arm, and squirted a child in the face with a spray bottle as punishment.
2024-10-31 · 746.2805(2) · High
Prohibited Punishments - Associated with Food, Naps, or Toilet Training
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-12-05.
A caregiver punished children for bathroom accidents.
2024-10-31 · 746.1201(5) · High
Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-12-05.
A caregiver did not report suspected abuse promptly.
2024-10-31 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-12-05.
A caregiver humiliated children in the presence of their peers
2024-08-19 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-09-23. Correction verified: 2024-09-13.
The operation did not have a fire inspection conducted within the last 12 months.
2024-08-19 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-09-02. Correction verified: 2024-08-26.
Two children did not have current immunization records.
2024-08-19 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2024-09-02. Correction verified: 2024-08-20.
One child's emergency allergy plan was incomplete as it was missing one of the two medications listed by the physician.
2024-08-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-08-26. Correction verified: 2024-08-20.
Three infants did not have current feeding instructions reviewed by a parent/guardian in the last 30 days.
2024-08-19 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-09-23. Correction verified: 2024-09-13.
The operation did not have a sanitation inspection done within the last 12 months.
2024-08-19 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: Yes. Correction date: 2024-08-19. Correction verified: Not recorded.
The operation did not have complete documentation of their fire drills, monthly inspections of their CO2, Smoke Detectors, or their fire extinguishers. This was corrected at inspection by the director when the drills and monthly inspections were documented.
2024-08-19 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2024-09-09. Correction verified: 2024-08-20.
One child's Epinephrine Auto-Injector was not in the original packaging.
2024-08-19 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-10-11. Correction verified: 2024-10-18.
A caregiver did not demonstrate good judgement when she allowed a child to go outside in excessively hot weather without shoes on.
2024-08-19 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-10-11. Correction verified: 2024-10-18.
One classroom was out of ratio as one caregiver was caring for fourteen 2-year-old children which is three over the allowed number of children in that age group to be cared for by one caregiver.
2024-02-08 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2024-02-08. Correction verified: 2024-02-14.
There was one unlabeled cup in the classroom refrigerator which belonged to a child. The caregiver labeled it when asked to do so during inspection.
2024-01-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-02-08. Correction verified: 2024-02-05.
Ten infants did not have up-to-date feeding instructions.
2024-01-19 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2024-02-05. Correction verified: 2024-02-08.
There were unlabeled and undistinguishable bottles in the fridge.
2024-01-19 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-02-05. Correction verified: 2024-02-08.
A caregiver demonstrated a lapse in judgment by mistakenly providing an infant with a bottle intended for another child.
2023-10-24 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-10-30.
One child's admission paperwork did not include any information on who should be contacted in an emergency or any contact information.
2023-10-24 · 746.501(a)(25) · Low
Written Operational Policies - Breastfeeding Provisions
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-10-30.
The operation's operational policies did not include a section for nursing mothers.
2023-10-24 · 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: 2023-10-24. Correction verified: 2023-10-31.
A caregiver was present in a classrom without an eligible background check,
2023-10-24 · 746.605(7) · High
Required Admission Information - Release Information
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-10-30.
One child's admission paperwork did not include names and telephone numbers of persons other than a parent to whom the child may be released to.
2023-10-24 · 746.501(a)(28) · Medium
Written Operational Policies - Vaccine Preventable Diseases
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-10-30.
The operation's operational policies did not include a section on vaccine-preventable diseases for employees.
2022-11-16 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-30.
Sanitation inspection was not up to date.
2022-03-12 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: Yes. Correction date: 2022-03-24. Correction verified: Not recorded.
During an investigation there was sufficient evidence to support that a caregiver did not demonstrate good judgment and self-control while interacting with children in care. This incident was self-reported by the center who immediately terminated the employee.
2021-12-07 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2021-12-27. Correction verified: 2022-01-10.
A fire inspection associated with the fire department and Fire Marshall has not been conducted within the last 12 months.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1354932
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.