2026-09-16 · 746.1111 · Medium
Education Outside of U.S.
One of ten staff files reviewed is missing a foreign diploma translation / equivalency.
Correction date recorded: 2026-09-23
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 8 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 14 cited deficiencies dated December 19, 2023 to September 16, 2026 (HHSC risk levels: 2 High, 7 Medium High, 5 Medium).
Correction status recorded by HHSC: 2 corrected at inspection, 12 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 12 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 14 cited deficiencies for Totally Kids Learning Center in the 3 years before October 10, 2026 (2 High, 7 Medium High, 5 Medium).
Records list 8 inspections in this window. Most recent inspection: 2026-09-16.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 7 |
| 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.
2026-09-16 · 746.1111 · Medium
Education Outside of U.S.
One of ten staff files reviewed is missing a foreign diploma translation / equivalency.
Correction date recorded: 2026-09-23
2026-09-16 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Diaper changing mat in the infant room is torn and a cabinet in the toddler 2 room is broken.
Correction date recorded: 2026-09-18
2025-10-16 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Last fire drill was conducted on 08/05/2025.
Correction date recorded: 2025-10-30
2026-09-16 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-09-18. Correction verified: 2026-09-18.
Diaper changing mat in the infant room is torn and a cabinet in the toddler 2 room is broken.
2026-09-16 · 746.1111 · Medium
Education Outside of U.S.
Corrected at inspection: No. Correction date: 2026-09-23. Correction verified: 2026-09-25.
One of ten staff files reviewed is missing a foreign diploma translation / equivalency.
2025-10-16 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-10-30. Correction verified: 2025-11-03.
Last fire inspection was conducted on 08/27/2024.
2025-10-16 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Corrected at inspection: No. Correction date: 2025-10-23. Correction verified: 2025-11-05.
One out of eight staff training records reviewed is missing up to date first aid and pediatric CPR training certificate.
2025-10-16 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-10-30. Correction verified: 2025-11-04.
Last fire drill was conducted on 08/05/2025.
2024-11-26 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-19.
Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.
2024-11-26 · 746.3425(1) · Medium High
Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-19.
A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.
2024-11-26 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-19.
A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.
2024-11-26 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-19.
Three caregivers did not have their training record available for review during the inspection.
2023-12-19 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2023-12-19. Correction verified: Not recorded.
The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.
2023-12-19 · 746.501(a)(18)(F) · Medium
Written Operational Policies - Criteria for Extreme Weather
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-27.
The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.
2023-12-19 · 746.3317(7) · High
Food Service and Preparation Requirement - No Foods That Present Choking Risk
Corrected at inspection: No. Correction date: 2023-12-19. Correction verified: 2024-01-08.
Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.
2023-12-19 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2023-12-19. Correction verified: Not recorded.
Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.
2023-12-19 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2023-12-27. Correction verified: 2024-01-08.
Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.
2023-03-20 · 746.1057 · Low
Director Certificate Not Renewed
Corrected at inspection: No. Correction date: 2023-04-20. Correction verified: 2023-04-26.
The director's credential was not maintained and no longer current.
2023-01-13 · 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: 2023-01-18. Correction verified: 2023-02-16.
A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.
2023-01-13 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2023-01-18. Correction verified: 2023-02-16.
A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.
2022-12-19 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2023-01-13.
A caregiver's pediatric CPR training was completed onlline.
2022-12-19 · 746.403(b) · Medium High
Posting Requirements - Child's Food Allergy Plans
Corrected at inspection: Yes. Correction date: 2022-12-19. Correction verified: Not recorded.
A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.
2022-12-19 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-12-23. Correction verified: 2023-01-13.
1 of 6 children's immuniation records reivewed was not current.
2022-12-19 · 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: 2022-12-23. Correction verified: 2023-01-13.
A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.
2022-12-19 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2022-12-20. Correction verified: 2023-01-13.
There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.
2022-12-19 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2022-12-20. Correction verified: 2023-01-13.
The center did not have a carbon monoxide detector.
2022-05-23 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2022-05-23. Correction verified: Not recorded.
A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.
2022-03-01 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-25.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
2021-12-20 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: Yes. Correction date: 2021-12-20. Correction verified: Not recorded.
2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.
2021-12-20 · 746.1111 · Medium
Education Outside of U.S.
Corrected at inspection: No. Correction date: 2021-12-31. Correction verified: 2022-01-03.
A caregiver's education documentation received outside of the United States was not translated into English.
2021-12-20 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2021-12-31. Correction verified: 2022-01-03.
A caregiver completed standard CPR training online.
2021-12-20 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-01-10. Correction verified: 2022-01-03.
A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
2021-12-20 · 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: 2021-12-31. Correction verified: 2022-01-03.
A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.
2021-12-20 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2021-12-31. Correction verified: 2022-02-18.
There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1355669
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.