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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 26 cited deficiencies dated March 5, 2024 to February 3, 2026 (5 High, 15 Medium High, 5 Medium, 1 Medium Low risk). Correction status: 9 corrected at inspection, 17 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 26 cited deficiencies for A & B Nursery School in the 3 years before October 10, 2026 (5 High, 15 Medium High, 5 Medium, 1 Medium Low).
Records list 9 inspections in this window. Most recent inspection: 2026-10-08.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 15 |
| Medium | 5 |
| 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.
2026-02-03 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The loose-fill material mulch was depleted under the climbing structure in the playground area. This must be maintained at proper depth.
Correction date recorded: 2026-02-24
2026-02-03 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
I did not observe a carbon monoxide detector in the daycare building.
Correction date recorded: 2026-02-17
2026-02-03 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
The hand washing sink in the diaper changing area is used for washing and rinsing bottles. Note: corrected during inspection.
Corrected at inspection
2026-02-03 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
I observed in the toddler room two feeding bottles and training cup not labeled with child's name or other identifying information. Note: corrected when caregiver labeled the items.
2026-02-03 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
I observed two daycare vans missing a first aid kit inside. Note: corrected when staff replaced first aid kit.
2026-02-03 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
Upon arrival I observed in the infant 2 room a 19-month child in care with television on. Note: corrected when caregiver turned off television.
2026-02-03 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
The hand washing sink in the diaper changing area is used for washing and rinsing bottles. Note: corrected during inspection.
2026-02-03 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-09.
I did not observe a carbon monoxide detector in the daycare building.
2026-02-03 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2026-02-24. Correction verified: 2026-02-09.
The loose-fill material mulch was depleted under the climbing structure in the playground area. This must be maintained at proper depth.
2025-01-03 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-06.
During the walk through it was found that the operation has a hazardous piece of playground equipment on the far right of the playground.
2025-01-03 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-25.
Ten children's files were reviewed and 6 of the files did not have a date of addmission.
2025-01-03 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: Yes. Correction date: 2025-01-03. Correction verified: Not recorded.
During the walk through a caregiver was not able to provide ages of children to licensing staff when asked. This was corrected when the caregiver updated the roll sheet with the children's current ages for reference.
2025-01-03 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-25.
Ten children's files were reviewed one file did not have an address for the emergency contact and one did not have emergency contact information at all.
2025-01-03 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-25.
Ten children's files were reviewed and four files did not have immunization reocrds and they were not school aged children.
2025-01-03 · 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: 2025-01-13. Correction verified: 2025-01-06.
When reviewing personnel files it was found that the director did not have a current CPR/First aid certificate available for review.
2025-01-03 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-25.
Ten children's files were reviewed and three files did not have a health care provider statement.
2024-10-04 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-02.
This standard was evaluated and found to be deficient due to the operations van window being broken, covered with a trash bag.
2024-08-22 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: Yes. Correction date: 2024-08-22. Correction verified: Not recorded.
During the walk through I observed a child inside an unlabeled crib. This was corrected when the caregiver labeled the crib.
2024-08-22 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2024-08-22. Correction verified: Not recorded.
During the walk through I observed the unlabeled bottles. This was corrected when the caregiver labeled the bottles.
2024-08-22 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: Yes. Correction date: 2024-08-22. Correction verified: Not recorded.
During the walk through I observed a caregiver change a diaper and the caregiver did not wash her hands. The inspector mentioned handwashing to the caregiver. Then the caregiver washed her hands.
2024-08-22 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2024-09-12. Correction verified: 2024-10-30.
While reviewing personnel files it was found that the director and 3 caregivers were missing training hours and including abuse/neglect training.
2024-08-22 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-08-29.
While reviewing childrens records it was observed that five children's reords were missing the admission date, parent signatures and dates through the admission forms.
2024-03-18 · 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: 2024-03-18. Correction verified: 2024-03-20.
It was found that one caregiver had a pending background check while caring for 17 toddlers during naptime. This was corrected when the caregiver was asked to leave the operation.
2024-03-18 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-03-18. Correction verified: 2024-04-04.
Three infants of the ages 4 months, 5 months, and 11 months old were found asleep in restrictive devices during a walkthrough of the infant room. This was corrected when all three infants were removed from the restrictive device and placed in their cribs to sleep.
2024-03-05 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2024-03-05. Correction verified: Not recorded.
In the infant room 2, there were 4 bottles with no name label on them. This was corrected when all the bottles were relabeled during the inspection.
2024-03-05 · 746.4915 · Medium High
Additional Surfacing Requirements for Indoor Active Play Equipment
Corrected at inspection: No. Correction date: 2024-03-19. Correction verified: 2024-03-18.
In the toddler room, the two-slide indoor play structure is not installed over unitary shock absorbing surfacing. The two-slide play structure has a large rug underneath the equipment.
2024-03-05 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2024-03-26. Correction verified: 2024-03-18.
There is no loose-fill or unitary surfacing under the rocking school bus in the outside play area.
2024-03-05 · 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: 2024-03-05. Correction verified: 2024-03-18.
A 6 month infant was asleep in a crib while propped up with a boppy pillow. There was no Sleep Execption Form for the infant. This was corrected when the pillow was removed.
2024-03-05 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2024-03-26. Correction verified: 2024-03-18.
The playground with swings did not have a depth of 6 inches of loose-fill surfacing.
2023-06-14 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-14.
It was observed that the television in the school age room is not anchored.
2023-06-06 · 746.2905(2) · Medium High
Children Not Required to Sleep - May Not Confine in a Restrictive Device
Corrected at inspection: No. Correction date: 2023-06-06. Correction verified: 2023-06-14.
During the walkthrough it was found that one child was confined to a high chair to allow the child to sleep. Note: Picture was taken and child was removed from the high chair and placed in nap mat.
2023-06-06 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2023-06-06. Correction verified: 2023-06-14.
Caregiver in school age room did not know how many children caregiver was responsible for.
2023-03-13 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-03-15. Correction verified: 2023-03-13.
On the pre school playground the wood barriers for the surfacing material were separating and as a result created a tripping hazard.
2023-03-13 · 746.4603(4) · Medium High
Prohibited Equipment - Exercise Rings, Trapeze Bars, Free-Swinging Ropes
Corrected at inspection: No. Correction date: 2023-03-15. Correction verified: 2023-03-13.
On the pre school age playground there was a trapeze bar with exercise rings on the play structure.
2022-09-02 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-19.
During the inspection it was found that the fire inspection expired 08/23/22.
2022-09-02 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2022-09-14. Correction verified: 2022-09-19.
New outdoor climbing equipment with slide was placed over grass and not proper surfacing.
2022-09-02 · 746.1301(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation Training
Corrected at inspection: No. Correction date: 2022-09-07. Correction verified: 2022-09-19.
Two staff members who transport had expired transportation training.
2022-09-02 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2022-09-08. Correction verified: 2022-09-19.
It was found that the child safety alarm was not installed in the vehicle used for transporting. The vehicle was purchased 2020 when the building opened.
2022-09-02 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2022-09-02. Correction verified: Not recorded.
Two classrooms with children present was missing the fire exit diagram. Note: This was posted at inspection.
2022-09-02 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-19.
The training certificates were not available for the caregivers and director.
2022-08-02 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2022-09-09. Correction verified: 2022-09-19.
It was found that the parent was not informed of the child's injury.
2022-01-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-01-31. Correction verified: 2022-02-09.
It was found that the food allergy plan for a child with diagnosed food allergies was not signed by the parent and physician.
2021-11-01 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2021-11-15. Correction verified: 2021-11-22.
One out of ten children is missing the signature for the medical authorization.
2021-11-01 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-22.
Four out of ten children are missing updated health statements signed by health care provider.
2021-11-01 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-22.
One out of ten children is missing the special care needs statement and signature.
2021-11-01 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2021-11-01. Correction verified: 2021-11-12.
The caregiver in the preschool classroom did not know the number of children that were in their care.
2021-11-01 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2021-11-05. Correction verified: 2021-11-12.
Two infants did not have a signed and completed written feeding instruction.
2021-11-01 · 746.629(b) · Low
Required documentation for Vision and Hearing Screening Requirement
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-22.
One out of ten children is missing vision and hearing screenin.
2021-11-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2021-11-01. Correction verified: 2021-11-12.
There was only one caregiver in the infant classroom with 7 infants. Corrected: This is was corrected at inspection when another caregiver went into the room to assist in the classroom.
2021-11-01 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: Yes. Correction date: 2021-11-01. Correction verified: Not recorded.
All the cribs in the infant room except one did not have labels with the child's name and information. Corrected: Director put labels on each crib with the correct child's name and information.
2021-11-01 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-22.
Two out of ten children are missing immunization records.
2021-11-01 · 746.605(11) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-22.
One out of ten children is missing the physician or health care professional information.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1359919
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.