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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 18 cited deficiencies dated May 14, 2024 to September 30, 2025 (7 High, 5 Medium High, 4 Medium, 1 Medium Low, 1 Low risk). Correction status: 3 corrected at inspection, 15 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.
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 18 cited deficiencies for Small Steps Nurturing Center-Gulfton in the 3 years before October 10, 2026 (7 High, 5 Medium High, 4 Medium, 1 Medium Low, 1 Low).
Records list 9 inspections in this window. Most recent inspection: 2026-05-04.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 5 |
| Medium | 4 |
| 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.
2025-09-30 · 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
Based on the information obtained, it was determined supervision was not maintained when a two-year-old child left the classroom.
Correction date recorded: 2025-10-28
2025-05-06 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
The last gas leak inspection was conducted on 2/7/2023.
Correction date recorded: 2025-05-16
2025-05-06 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Emergency medical treatment information is needed for five children who are transported.
Correction date recorded: 2025-05-09
2025-09-30 · 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: 2025-10-28. Correction verified: 2025-11-10.
Based on the information obtained, it was determined supervision was not maintained when a two-year-old child left the classroom.
2025-05-06 · 746.5537(b)(2) · Medium High
Electronic CO Detection Sys Connected to Alarm/Smoke Detection Sys-Test Documentation Available During Hours of Operation
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-08.
The operation does not have documentation showing the carbon monoxide detection system was tested.
2025-05-06 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-09.
Records were evaluated for eight children enrolled and the following was determined: Three children needed a statement of special needs. Two children needed an address for the emergency contact. One child needed emergency care information such as name, address, and phone number of the child's physician or emergency care facility. One child needed authorization for emergency medical treatment.
2025-05-06 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2025-05-06. Correction verified: Not recorded.
The annual certification was last completed 01/22/2024 Note: This was corrected during inspection.
2025-05-06 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2025-05-06. Correction verified: Not recorded.
During today's inspection I observed a bottle of medication stored on a counter that was accessible to children. Note: This was corrected during inspection.
2025-05-06 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-05-09.
A parent signature is needed on one child's food allergy emergency plan.
2025-05-06 · 746.1329(d) · Low
Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-05-09.
While evaluating eight personnel files, I observed several files missing signed and dated statement from the employee/trainer.
2025-05-06 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-05-09.
Emergency medical treatment information is needed for five children who are transported.
2025-05-06 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-08.
The last gas leak inspection was conducted on 2/7/2023.
2024-05-14 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-22.
Documentation showing the smoke detector and carbonoxide detectors have been tested within the last month was not available for review.
2024-05-14 · 746.1317(c)(4) · Medium Low
Training Criteria - Certificate
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-22.
Training certificates in the following topics were not available for review for 2 staff: Handling, Storing and Disposing of Hazardous Materials Emergency Preparedness
2024-05-14 · 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: 2024-05-14. Correction verified: 2024-05-22.
Observed a caregiver in the Three's classroom who had direct access to children in care. The caregivers background check is pending and the operation has not received an eligiblity notification from CBCU stating the caregiver can be present.
2024-05-14 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-22.
Authorization for emergency medical treatment for children was not observed in the vehicle used to transport children.
2024-05-14 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-05-14. Correction verified: 2024-05-29.
Multiple caregivers did not know the number of children they were responsible for during the inspection.
2024-05-14 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-29.
Nap mats were missing labels during the inspection.
2024-05-14 · 746.4003(a)(7) · Medium
First Aid Kit Incomplete - Thermometer, preferably non-glass
Corrected at inspection: Yes. Correction date: 2024-05-14. Correction verified: Not recorded.
The operation did not have a thermometer in the first aid kit in van used to transport children. Note: The provider obtained an extra thermometer and placed it in the first aid kit in the van during the inspection.
2024-05-14 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-05-28. Correction verified: 2024-05-22.
The food allergy emergency plan forms for 2 children with documented food allergies was not signed by the parent.
2024-05-14 · 746.3401(c)(2) · Medium High
Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us
Corrected at inspection: No. Correction date: 2024-06-12. Correction verified: 2024-07-16.
Documentation stating a sanitation inspection is not required was not available for review during the inspection.
2022-04-27 · 746.631(b) · Medium High
Caregivers Have Access to Tracking System
Corrected at inspection: Yes. Correction date: 2022-04-27. Correction verified: Not recorded.
There were 2 classrooms on the playground that did not have access to the tracking system for children in their care. Note: The Interim Director brought the sign in/out logs to the caregivers druing the inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1369342
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.