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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 4 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated March 16, 2026.
The same records list 2 cited deficiencies dated April 7, 2025 to February 13, 2026 (HHSC risk levels: 1 High, 1 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 2 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 2 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.
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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 2 cited deficiencies for Lewis Learning Center Graham in the 3 years before October 10, 2026 (1 High, 1 Medium).
Records list 4 inspections in this window. Most recent inspection: 2026-03-16.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 0 |
| Medium | 1 |
| 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.
2026-02-13 · 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
Evidence gathered during this investigation shows a child in care was left unsupervised in a classroom for approximately 15 minutes.
Correction date recorded: 2026-03-10
2025-04-07 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
During the inspection 6 children's records were reviewed. Out of the 6 children's records one is missing a Health Statement.
Correction date recorded: 2025-04-25
2026-02-13 · 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: 2026-03-10. Correction verified: 2026-03-16.
Evidence gathered during this investigation shows a child in care was left unsupervised in a classroom for approximately 15 minutes.
2025-04-07 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-04-23.
During the inspection 6 children's records were reviewed. Out of the 6 children's records one is missing a Health Statement.
2023-09-19 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2023-09-26. Correction verified: 2023-09-22.
A caregiver had an online CPR certification that does not meet minimums standard requirements.
2023-09-19 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: No. Correction date: 2023-09-19. Correction verified: 2023-09-29.
2 caregivers were observed supervising a group of 29 children on the playground where the specified age group was 2 yrs old. This was corrected at inspection when 2 other caregivers entered the playground.
2022-04-21 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2022-04-28. Correction verified: 2022-05-02.
During the inspection, several infants were sitting in the seats in the table without a safety strap. Also several of the seats do not have safety straps.
2022-04-01 · 746.2805(10) · High
Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
It was determined through this investigation a child in care was placed in a high chair for time out/separation purposes.
2022-04-01 · 746.501(a)(8) · Medium High
Written Operational Policies - Suspension and Expulsion
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
It was determined through this investigation that the operation did not follow their operational policies and expelled children without the proper notices stated in the operational policies.
2022-04-01 · 746.2805(9) · High
Prohibited Punishments - Withholding Active Play
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
It was determined a child in care was taken inside the building during active play and made to sit down as a result of a hitting another child while the caregiver searched for an incident report.
2022-04-01 · 746.501(a)(8) · Medium High
Written Operational Policies - Suspension and Expulsion
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
It was determined the operation expelled a child for behavioral issues without the notice required in the operational policies.
2022-04-01 · 746.2805(10) · High
Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-05-27. Correction verified: 2022-06-06.
It was determined a prek child in care was placed in a high chair as a means to control challenging behaviors.
2022-03-10 · 746.5605(4) · High
AP Safety Precautions for Loading and Unloading Children - No Child Unattended
Corrected at inspection: No. Correction date: 2022-06-21. Correction verified: 2022-06-29.
Based on a DFPS investigation, it was determined a child in care was left unsupervised on the van for approximately an hour and forty five minutes after being transported from school.
2022-03-10 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2022-06-21. Correction verified: 2022-06-29.
Based on a DFPS investigation, it was determined a child in care was neglected.
2021-10-20 · 746.2431 · Medium High
Infant Daily Report - Share with Parent
Corrected at inspection: No. Correction date: 2021-10-20. Correction verified: 2021-10-20.
During the unannounced investigation inspection it was determined that the infant caregivers were not completing or sharing infant daily sheets for infants in care over 12 months of age.
2021-10-14 · 746.2401(4) · Medium High
Basic Requirements for Infants - Prompt Attention to Needs
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-24.
It was determined throughout the course of the investigation that an infant in care was not changed promptly as there was a diaper rash and dried fecal matter observed on the infant's buttocks.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1380521
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.