2026-06-25 · 746.613(c)(1) · Medium High
Immunization Exception or Exemption on File and Verified
Two out of six child files evaluated did not have copies of current vaccinations.
Correction date recorded: 2026-07-10
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 4 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated June 25, 2026.
The same records list 15 cited deficiencies dated May 13, 2024 to June 25, 2026 (HHSC risk levels: 3 High, 6 Medium High, 4 Medium, 1 Medium Low, 1 Low).
Correction status recorded by HHSC: 1 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 14 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 15 cited deficiencies for Nest Nature School in the 3 years before October 10, 2026 (3 High, 6 Medium High, 4 Medium, 1 Medium Low, 1 Low).
Records list 4 inspections in this window. Most recent inspection: 2026-06-25.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 6 |
| 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.
2026-06-25 · 746.613(c)(1) · Medium High
Immunization Exception or Exemption on File and Verified
Two out of six child files evaluated did not have copies of current vaccinations.
Correction date recorded: 2026-07-10
2026-06-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child's allergy plan on file was missing a parent signature.
Correction date recorded: 2026-06-26
2026-06-25 · 746.615(a) · Medium
Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.
Correction date recorded: 2026-07-10
2026-06-25 · 746.615(a) · Medium
Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
Corrected at inspection: No. Correction date: 2026-07-10. Correction verified: 2026-07-30.
A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.
2026-06-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2026-06-26. Correction verified: 2026-07-30.
One child's allergy plan on file was missing a parent signature.
2026-06-25 · 746.613(c)(1) · Medium High
Immunization Exception or Exemption on File and Verified
Corrected at inspection: No. Correction date: 2026-07-10. Correction verified: 2026-07-30.
Two out of six child files evaluated did not have copies of current vaccinations.
2025-12-01 · 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: 2025-12-01. Correction verified: 2025-12-16.
Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.
2025-12-01 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-12-19. Correction verified: 2025-12-18.
A food allergy plan on file was missing the parent and doctor signature.
2025-04-07 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-04-14.
The operation's last Health inspection was conducted on 11/28/2024.
2025-04-07 · 746.1309(c) · Medium
Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-05-19.
Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.
2025-04-07 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2025-04-11. Correction verified: 2025-05-20.
One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.
2025-04-07 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-05-02.
One out of eight child files evaluated was missing a varicella vaccination.
2025-04-07 · 746.801(6) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: No. Correction date: 2025-04-11. Correction verified: 2025-05-19.
A current copy of the operation's liablity insurance was not available for inspection.
2025-04-07 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: Yes. Correction date: 2025-04-07. Correction verified: Not recorded.
Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.
2024-08-27 · 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: 2024-08-27. Correction verified: 2024-09-04.
A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.
2024-05-13 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-05-15. Correction verified: 2024-05-28.
One out of 10 child files evaluated did not have a copy of the child's immunization records on file.
2024-05-13 · 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: 2024-05-13. Correction verified: 2024-05-21.
A caregiver was in direct care of children without a submitted background check or eligibility letter on file.
2024-05-13 · 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: 2024-05-15. Correction verified: 2024-05-28.
Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.
2023-06-14 · 746.901(10) · Medium
Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Corrected at inspection: No. Correction date: 2023-06-16. Correction verified: 2023-06-28.
4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.
2023-06-14 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2023-06-23. Correction verified: 2023-06-28.
A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1383927
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.