2025-10-02 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Two children files are missing immunization records.
Correction date recorded: 2025-10-17
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 5 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 11 cited deficiencies dated December 15, 2023 to October 2, 2025 (HHSC risk levels: 2 High, 2 Medium High, 6 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 11 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 11 cited deficiencies for Tiny Steps Learning Center in the 3 years before October 10, 2026 (2 High, 2 Medium High, 6 Medium, 1 Medium Low).
Records list 5 inspections in this window. Most recent inspection: 2026-09-16.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 2 |
| Medium | 6 |
| 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.
2025-10-02 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Two children files are missing immunization records.
Correction date recorded: 2025-10-17
2025-10-02 · 746.901 · Medium
Required Personnel Records
A caregivers file was not available for review during inspection.
Correction date recorded: 2025-10-10
2025-10-02 · 746.501(a)(1) · Medium
Written Operational Policies - Operating Times
The following written operational policies are incomplete: (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F policy must include: (A)-(G); (20)Parent rights that are consistent with the rules in Division 5 of this subchapter(relating to…
Correction date recorded: 2025-10-16
2025-10-02 · 746.501(a)(1) · Medium
Written Operational Policies - Operating Times
Corrected at inspection: No. Correction date: 2025-10-16. Correction verified: 2025-10-21.
The following written operational policies are incomplete: (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F policy must include: (A)-(G); (20)Parent rights that are consistent with the rules in Division 5 of this subchapter(relating to Parent Rights);(26) Preventing and responding to abuse and neglect of children (A)-(E); (30) Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in 746.2202 of this chapter(relating to What are my responsibilities when planning activities for a child in care with special care needs?).
2025-10-02 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-10-10. Correction verified: 2025-10-21.
A caregivers file was not available for review during inspection.
2025-10-02 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-10-17. Correction verified: 2025-10-21.
Two children files are missing immunization records.
2024-11-18 · 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: 2024-11-18. Correction verified: 2024-11-25.
Observed a 10 month old infant asleep in a crib while covered with a blanket.
2024-11-18 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-11-25.
Facility does not have a current annual certification regarding unsafe children's products.
2024-11-18 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-02.
Facility does not have a current annual sanitation inspection.
2024-11-18 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-03.
Facility does not have a current Fire Inspection.
2023-12-15 · 746.1329(a) · Medium Low
Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-22.
Staff files were reviewed and the following was not available for review: pre service for a caregiver and TB results; a second file was missing proof of education.
2023-12-15 · 746.1309(c) · Medium
Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-22.
A caregiver has not obtained one hour of training in the following topic: prevention, recognition and reporting of child maltreatment.
2023-12-15 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2023-12-22. Correction verified: 2023-12-22.
A caregiver has not obtained one hour of training in the following topics: recognizing and preventing shaken baby syndrome and abusive head trauma; understanding and using safe sleep practices and preventing sudden infant death syndrome and understanding early childhood brain development.
2023-12-15 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2023-12-15.
Facility is not current with children's products certification.
2022-11-22 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2022-11-22. Correction verified: Not recorded.
In reviewing staff sign in/out logs it was found that there was a person working with no cleared background check. This person has been working since 11/1. (NOTE: The person has not been present this week)
2022-09-23 · 746.613(a) · High
Required Immunizations
Corrected at inspection: Yes. Correction date: 2022-09-23. Correction verified: Not recorded.
2 of the children's files reviewed were lacking immunizations. (NOTE: Corrected during inspection as immunizations were emailed to the director and she was able to print them)
2022-08-15 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2022-08-22. Correction verified: 2022-09-02.
The diaper changing mat in the infant room has several small tears that do not allow for proper sanitation.
2022-08-15 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: Yes. Correction date: 2022-08-15. Correction verified: Not recorded.
Not all children washed their hands prior to eating lunch. (NOTE: Corrected during inspection as the children were asked to wash their hands.)
2022-05-12 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-06-01.
Although the operation is not licensed for afterschool children, the room assigned for the age group is currently not set up and is not organized and children's items are on the tables. (Pictures on file)
2022-05-12 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-06-01.
The electronic smoke detection system was not working properly when the button for a drill was activated. There was no alarm sound and the company did not call to verify a drill.
2022-05-12 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-05-31. Correction verified: 2022-06-01.
There have been no fire drills done since February. (One was attempted however the fire system was not operating properly)
2021-11-10 · 746.5535(a)(1) · Medium High
Install CO Detection System-Electric or Battery Operated-on Every Level of Each Building
Corrected at inspection: No. Correction date: 2021-11-23. Correction verified: 2021-11-22.
Facility does not have a carbon monoxide in the building.
2021-11-10 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2021-11-23. Correction verified: 2021-11-19.
Children's products was not available for review during inspection.
2021-11-10 · 746.501(a)(1) · Medium
Written Operational Policies - Operating Times
Corrected at inspection: No. Correction date: 2021-11-23. Correction verified: 2021-11-19.
Written operational policies are incomplete.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1389108
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.