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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 11 cited deficiencies dated February 26, 2024 to June 17, 2025 (5 Medium High, 5 Medium, 1 Low risk). Correction status: 5 corrected at inspection, 6 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 11 cited deficiencies for America's Choice Child Care in the 3 years before October 10, 2026 (5 Medium High, 5 Medium, 1 Low).
Records list 9 inspections in this window. Most recent inspection: 2026-06-25.
| Risk weight | Citations |
|---|---|
| High | 0 |
| Medium High | 5 |
| Medium | 5 |
| Medium Low | 0 |
| 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.
2025-06-17 · 746.603(a) · Medium
Children's Records Maintained
Records were evaluated for ten children enrolled and the following was determined: The admission date is needed for one child. School information is needed for two children enrolled. An updated immunization record is needed for one child enrolled.
Correction date recorded: 2025-06-27
2025-06-17 · 746.2505(4)(A) · Medium
Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
I observed one unlabeled cup in the classroom. Note: This was corrected during inspection.
Corrected at inspection
2025-02-25 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
During today's inspection I observed an eighteen month old child seated in a high chair eating a snack. The safety straps were not fastened. Note: This was corrected during inspection.
Corrected at inspection
2025-06-17 · 746.2505(4)(A) · Medium
Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
Corrected at inspection: Yes. Correction date: 2025-06-17. Correction verified: Not recorded.
I observed one unlabeled cup in the classroom. Note: This was corrected during inspection.
2025-06-17 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2025-06-27. Correction verified: 2025-06-20.
Records were evaluated for ten children enrolled and the following was determined: The admission date is needed for one child. School information is needed for two children enrolled. An updated immunization record is needed for one child enrolled.
2025-02-25 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: Yes. Correction date: 2025-02-25. Correction verified: Not recorded.
During today's inspection I observed an eighteen month old child seated in a high chair eating a snack. The safety straps were not fastened. Note: This was corrected during inspection.
2024-06-17 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-07-15.
Additional loose fill surfacing is needed on the outdoor play area.
2024-06-17 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: Yes. Correction date: 2024-06-17. Correction verified: Not recorded.
A maintenance/safety checklist was not completed for the month of May. Note: During this inspection the operation completed a checklist for the month of June.
2024-06-17 · 746.3301(b) · Medium High
Nutrition and Food Service - Follow Meal Patterns
Corrected at inspection: No. Correction date: 2024-06-17. Correction verified: 2024-07-15.
During breakfast, the children in care were served one french toast stick with syrup and a cup of milk.
2024-06-17 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-06-18.
Two staff members completed online only pediatric CPR training.
2024-06-17 · 746.3301(f)(1) · Medium High
Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play
Corrected at inspection: Yes. Correction date: 2024-06-17. Correction verified: Not recorded.
A supply of drinking water was not available to children in care during breakfast time. Note: This was corrected during inspection.
2024-02-26 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: Yes. Correction date: 2024-02-26. Correction verified: Not recorded.
The number/child assignment chart in the toddler classroom was reviewed and showed all children present were not included on the chart. Note: This was corrected during inspection.
2024-02-26 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
Corrected at inspection: No. Correction date: 2024-03-01. Correction verified: 2024-02-28.
The fastener to the middle seat on the first row of the transportation vehicle would not fasten during this inspection.
2024-02-26 · 746.1317(a)(6)(B) · Low
Center not on probation, suspension, emergency suspension, or revocation in two years preceding or admin penalty
Corrected at inspection: No. Correction date: 2024-02-28. Correction verified: 2024-02-28.
Transportation training provided to staff who transport children did not meet training criteria as the operation received an administrative penalty in the two years prior to othe training.
2023-07-25 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2023-07-25. Correction verified: 2023-08-10.
A caregiver responsible for a group of children ages 5-9 years old was unaware of the number of children responsible for. The caregiver stated 15, however 16 were present.
2023-06-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-06-23. Correction verified: 2023-07-06.
One caregiver was observed with five children ages 5 months, 8 months, 10 months, 13 months, and 13 months. The specified age group is 0-11 children which allows one caregiver to supervise four children. The caregiver was over ratio by one child. Note: An additional caregiver was added to the room during inspection.
2023-06-23 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2023-07-07. Correction verified: 2023-07-06.
Records were evaluated for ten children in care and the following was determined: Two children needed a special needs statement. Two children needed an emergency contact other than the parent. One child needed a health statement signed by a physician. One child needed an updated immunization record.
2023-06-23 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2023-06-23. Correction verified: 2023-06-23.
A caregiver with a provisional background checks was observed in caring for a group of 8 children ages 4-7 years old. The group did not have another caregiver present.
2023-06-23 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: Yes. Correction date: 2023-06-23. Correction verified: Not recorded.
During this inspection the classroom sign in and out logs were reviewed. The toddler sign in and out log showed ten children signed in however nine were present. Note: This was corrected during inspection.
2023-02-09 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: Yes. Correction date: 2023-02-09. Correction verified: Not recorded.
The first aid kit in the transportation van was reviewed and the following items were needed: -Scissors -Thermometer -Cotton Balls Note: This was corrected during inspection.
2023-01-03 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2023-01-04. Correction verified: 2023-01-17.
The caregiver in the Pre-K classroom was unaware of the group responsible for. The caregiver stated nine children were present, however ten were counted.
2022-12-22 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: Yes. Correction date: 2022-12-22. Correction verified: Not recorded.
The classroom sign in and out logs were reviewed and showed six of seven children in the Toddler class were signed in. Note: This was corrected during inspection.
2022-12-22 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2023-01-03.
The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated six children were present, however seven were counted.
2022-12-15 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: No. Correction date: 2022-12-15. Correction verified: 2022-12-22.
During this inspection I observed a nineteen month old seated in a high chair. The safety straps were not in use.
2022-12-15 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2022-12-15. Correction verified: 2022-12-22.
An eleven month old was observed laying in a crib with a pacifier attached to the shirt.
2022-12-15 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2022-12-15. Correction verified: 2022-12-22.
The classroom sign in and out logs were reviewed and showed six of eight children in the Toddler class were signed in.
2022-12-15 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-12-15. Correction verified: 2022-12-22.
The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated seven children were present, however eight were counted.
2022-12-15 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-12-27. Correction verified: 2022-12-17.
A food allergy emergency plan is needed for one child enrolled.
2022-10-12 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, the operation did not provide the parent with an incident report regarding a situation placing a child at risk.
2022-10-12 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, the operation failed to report a child was left alone on the transportation van for approximately one hour and fifteen minutes.
2022-10-12 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, a child was not signed in at the operation after being picked up from school.
2022-10-12 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, the operation failed to ensure a child was not neglected when a child was left unsupervised on a transportation van for approximately one hour and fifteen minutes.
2022-10-12 · 746.5605(3) · High
Safety Precautions for Loading and Unloading Children - Account for All Children
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, the center director admitted to not entering the transportation vehicle to account for all children present.
2022-10-12 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, it was determined the director failed to maintain supervision when a child was left in a van to the far left of the operation near a main street.
2022-10-12 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2022-12-02. Correction verified: 2022-12-15.
Based on the information obtained, the vehicle used for transporting children was not equipped with a child safety alarm.
2022-05-23 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: No. Correction date: 2022-05-24. Correction verified: 2022-05-26.
The operation did not have documentation showing the fire extinguishers are checked monthly.
2022-05-23 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2022-06-02. Correction verified: 2022-06-10.
Records were evaluated for ten children enrolled and the following was determined: One needed an updated immunization record. Two needed an emergency contact. One needed a health statement.
2022-05-23 · 746.1301(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-06-01.
Orientation training is needed for one caregiver who has unsupervised access to a children in care.
2022-05-23 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-05-26.
The fire extinguisher in the transportation van is in need of servicing.
2022-05-23 · 746.1301(2)(A) · Medium High
Training Requirements for Employees and Caregivers - Pre-service Training
Corrected at inspection: No. Correction date: 2022-06-02. Correction verified: 2022-06-09.
A staff member counted in the child/caregiver ratio is in need of eight hours of pre-service training. A staff member counted in the child/caregiver ratio is in need of twenty four hours of pre-service training.
2022-05-23 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-06-03. Correction verified: 2022-06-09.
While inspecting the outdoor play area I observed broken fence pickets, trash/debris, and ant piles. Note: The operation removed the trash from the outdoor play area during inspection.
2022-05-23 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-06-02. Correction verified: 2022-06-09.
Personnel records were evaluated for six staff members and the following was determined: One caregiver needed documentation showing how they meet the minimum education qualifications. One caregiver needed a notarized affidavit. The director needed a current ID/Driver's License.
2022-05-23 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2022-06-02. Correction verified: 2022-05-26.
Documentation reviewed for four of six staff members showed the Pediatric CPR training was completed online.
2022-04-28 · 746.2805(6) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2022-06-03. Correction verified: 2022-06-09.
During this investigation it was determined that a caregiver used prohibited punishment such as yelling at the children.
2022-02-25 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-03-10. Correction verified: 2022-03-10.
The last fire inspection was conducted on 02/05/2021.
2022-02-25 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: Yes. Correction date: 2022-02-25. Correction verified: Not recorded.
One crib used for an infant in care needed a label. Note: This was corrected during the inspection.
2021-11-15 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2021-11-24. Correction verified: 2021-12-15.
Six personnel records were evaluated and the following was determined: One needed a copy of a current drivers license One needed a notarized Licensing Affidavit Four needed education qualifications
2021-11-15 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-11-19.
Updated feeding instructions were needed for one infant in care.
2021-11-15 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2021-12-03. Correction verified: 2021-12-10.
Two toilets and three sinks near the after schooler's classroom needed repair. Four sinks and one toilet near the toddler classroom needed repairs.
2021-11-15 · 746.2409(a)(2) · Medium High
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-11-19.
Four cribs needed snug fitting sheets.
2021-11-15 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: No. Correction date: 2021-11-24. Correction verified: 2021-12-15.
Records were evaluated for ten children enrolled and the following was determined: Eight needed special needs statement Three needed immunization info Three needed a health statement One needed an emergency contact One needed school information
2021-11-15 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2021-11-19. Correction verified: 2021-11-19.
One staff member needed Pediatric CPR/First Aid training.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1390307
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.