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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 34 cited deficiencies dated October 11, 2023 to February 26, 2026 (4 High, 20 Medium High, 9 Medium, 1 Low risk). Correction status: 3 corrected at inspection, 31 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 34 cited deficiencies for Starting Point Childrens Center in the 3 years before October 10, 2026 (4 High, 20 Medium High, 9 Medium, 1 Low).
Records list 11 inspections in this window. Most recent inspection: 2026-07-24.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 20 |
| Medium | 9 |
| 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.
2026-02-26 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
The infant 1 classroom had 1 caregiver with 6 children ages 9 months through 23 months: with a specified age range of 12-17 months. The classroom was over ratio by one child. Ratio needs to be 1:5.
Correction date recorded: 2026-02-26
2026-02-12 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Two children did not have an emergency contact beside a parent.
Correction date recorded: 2026-02-16
2026-02-12 · 746.3401(a) · Medium High
Annual Sanitation Inspection
The health inspection was last conducted on 2-6-2025.
Correction date recorded: 2026-03-16
2026-02-26 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-02-26. Correction verified: 2026-03-10.
The infant 1 classroom had 1 caregiver with 6 children ages 9 months through 23 months: with a specified age range of 12-17 months. The classroom was over ratio by one child. Ratio needs to be 1:5.
2026-02-12 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2026-02-19. Correction verified: 2026-02-24.
One of the drivers and director did not have transportation training.
2026-02-12 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-03-10.
The infant two classroom was out of ratio for nap time, there was one caregiver specified age ground 12-17 months old, the caregiver was three over the ratio for 1 to 5 children.
2026-02-12 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2026-02-20. Correction verified: 2026-02-23.
Child has been enrolled for over a year, child was enrolled in 4/18/2024 and did not have a health statement on file.
2026-02-12 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2026-03-16. Correction verified: 2026-03-18.
The operation las fire inspection was conducted on 6-18-2025, over a year ago.
2026-02-12 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2026-03-16. Correction verified: 2026-04-02.
The health inspection was last conducted on 2-6-2025.
2026-02-12 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-02-23.
Two children did not have an emergency contact beside a parent.
2025-08-12 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-08-26. Correction verified: 2025-08-25.
During the inspection of the school age room I observed a wall with large area of paint peeled.
2025-08-08 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-08-29.
During the walkthrough I observed mold on a wall in the preschool room.
2025-08-08 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-09-02. Correction verified: 2025-09-02.
The director was found not to have been ensuring the operation was operating in compliance with minimum standards when she taped a piece of paper over a hole with mold in the preschool classroom.
2025-02-14 · 746.901(10) · Medium
Required Personnel Records - Current Driver's License
Corrected at inspection: No. Correction date: 2025-02-18. Correction verified: 2025-02-14.
During review of personnel records 2 out of 10 records evaluated did not have a copy of current driver's license for caregivers providing transportation services. This was corrected when the director made copies and placed them in the file.
2025-02-14 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-03-07. Correction verified: 2025-03-05.
During the walkthrough of the upstairs school age room, I observed a crack in the ceiling sheetrock.
2025-02-14 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-03-05.
During review of record keeping 1 out of 10 records evaluated did not have current CPR training.
2024-02-16 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: Yes. Correction date: 2024-02-16. Correction verified: Not recorded.
The infant classroom first aid kit was missing tape, scissors, thermometer, and tweezer. Note: This was corrected when the director added the items in the first aid kit.
2024-02-16 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-02-23. Correction verified: 2024-02-20.
The Pre-K and School-age classroom has cleaning products stored under the sink cabinet that is accessible to the children with no locking mechanism.
2024-02-16 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2024-02-16. Correction verified: Not recorded.
The toddler one classroom was missing a safety outlet cover. Note: This was corrected at inspection when the director replaced the outlet covers.
2024-02-16 · 746.5015(c) · Medium High
Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach
Corrected at inspection: Yes. Correction date: 2024-02-16. Correction verified: Not recorded.
The operation has a water hose on the toddler s playground and is accessible to the children. Note: This was corrected when the director stored the water hose away.
2023-10-11 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
Of the 10 children's records evaluated, one lacked the address of the emergency contact.
2023-10-11 · 746.603(a)(6) · Low
Children's Records - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-01.
Of the 10 children's records evaluated, one did not include the results of a vision and hearing screening.
2023-10-11 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
All 10 of the children's records lacked information regarding special needs.
2023-10-11 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2023-10-11. Correction verified: 2023-11-09.
The First Aid Kit in one van did not have Band-Aids or antiseptic solution/wipes.
2023-10-11 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
Of the 10 children's records evaluated, three lacked a health care statement,
2023-10-11 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-15.
The director received 6 of the 30 clock hours of required annual training for the March 2022-March 2023 training year. The director will need to receive 24 clock hours of make-up training that will not count towards the current training year.
2023-10-11 · 746.1301(a)(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
Corrected at inspection: No. Correction date: 2023-10-12. Correction verified: 2024-01-15.
The director has not completed a Transportation Safety training course.
2023-10-11 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-15.
Of the 9 personnel records evaluated, 7 staff did not complete 24 clock hours of annual training for their respective training year. The staff will need to receive make-up training hours that will not count towards the current training year.
2023-10-11 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2023-11-13. Correction verified: 2023-11-16.
Of the 10 personnel records evaluated, 7 have not completed 24 clock hours of pre-service training. These staff are being counted in the child/staff ratio. Additionally, one staff that just started on the day of the inspection was counted in the child/staff ratio without the 8 clock hours of pre-service training being completed. This staff needs to complete the 8 clock hours of pre-service training by 10/16/23.
2023-10-11 · 746.605(11) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
Of the 10 children's records evaluated, one lacked the name, address and phone number of the child's doctor.
2023-10-11 · 746.2205(a)(2) · Medium
Written Activity Plan - Outline Daily Activities
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
Three classrooms (Infant Two and Pre-K) do not have activity plans that state the specific daily activities.
2023-10-11 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-09.
Of the 10 children's records evaluated, five were behind with immunizations.
2023-10-11 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-09.
The parent handbook does not inform parents of the procedures that will take place for inclusive child care for any child with special care needs.
2023-10-11 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-09.
The parent handbook does not inform parents of the benefits of physical activity and outdoor play, the duration of phys cai activity and outdoor play, types of physical activities the children will participate in, the setting of the activities, the criteria used when there is extreme weather and the plan for children to still receive physical activity when weather prevents them from going outside.
2023-10-11 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-01.
Of the 10 children's records evaluated, one record lacked the original exemption form for the child.
2023-10-11 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2023-10-11. Correction verified: 2023-11-09.
A caregiver is not washing their hands with running water and soap after diaper changes,
2023-10-11 · 746.5202(4) · Medium High
Emergency Preparedness Plan-Continuity of Care Until Children Released
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-09.
The Emergency Preparedness Plan does not state how children will be cared for during the emergency.
2023-08-22 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-08-22. Correction verified: 2023-10-11.
A toddler classroom was of compliance with child/staff ratios. There were 12 children, ages 22 months to 2 years old with one caregiver. The specified age group was 2 years old.
2023-08-22 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: No. Correction date: 2023-08-22. Correction verified: 2023-10-11.
There were uncovered outlets in a pre-k classroom.
2023-08-22 · 746.2207(c)(1) · Medium
Screen Time Activities - Related to Planned Activities
Corrected at inspection: Yes. Correction date: 2023-08-22. Correction verified: Not recorded.
The school age chuldren were watching a show that was not educational and not related to planned activities. This was corrected at inspection.
2023-08-22 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Corrected at inspection: Yes. Correction date: 2023-08-22. Correction verified: Not recorded.
The background check staff that is no longer employed by the center was not inactivated within the 7 days. This was corrected at inspection.
2023-08-22 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: No. Correction date: 2023-08-22. Correction verified: 2023-10-11.
The school-age classroom was not in compliance with the maxium group size. There were 36 children, ages 5-12 years old, with two caregivers. The specified age group was 7 years old.
2023-08-22 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2023-08-22. Correction verified: 2023-10-11.
A caregiver for a toddler classroom did not know the ages of children she was responsible for.
2023-08-22 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-11.
Grass has overgrown the loose-fill surfacing in several areas of the playground; therefore, the loose-fill surfacing is not being maintained at the proper depth of 6 inches.
2023-06-20 · 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: 2023-06-20. Correction verified: 2023-07-05.
One infant, 5 months of age was observed covered with a blanket during naptime. One infant, 12 months of age was observed with a bottle in the crib during naptime. Caregivers were advised to remove extra objects from all infant cribs.
2023-06-20 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
Three outlet plugs were uncovered, and/or misplaced in the Preschool 3 classroom. The assistant Director was able to replace the outlet covers during the inspection.
2023-06-20 · 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: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
One child, 12 years of age was observed on the entryway stairs of the school-age area, which was separate from the remainder of the classroom. An 11-year-old child was observed walking from the upstairs area unsupervised, and into the hallway of the main childcare facility. No caregiver was observed with the child, and/or in the hallway.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1402495
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.