2026-08-25 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Four children's files were evaluated. One file was pending an updated immuinzation record.
Correction date recorded: 2026-09-01
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 6 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 25, 2026.
The same records list 17 cited deficiencies dated January 12, 2024 to August 25, 2026 (HHSC risk levels: 2 High, 9 Medium High, 6 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 17 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 17 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 17 cited deficiencies for First Heaven Child Care LLC in the 3 years before October 10, 2026 (2 High, 9 Medium High, 6 Medium).
Records list 6 inspections in this window. Most recent inspection: 2026-08-25.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 9 |
| Medium | 6 |
| 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.
2026-08-25 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Four children's files were evaluated. One file was pending an updated immuinzation record.
Correction date recorded: 2026-09-01
2026-08-25 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Four employee's files were evaluated. One file had an expired First aid/CPR certificate.
Correction date recorded: 2026-09-08
2025-11-21 · 746.613(a) · High
Required Immunizations
Four children's files were reviewed. One file did not have the immunization record. Two files were pending updated immunization records.
Correction date recorded: 2025-12-01
2026-08-25 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2026-09-08. Correction verified: 2026-09-08.
Four employee's files were evaluated. One file had an expired First aid/CPR certificate.
2026-08-25 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2026-09-01. Correction verified: 2026-09-08.
Four children's files were evaluated. One file was pending an updated immuinzation record.
2025-11-21 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-12-16.
Sixteen month old child was in a group of 15 children. Oldest child in the group was 13 years of age. There was an age gap of more than 18 months between infant child and oldest child in the classroom. Infant teacher was observed supervisng five children. Based on specified age group of 11 months, the maximum number of children in the group with one caregiver could be four.
2025-11-21 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-12-01. Correction verified: 2025-12-04.
Four employee files were evaluated. One employee was pending training in topics in emergency preparedness; preventing and controlling the spread of communicable diseases; administering medication; preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises; and handling, storing and disposing of hazardous materials.
2025-11-21 · 746.1305(a)(1) · Medium
Pre-service Training- Developmental Stages
Corrected at inspection: No. Correction date: 2025-12-08. Correction verified: 2025-12-04.
Four employee files were reviewed. One employee was pending pre-service training in the following topics: developmental stages of children, age-appropriate activities for children, positive guidance and discipline of children, fostering children's self-esteem, supervision and safety practices in the careof children, postiive interaction with children, and preventing and controlling the spread of communicable diseases.
2025-11-21 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2025-12-08. Correction verified: 2025-12-04.
Four employee files were reviewed. One employee completed the CPR training 100 % online. The training did not include hands on practice.
2025-11-21 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2025-12-01. Correction verified: 2025-12-04.
Four children's files were reviewed. One file did not have the immunization record. Two files were pending updated immunization records.
2024-12-19 · 746.2411(2)(B) · Medium High
Safety Requirements for Play Yards - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2025-01-09. Correction verified: 2025-01-10.
Sheets in play yards did not fit snugly. Sheets were loose on the mattress.
2024-12-19 · 746.1305(a)(2) · Medium
Pre-service Training- Age Appropriate Activities
Corrected at inspection: No. Correction date: 2025-01-08. Correction verified: 2025-01-06.
Two caregivers were missing pre-service training on age appropriate activities, and supervision and safety practices in the care of children. One employee was missing training in the developmental stages of children.
2024-12-19 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2024-12-23. Correction verified: 2025-01-23.
Transportation binder did not have the following information:Mediical authorization, list of children and emergency contacts.
2024-12-19 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2025-01-09. Correction verified: 2025-01-13.
Director was missing training on the following topics: Preventing and responding to emergencies due to food or an allergic reaction and preventing and responding to emergencies due to food or an allergic reaction.
2024-12-19 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2025-01-09. Correction verified: 2025-01-08.
Directors have not completed required transportation training.
2024-12-19 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-01-09. Correction verified: 2025-01-10.
One caregiver was observed supervising 6 children in the infant classroom. Specified age group was 12 17 months. The maximum number of children one caregiver can supervise is 5 children.
2024-12-19 · 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: No. Correction date: 2025-01-09. Correction verified: 2025-01-10.
Driniking water was not available during outdoor play.
2024-01-12 · 746.2206(1)(A) · Medium
Written Activity Plan - Outdoor Play - Infant Birth to 12 Months
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-02-01.
The infant daily schedule did not have the opportunity for outdoor play twice a day.
2024-01-12 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-02-06.
One out of four employees had an expired CPR/First Aid Certificate.
2024-01-12 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-20.
The director was missing the 30 hours of annual training.
2023-05-31 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-06-13.
A 4 month old infant was observed to be in care with a 23 month old and a 4 year old.
2022-10-13 · 746.5537(a)(2) · Medium High
Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Corrected at inspection: No. Correction date: 2022-10-14. Correction verified: 2022-10-14.
Fire extinguisher, carbon monoxide detector, and smoke detector were last inspected on August 11, 2022.
2022-08-10 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2022-08-12. Correction verified: 2022-08-15.
The required Consumer Product Safety Commission form has not been renewed within the last year.
2022-08-10 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-08-12. Correction verified: 2022-08-15.
The Environmental Health Inspection has not been conducted.
2022-08-10 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2022-08-17. Correction verified: 2022-08-15.
Operational policies were not available at the time of inspection.
2022-08-10 · 746.5204 · Medium
Coordination of Implementation of Emergency Preparedness Plan
Corrected at inspection: No. Correction date: 2022-08-17. Correction verified: 2022-08-15.
Emergency preparedness plan was not available at the time of inspection.
2022-08-10 · 746.901(6)(A) · Medium
Required Personnel Records-signed dated statement that employee received child care center's operational policies
Corrected at inspection: No. Correction date: 2022-08-17. Correction verified: 2022-08-17.
One record evaluated was missing the orientation statement for personnel policies, operational policies, and abuse and neglect.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1416374
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.