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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 30 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 13, 2026.
The same records list 26 cited deficiencies dated January 29, 2024 to June 15, 2026 (HHSC risk levels: 14 High, 9 Medium High, 3 Medium).
Correction status recorded by HHSC: 3 corrected at inspection, 23 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 23 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 26 cited deficiencies for Little Wishes and Big Dreams Playhouse LTD in the 3 years before October 10, 2026 (14 High, 9 Medium High, 3 Medium).
Records list 30 inspections in this window. Most recent inspection: 2026-07-13.
| Risk weight | Citations |
|---|---|
| High | 14 |
| Medium High | 9 |
| Medium | 3 |
| 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.
2026-06-15 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.
Corrected at inspection
2026-05-12 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Two out of ten staff files did not have the full 24hrs of training at review.
Correction date recorded: 2026-05-26
2026-05-12 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing mat was torn.
Correction date recorded: 2026-05-19
2026-06-15 · 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: 2026-06-15. Correction verified: Not recorded.
One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.
2026-05-12 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2026-05-19. Correction verified: 2026-05-22.
A diaper changing mat was torn.
2026-05-12 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2026-05-26. Correction verified: 2026-05-28.
Two out of ten staff files did not have the full 24hrs of training at review.
2026-02-25 · 746.5537(a)(3) · Medium High
Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
Corrected at inspection: No. Correction date: 2026-02-27. Correction verified: 2026-03-23.
The carbon monoxide detector was not documented as being completed.
2025-11-21 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-16.
The operation did not have documented that they conducted the fire drill for the past month.
2025-11-21 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2025-11-21. Correction verified: Not recorded.
A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*
2025-08-27 · 746.1201(2) · High
Responsibilities of Employees and Caregivers -Relate to Children
Corrected at inspection: No. Correction date: 2025-09-22. Correction verified: 2025-10-02.
Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*
2025-08-27 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2025-09-22. Correction verified: 2025-10-01.
Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*
2025-03-24 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2025-03-28. Correction verified: 2025-03-28.
Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.
2025-03-12 · 746.5617(a)(5) · High
Required Equipment in Vehicles - Fire Extinguisher
Corrected at inspection: No. Correction date: 2025-03-26. Correction verified: 2025-03-19.
The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.
2025-01-03 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2025-01-23. Correction verified: 2025-02-04.
A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*
2024-11-12 · 746.4001(5) · Medium High
First Aid Kit - Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-06.
A 3yr old child had access to the first aid kit.
2024-11-12 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-06.
A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.
2024-11-12 · 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: No. Correction date: 2024-11-26. Correction verified: 2024-12-06.
A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.
2024-10-16 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-10-16. Correction verified: 2024-10-24.
A caregiver did not know how many children were in her care when asked by CCR.
2024-09-12 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2024-09-26. Correction verified: 2024-10-08.
An infant child was served food that was an identified allergy. *The operation has developed a new serving policy that has a picture of the child, what the allergy is, and action to take if exposed.
2024-09-12 · 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: No. Correction date: 2024-09-26. Correction verified: 2024-10-08.
A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.
2024-08-29 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-10-08.
A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.
2024-08-29 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-09-25. Correction verified: 2024-10-08.
The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.
2024-07-03 · 746.2501(2) · Medium
Care Requirements for Toddlers -Same Caregiver Regularly
Corrected at inspection: No. Correction date: 2024-08-30. Correction verified: 2024-09-12.
Based on evidence gathered, staff did not ensure a toddler was cared for by their regular when they decided to move the toddler to another room with a different caregiver because the toddler's assigned caregiver felt uncomfortable taking care of the toddler when the toddler was sick.
2024-07-03 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
Corrected at inspection: No. Correction date: 2024-08-30. Correction verified: 2024-09-12.
Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.
2024-07-03 · 746.3601(1) · Medium
Illness Preventing Care - Child Cannot Participate Comfortably
Corrected at inspection: No. Correction date: 2024-08-30. Correction verified: 2024-09-12.
Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child if ill and/or if the child is "crying for longer than 1 hour without ability to be consoled."
2024-04-12 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-04-12. Correction verified: Not recorded.
A bottle of air freshner was observed on top of the papertowel dispenser making it accessible to children in the pre-k. Note: This was CORRECTED AT INSPECTION when the air freshner was moved into a cabinet that was out of reach of children.
2024-04-12 · 746.605(13) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-04-23.
One child did not have a completed special needs statement.
2024-02-23 · 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: 2024-02-23. Correction verified: 2024-03-04.
A caregiver was seen transporting children without an active background check.
2024-01-29 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-03-28. Correction verified: 2024-04-12.
Based on information gathered in the investigation, a caregiver was yelling at children as a form of discipline.
2023-04-04 · 746.4103(b) · Medium High
Policies for Release of Children - Record Identity of Person
Corrected at inspection: No. Correction date: 2023-05-10. Correction verified: 2023-06-08.
During the course of this investigation, it was determined that the operation staff did not follow their policy for release of children when a copy of the pick-up persons ID was not saved and placed in the child's file.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1421313
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.