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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 17 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 19, 2026.
The same records list 20 cited deficiencies dated December 23, 2024 to June 8, 2026 (HHSC risk levels: 5 High, 8 Medium High, 6 Medium, 1 Medium Low).
Correction status recorded by HHSC: 1 corrected at inspection, 19 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 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 20 cited deficiencies for Little Hands and Footprints 2 in the 3 years before October 10, 2026 (5 High, 8 Medium High, 6 Medium, 1 Medium Low).
Records list 17 inspections in this window. Most recent inspection: 2026-08-19.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 8 |
| 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.
2026-06-08 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
During an inspection I observed a baby sleeping in a bassinet type bed on top of a baby lounger pillow, wearing a bib and having a pacifier string/clip attached to the baby's clothes. The pillow was removed along with the bib and picifier clip. An administrative penalty will be…
Correction date recorded: 2026-06-08
2026-04-14 · 746.603(a)(3) · Medium
Children's Records - Health Statement
There were two children files who were missing health statements.
Correction date recorded: 2026-04-24
2026-04-14 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Observed 6 children files and 3 were missing immunization record or needed an updated immunization record.
Correction date recorded: 2026-04-24
2026-06-08 · 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: 2026-06-08. Correction verified: 2026-06-15.
During an inspection I observed a baby sleeping in a bassinet type bed on top of a baby lounger pillow, wearing a bib and having a pacifier string/clip attached to the baby's clothes. The pillow was removed along with the bib and picifier clip. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
2026-04-14 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2026-04-14. Correction verified: 2026-04-23.
Observed an infant that did not have written feeding instructions.
2026-04-14 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-04-24. Correction verified: 2026-04-23.
Observed 6 children files and 3 were missing immunization record or needed an updated immunization record.
2026-04-14 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2026-04-24. Correction verified: 2026-04-23.
There were two children files who were missing health statements.
2026-03-18 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-24.
Observed a slide on the playground that did not have any loose fill. This was corrected when the slide was taken off the playground.
2026-03-18 · 746.2409(a)(1) · Medium High
Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-24.
Observed 2 pack and plays with loose fitting sheets.
2026-03-18 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-24.
Observed piles of equipment on the playground that could fall on the children. There were chairs and other equipment stacked up.
2026-03-18 · 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: 2026-03-18. Correction verified: 2026-03-24.
Observed a caregiver with children in care go to the kitchen to make breakfast, leaving the children without a caregiver in the classroom.
2026-03-18 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: No. Correction date: 2026-03-27. Correction verified: 2026-03-24.
The operation did not have individual places to put their belongings. The operation did purchase hooks to hang the childrens items.
2026-03-16 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-24.
The operation provided food to a child who was allergic to the food that was provided. The child no longer attends the operation.
2026-03-16 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-24.
The operation did not have the food allergy form for a child in care who had food allergies. The operation did have a list of food allergies for the child but did not have a signed allergy form from a health care professional letting the operation know what steps to take if the child was to have an allergic reaction. This has been corrected as the child no longer attends the operation.
2025-10-23 · 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: 2025-10-23. Correction verified: 2025-10-27.
Observeed two caregivers in a classroom with 7 children, one caregiver was asleep on the floor and the other was on their phone. This was corrected when the caregiver woke up and the other got off of their phone.
2025-10-20 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-05.
Observed two caregivers files without proof of education.
2025-10-20 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2025-10-21. Correction verified: 2025-10-23.
Observed one caregiver that did not have a pre employment affidavit.
2025-10-20 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-10-27. Correction verified: 2025-10-23.
No one at the operation had a current first aid or CPR. Their training had expired in 9/2025.
2025-10-20 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-11-03. Correction verified: 2025-10-27.
Observed training records, two caregivers were missing the following trainings, Caregiver 1- Child growth and Development, Discipline and Guidance, Age appropriate corriculumm, Teacher child interaction, Emergency preparedness, Communicable, Administering medication, Food allergies, physical building premisis safety, hazardous. Caregiver 2 Teacher interactions, emergency preparedness, communiccable disease, adminstering medication, food allergies, physical and building premises safety and hazardous materials.
2025-10-20 · 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: No. Correction date: 2025-10-20. Correction verified: 2025-10-23.
Observed two caregivers on one playground with 2 children on their phones. The other 6 children were on a different playground. This was corrected when the phones were put away and the caregivers put all children in one playground.
2024-12-23 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2024-12-23. Correction verified: Not recorded.
Observed a caregvier rinsing cups in the handwashing sink. I spoke to the director regarding not rinsing the cups in the same sink that she washes hands in.
2024-12-23 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-12-23. Correction verified: 2024-12-31.
Observed a 5 month old infant sleeping in a restrictive device (bouncy seat). This was corrected when the caregiver placed the infant in the pack and play.
2024-12-23 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2024-12-23. Correction verified: 2024-12-31.
Observed a television sitting on a shelf, I spoke to the caregiver about having the television mounted to the wall. The television was removed from the classroom.
2023-10-03 · 746.2411(2)(B) · Medium High
Safety Requirements for Play Yards - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-12.
During the monitoring inspection, the play yards were observed and did not have a tight fitted sheet on them.
2023-10-03 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2023-10-03. Correction verified: 2023-10-12.
During the inspection, the diaper changing mat was observed with food particles on it.
2023-10-03 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: No. Correction date: 2023-10-03. Correction verified: 2023-10-12.
During the follow up inspection, broken toys were observed on the playground area where the children had previously been playing.
2023-10-03 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-10-03. Correction verified: 2023-10-12.
A caregiver was observed alone in the room with 16 children with the specified age of 2 years old. The ratio for the specified age range of 2 years old is 11. A caregiver was observed alone in a room with 6 infants ages 0-11 months when the 2nd caregiver left the room to answer the door.
2023-09-20 · 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: 2023-09-22. Correction verified: 2023-09-26.
5 of the caregivers did not have active CPR or first aid training.
2023-09-20 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-03.
During the inspection, trash was observed on the playground area.
2023-09-20 · 746.2428 · High
No Swaddling of Infant Unless Completed Sleep Exception Form on File
Corrected at inspection: No. Correction date: 2023-09-20. Correction verified: 2023-10-03.
An infant was observed swaddled in a blanket while being held by a caregiver.
2023-09-20 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-03.
While reviewing records, two of the five children files did not contain a health statement.
2023-09-20 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2023-09-29. Correction verified: 2023-10-03.
Two of the caregivers did not have orientation training.
2023-06-30 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-06-30. Correction verified: 2023-07-06.
The infants were over ratio by one infant. There were five infants ages 4 months to 8 months old present and one caregiver.
2023-06-30 · 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: 2023-06-30. Correction verified: 2023-07-06.
During the inspection, the infants were observed in a room without a caregiver present.
2023-05-04 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Corrected at inspection: No. Correction date: 2023-05-04. Correction verified: 2023-05-08.
During the follow up inspection, there was only one caregiver observed in the building as the children were napping.
2023-05-04 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-05-04. Correction verified: 2023-05-08.
During the follow up inspection, a 13 month old was combined in a room with children who were 4 years old.
2023-05-02 · 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: 2023-05-02. Correction verified: 2023-05-04.
During the monitoring inspection, an infant was observed in a room napping without an adult being physically present in the room.
2023-05-02 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-05-09. Correction verified: 2023-05-15.
One of the children's records reviewed did not contain immunization records.
2023-05-02 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2023-05-09. Correction verified: 2023-05-04.
During the monitoring inspection it was found that fire drills were not being conducted monthly.
2023-03-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-03-27. Correction verified: 2023-03-29.
During the monitoring investigation there was an infant combined in ratio with older children during nap time.
2023-03-23 · 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: 2023-03-27. Correction verified: 2023-03-29.
During the investigation inspection there was only one caregiver in the building during nap time.
2023-01-18 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-01-20. Correction verified: 2023-01-20.
During a walk-through of one of the outdoor playground areas, piles and bags of leaves were observed.
2023-01-18 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2023-01-18. Correction verified: Not recorded.
During a walk-through of one of the outdoor playground areas, yard equipment was observed that included a rake, a shovel, and broom. All items were removed from the playground area when addressed, bringing the facility into compliance.
2023-01-18 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: Yes. Correction date: 2023-01-18. Correction verified: Not recorded.
During a walk-through of one of the outdoor playgrounds, garbage was observed to be accessible to children. The garbage was removed when addressed, bringing the facility into compliance.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1429839
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.