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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 35 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 7, 2026.
The same records list 31 cited deficiencies dated December 1, 2023 to June 15, 2026 (HHSC risk levels: 18 High, 10 Medium High, 3 Medium).
Correction status recorded by HHSC: 5 corrected at inspection, 26 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 26 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 31 cited deficiencies for Kids R Kids of West Temple in the 3 years before October 10, 2026 (18 High, 10 Medium High, 3 Medium).
Records list 35 inspections in this window. Most recent inspection: 2026-10-07.
| Risk weight | Citations |
|---|---|
| High | 18 |
| Medium High | 10 |
| 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 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
During inspection two caregivers provided the wrong number of how many children were present during their care.
Correction date recorded: 2026-06-15
2026-06-12 · 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
During investigation it was found that a child was left unattended in the classroom for a few seconds.
Correction date recorded: 2026-06-29
2026-06-03 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
During inspection two caregivers provided the wrong number of how many children were present during their care.
Correction date recorded: 2026-06-03
2026-06-15 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-06-15. Correction verified: 2026-06-22.
During inspection two caregivers provided the wrong number of how many children were present during their care.
2026-06-12 · 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: 2026-06-29. Correction verified: 2026-07-08.
During investigation it was found that a child was left unattended in the classroom for a few seconds.
2026-06-03 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-06-03. Correction verified: 2026-06-15.
During inspection two caregivers provided the wrong number of how many children were present during their care.
2026-05-28 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-06-15. Correction verified: 2026-06-15.
During the investigation, the operation was found deficient with this Minimum Standard as there is evidence that supports a caregiver lifted a child by one arm only.
2025-12-31 · 746.603(a)(7) · Medium
Children's Records - Incident/Illness Form
Corrected at inspection: No. Correction date: 2026-01-05. Correction verified: 2026-01-07.
It was found that an incident report was not completed for an infant that was given the wrong breastmilk.
2025-12-31 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2026-01-05. Correction verified: 2026-01-05.
An infant was not given a bottle during the timeframe that was noted on the infant feeding instructions. The infant feeding instructions stated that the infant needs to be fed every 2-3 hours and the infant was given a bottle after 4 hours.
2025-12-31 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2026-01-05. Correction verified: Not recorded.
During an investigation it was found that a bottle was not labeled with the infants first name and last initial. There was also a bottle not labeled during the inspection today. This was corrected when the bottle was labled.
2025-11-12 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: Yes. Correction date: 2025-11-12. Correction verified: Not recorded.
Observed a plastic slide that was missing part of the roofing.
2025-11-12 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-11-12. Correction verified: 2025-11-25.
Observed one caregiver state that they had 10 children but there were 11 children in the classroom. Observed a second classroom state that they had 17 children but they had 16 children in the classroom.
2025-11-12 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2025-11-26. Correction verified: 2025-11-25.
Observed one caregiver who has worked at the operation for over a year and only has 16 hours of training for the year.
2025-11-12 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2025-11-13. Correction verified: 2025-11-25.
Observed a diaper changing mat that was ripped in one of the classrooms.
2025-11-12 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: No. Correction date: 2025-11-12. Correction verified: 2025-11-25.
Observed a caregivers purse in the bathroom in the reach of children with two bottles of medication in the purse. The bottles of medication were at the top of the purse and could be seen just by walking by the purse. This was corrected whent he purse was put out of the reach of the children in care.
2025-11-03 · 746.3415(1) · Medium High
Employee Handwashing Before Eating or Handling Food
Corrected at inspection: No. Correction date: 2025-11-12. Correction verified: 2025-11-25.
During an investigation it was found that caregivers sometimes use gloves instead of washing their hands to serve food.
2025-11-03 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2025-11-12. Correction verified: 2025-11-25.
Children should wash hands prior to eatting any meal served at the operation to prevent the spread of germs.
2025-03-08 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2025-04-21. Correction verified: 2025-05-01.
A child was observed on video footage being smacked on the leg by a caregiver. A child was also observed on video being picked up roughly and placed down into a chair in an aggressive manner. A child was observed on video being placed on the floor, hitting their back against the wall in an aggressive manner.
2025-02-28 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: Yes. Correction date: 2025-03-04. Correction verified: Not recorded.
Caregiver appeared by video to place a child down at a chair using more than normal force. Caregiver appeared to be flustered and not have control of their actions. Caregiver was terminated by operation.
2024-11-15 · 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: 2024-11-22. Correction verified: 2024-11-26.
During the investigation, there was sufficient evidence found to determine that a child was not being adequately supervised when the child was bitten multiple times before a teacher noticed and intervened.
2024-10-25 · 746.3805(b)(2) · High
Administering Medication - Only to Child for Whom Intended
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-26.
During the investigation, there was sufficient evidence found to determine that the operation had over-the-counter medication that was being used for multiple children.
2024-10-25 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-26.
During the investigation, there was sufficient evidence found to determine that children under two years old were watching media on an iPad.
2024-09-27 · 746.4135(a) · Medium High
Children's Products- Review list and Remove unsafe products
Corrected at inspection: Yes. Correction date: 2024-09-27. Correction verified: Not recorded.
The director had not reviewed the children's product recall list. This was corrected during the inspection when the director was shown how to subscribe to the recall emails.
2024-09-27 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: Yes. Correction date: 2024-09-27. Correction verified: Not recorded.
In one of the children's bathrooms, there was a garbage can with dirty diapers that did not have a lid on it. This was corrected during the inspection when a lid was placed on the garbage can.
2024-09-27 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
Corrected at inspection: No. Correction date: 2024-10-04. Correction verified: 2024-09-30.
The fire extinguisher in one of the vehicles needed to be serviced as the needle was in the red.
2024-09-09 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-10-02. Correction verified: 2024-10-04.
During the DFPS investigation, there was sufficient evidence to show that a caregiver spanked a child in care.
2024-06-04 · 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: 2024-06-05. Correction verified: 2024-06-04.
A caregiver was observed caring for children, and she did not have a cleared background check. The caregiver left the operation during the inspection.
2024-04-18 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-05-29. Correction verified: 2024-06-04.
During a DFPS investigation, it was found a child in care was neglected.
2024-04-18 · 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: 2024-05-29. Correction verified: 2024-06-04.
During a DFPS investigation, it was found a child was left unsupervised for approximately two hours on a transportation vehicle.
2024-04-18 · 746.5625(c) · High
Electronic Child Safety Alarm - used at all times when transporting a child in care
Corrected at inspection: No. Correction date: 2024-05-29. Correction verified: 2024-06-04.
During a DFPS investigation, it was found the electronic safety alarm was disabled and not being used when transporting children in care.
2024-02-27 · 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: 2024-02-28. Correction verified: 2024-03-04.
During an investigation it was observed through video footage that caregivers were sitting down on the playground not properly supervising the children when a child in care was injured.
2024-02-15 · 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: 2024-02-15. Correction verified: 2024-02-23.
An infant was sleeping in a crib with a burp cloth in the crib near the infants face. The burp cloth was removed from the crib. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
2023-12-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-12-28. Correction verified: 2024-01-04.
A caregiver did not use good judgment when they picked a child up by the childs leg and one arm to lay the child on their mat.
2023-12-01 · 746.201(5) · Medium High
Reporting Suspected Abuse, Neglect, Exploitation-May not delegate responsibility to report
Corrected at inspection: No. Correction date: 2023-12-28. Correction verified: 2024-01-04.
During an investigation it was found that a caregiver was aware of allegations of abuse and did not report the incidents.
2023-09-19 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-16.
The operation added a tall shelf to a classroom bathroom but did not anchor it to the wall. A child was able to climb on the shelf which caused the shelf to fall and injure a child in care. This was corrected when the shelf was removed from the bathroom.
2023-09-19 · 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: 2023-10-10. Correction verified: 2023-10-16.
A caregiver was changing a young child in the bathroom and had up to 4 more children behind the caregiver. The caregiver could not see the other children in the bathroom and a child was able to climb on a tall unanchored shelf causing it to tip over and injure a child in care.
2023-09-19 · 746.701(1) · Medium
Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Corrected at inspection: Yes. Correction date: 2023-10-10. Correction verified: Not recorded.
The operation had completed a boo boo report, but had not completed the licensing incident report for a child who received an injury while in care which required medical attention. This was corrected when the operation completed the correct incident report.
2023-08-25 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: Yes. Correction date: 2023-08-25. Correction verified: Not recorded.
Observed 5 infants sitting in infant high chairs without safety straps being used. There were no safety straps on the chairs due to them being washed. This was corrected when the straps were added to the chairs.
2023-08-25 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2023-08-25. Correction verified: 2023-09-07.
Observed a caregiver snatch a toy from a child, grab a childs arm and then picked the child up by the childs hand as the child's feet left the floor and took the child to another area in the classroom.
2023-08-22 · 746.2419(1) · Medium High
Requirements for Feeding Infants-Hold through 6-months
Corrected at inspection: Yes. Correction date: 2023-08-22. Correction verified: Not recorded.
Observed a 2 month old infant sitting in a boncy seat while the caregiver sat beside the infant holding the infants bottle. This was corrected when the caregiver was told that infants under 6 months old must be held to be fed and the infant was picked up.
2023-08-22 · 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: 2023-08-22. Correction verified: 2023-08-24.
Observed two caregivers with access to the children who did not have a cleared background check at this operation. This was corrected when the caregivers were asked to leave the operation and a background check was put it.
2023-06-26 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: Yes. Correction date: 2023-06-26. Correction verified: Not recorded.
Observed dirty diapers on the floor of the bathroom. This was corrected when the diapers where thrown in the trash,
2023-05-09 · 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: 2023-06-07. Correction verified: 2023-05-24.
Observed 14 staff without cleared background checks. This is being corrected by scheduling FBI fingerprint appointments for the staff. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1439435
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.