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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.
Texas HHSC records list 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 22, 2026.
The same records list 11 cited deficiencies dated October 10, 2023 to October 6, 2025 (HHSC risk levels: 1 High, 9 Medium High, 1 Medium Low).
Correction status recorded by HHSC: 1 corrected at inspection, 10 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 10 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 11 cited deficiencies for Hill's Children's Nursery in the 3 years before October 10, 2026 (1 High, 9 Medium High, 1 Medium Low).
Records list 12 inspections in this window. Most recent inspection: 2026-09-22.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 9 |
| Medium | 0 |
| 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.
2025-10-06 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
The infants in both infant rooms were sitting at the table. The infants were not strapped in the seat. This was corrected during the inspection when the caregivers strapped the infants in the seats.
Corrected at inspection
2025-01-22 · 746.303(b) · Medium Low
Report Number of Employees
A Review of the Employees Who Left Employment in 2024 data from January 22, 2025, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
Correction date recorded: 2025-01-27
2024-07-31 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
The operation did not have current training in transportation.
Correction date recorded: 2024-08-05
2025-10-06 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2025-10-06. Correction verified: Not recorded.
The infants in both infant rooms were sitting at the table. The infants were not strapped in the seat. This was corrected during the inspection when the caregivers strapped the infants in the seats.
2025-01-22 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-27. Correction verified: 2025-01-24.
A Review of the Employees Who Left Employment in 2024 data from January 22, 2025, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
2024-07-31 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-07-31. Correction verified: 2024-08-16.
Cleaning products were sitting on the counter in reach of the children. The products were moved to a location children could not reach during the inspection.
2024-07-31 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2024-07-31. Correction verified: 2024-08-16.
The operation did not provide adequate lighting during naptime. When we arrived, we had to use a cell phone light to see in the rooms. We spoke with the teachers and director about using lamps and uncovering the windows to let light into the rooms.
2024-07-31 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: No. Correction date: 2024-07-31. Correction verified: 2024-08-16.
A plug was uncovered at inspection. A plug cover was installed during the inspection.
2024-07-31 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2024-08-05. Correction verified: 2024-08-02.
The operation did not have current training in transportation.
2023-10-10 · 746.2431 · Medium High
Infant Daily Report - Share with Parent
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-30.
The infant rooms did not have daily sheets available at inspection.
2023-10-10 · 746.2507(1) · Medium High
Activities for Toddlers - Outdoor Play
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-30.
Two toddler classrooms did not participate in morning outdoor activities.
2023-10-10 · 746.3407(4) · Medium High
Sanitize Sleeping Equipment
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-30.
Several nap mats were torn, exposing the underlying foam.
2023-10-10 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-10.
The diaper changing mat in the toddler room was torn, exposing the underlying foam.
2023-10-10 · 746.2417(2)(A) · Medium High
Activities for Infants - Multiple Opportunities to Explore Outside Crib
Corrected at inspection: No. Correction date: 2023-10-10. Correction verified: 2023-10-30.
Four infants were observed sitting in a restrictive device for an extended period of time.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1446274
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.