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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 14 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 2, 2026.
The same records list 13 cited deficiencies dated August 1, 2024 to August 4, 2026 (HHSC risk levels: 7 High, 2 Medium High, 4 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 13 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 13 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 13 cited deficiencies for Creme School of Lakeline in the 3 years before October 10, 2026 (7 High, 2 Medium High, 4 Medium).
Records list 14 inspections in this window. Most recent inspection: 2026-09-02.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 2 |
| Medium | 4 |
| 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.
2026-08-04 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
One infant was observed sleeping in a crib with a stuffed animal. This was corrected when the stuffed animal was removed from the crib.
Correction date recorded: 2026-08-04
2026-08-04 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver was present without an eligible background check. This was corrected when the caregiver left the operation.
Correction date recorded: 2026-08-04
2025-09-16 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Information obtained throughout the investigation shows that a caregiver yells at children.
Correction date recorded: 2025-10-15
2026-08-04 · 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: 2026-08-04. Correction verified: 2026-08-13.
One caregiver was present without an eligible background check. This was corrected when the caregiver left the operation.
2026-08-04 · 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: 2026-08-04. Correction verified: 2026-08-18.
One infant was observed sleeping in a crib with a stuffed animal. This was corrected when the stuffed animal was removed from the crib.
2025-09-16 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2025-10-15. Correction verified: 2025-10-28.
Information obtained throughout the investigation shows that the operation failed to notify parents during pick up of a less serious injury.
2025-09-16 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-10-15. Correction verified: 2025-10-28.
Information obtained throughout the investigation shows that a caregiver failed to demonstrate good judgement by allowing a child to wear a fleece jacket outside in the summer heat. Information obtained throughout the investigation shows that the operation failed to administer first aid to a child who sustained an injury while in care.
2025-09-16 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2025-10-15. Correction verified: 2025-10-28.
Information obtained throughout the investigation shows that a caregiver yells at children.
2025-08-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-08-21. Correction verified: 2025-09-03.
Two caregivers did not know how many children they were responsible for.
2025-07-02 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2025-07-14. Correction verified: 2025-07-24.
One child's medication was expired.
2025-07-02 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-07-08. Correction verified: 2025-07-08.
The operation did not have a fire current fire inspection.
2025-01-07 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2025-01-07. Correction verified: 2025-01-08.
An infant was sleeping in a crib with a pacifier clip attached to the infant's clothing. This was corrected when the pacifier clip was removed from the crib.
2024-08-01 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2024-08-15. Correction verified: 2024-09-10.
Five caregivers were short on the required 24 hours of annual training.
2024-08-01 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-08-15. Correction verified: 2024-09-10.
A child had an expired immunization exception.
2024-08-01 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2024-08-15. Correction verified: 2024-09-16.
Ten caregivers were missing their diploma. Four caregivers did not have pre-employment affidavits and three employees did not have notarized affidavits.
2024-08-01 · 746.1013(a)(3) · Medium
Director's Absence - Caregiver in Charge Has Access to All Records
Corrected at inspection: No. Correction date: 2024-08-02. Correction verified: 2024-09-16.
Administrators in charge in directors absence did not have access to all information need during the inspection, as it was locked and the director had the key.
2023-08-23 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-09-20. Correction verified: 2023-10-11.
A caregiver hit a child, which is a form of corporal punishment.
2023-06-29 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2023-07-13. Correction verified: 2023-08-09.
Operational did not have statement on the promotion of physical activity.
2023-06-29 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: No. Correction date: 2023-06-29. Correction verified: 2023-08-03.
A caregiver, with direct access to children, was present without a background check eligibility. The caregiver was sent home during the inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1449216
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.