Kids R Kids 54 TX

Summary of the record

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 29 cited deficiencies for Kids R Kids 54 TX in the 3 years before October 10, 2026 (12 High, 5 Medium High, 12 Medium).

Records list 26 inspections in this window. Most recent inspection: 2026-09-10.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (35)

• 2026-08-05 · 746.2409(a)(10) · Medium

  Safety Requirements for Cribs - Label for Each Infant

  Corrected at inspection: Yes. Correction date: 2026-08-05. Correction verified: Not recorded.

  2 of the infant cribs with infants inside of them were not labled at the time of my walk through and inpection. This was corrected by having the caregivers label the cribs.

• 2026-08-05 · 746.1301(a)(5)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

  Corrected at inspection: No. Correction date: 2026-08-26. Correction verified: 2026-09-08.

  4 of the 10 caregiver files did not have a total of 24 trainings hours at the time of inspection from hire date to anniversary date.

• 2026-08-05 · 746.5205(1) · Medium High

  Fire Drill Monthly - Exit in 3 Minutes

  Corrected at inspection: No. Correction date: 2026-08-26. Correction verified: 2026-09-08.

  Operation has not practiced or documented fire drills.

• 2026-08-05 · 746.603(a)(3) · Medium

  Children's Records - Health Statement

  Corrected at inspection: No. Correction date: 2026-08-26. Correction verified: 2026-09-08.

  1 child's file did have a health statement at the time of inspection.

• 2026-08-03 · 746.2803(4) · Medium High

  Discipline - Positive Methods of Discipline and Guidance

  Corrected at inspection: No. Correction date: 2026-08-13. Correction verified: 2026-08-14.

  A caregiver failed to use a positive method of discipline and guidance with a child in care by throwing a ball at a child's back.

• 2026-05-19 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2026-05-29. Correction verified: 2026-06-01.

  Based on the information obtained during the investigation, the operation was found deficient with this standard as a caregiver exercised poor judgment in the manner in which she physically handled/repositioned an infant in care to a sitting position.

• 2026-04-28 · 746.2426(a)(1) · High

  Infant May Not Sleep in a Restrictive Device

  Corrected at inspection: No. Correction date: 2026-05-14. Correction verified: 2026-05-18.

  Based on the information obtained during the investigation, the operation was found non-compliant with this standard, as a caregiver allowed an infant to sleep in a restrictive device.

• 2026-03-04 · 746.611(b) · Medium

  Health Statement on File within 1 Week of Admission

  Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-19.

  4 children enrolled still did not have health statements on file for review at the time of follow up inspection.

• 2026-02-04 · 746.501(a)(28) · Medium

  Written Operational Policies - Vaccine Preventable Diseases

  Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-23.

  At the time of inspection, the operational policies did not have a policy on:Information on vaccine-preventable diseases for employee

• 2026-02-04 · 746.501(a)(18)(B) · Medium

  Written Operational Policies - Duration

  Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-23.

  At the time of inspection, the operational policies did not have a policy on: The duration of physical activity at your operation, both indoor and outdoor;

• 2026-02-04 · 746.501(a)(30) · Medium

  Written Operational Policies - Support inclusive services

  Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-23.

  At the time of inspection, the operational policies did not have a policy on: Procedures for supporting inclusive services to children with special care needs

• 2026-02-04 · 746.611(b) · Medium

  Health Statement on File within 1 Week of Admission

  Corrected at inspection: No. Correction date: 2026-03-02. Correction verified: 2026-03-04.

  4 children enrolled did not have health statements on file for review at the time of inspection.

• 2026-02-04 · 746.501(a)(26) · Medium

  Written Operational Policies - Preventing and Responding to Abuse and Neglect

  Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-23.

  At the time of inspection, the operational policies did not have a policy on: Preventing and responding to abuse and neglect of children

• 2025-09-05 · 746.2805(3) · High

  Prohibited Punishments - Grabbing and Pulling

  Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-16.

  Based on the information provided during the investigation, it was determined that a caregiver aggressively pulled a child by the arm and dropped the child on the nap cot.

• 2025-08-18 · 746.701(5) · Medium

  Licensing Incident/Illness Report Form - Situations Placing Children at Risk

  Corrected at inspection: No. Correction date: 2025-09-04. Correction verified: 2025-09-08.

  Based on the information obtained during the investigation, it was determined that the operation failed to comply with this standard by not completing an incident report for a child's incident.

• 2025-08-18 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2025-09-04. Correction verified: 2025-09-08.

  Based on the information obtained during the investigation, it was determined that the operation failed to comply with this standard because a caregiver inappropriately picked up an infant by 1 arm and brought the infant to the mat.

• 2025-08-18 · 746.701(5) · Medium

  Licensing Incident/Illness Report Form - Situations Placing Children at Risk

  Corrected at inspection: No. Correction date: 2025-09-04. Correction verified: 2025-09-08.

  Based on the information obtained during the investigation, it was determined that the operation failed to comply with this standard by not completing an incident report for a child's ant bite incident.

• 2025-08-18 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2025-09-04. Correction verified: 2025-09-08.

  Based on the information obtained during the investigation, it was determined that the operation failed to comply with this standard by not notifying the parent of the ant bite incident that took place at the operation.

• 2025-05-30 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-11.

  Based on the information obtained during the investigation, it was determined that the operation was deficient in this standard as a caregiver was observed pinching a child in care.

• 2025-03-10 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-17.

  Based on information obtained during a DFPS investigation, a violation was found. The operation failed to relay all pertinent information to the parent to be able to make an informed medical decision regarding the child.

• 2025-01-24 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2025-02-11. Correction verified: 2025-02-12.

  Based on the information provided during the investigation, the operation was found deficient in this standard for allowing children to play football indoors resulting in a child losing their 2 front teeth.

• 2024-11-25 · 746.3301(a) · Medium High

  Nutrition and Food Service - Regular Meals and Snacks

  Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-12-06.

  The operation was requiring parents to provide a doctors note prior to serving the table food eating infants, table food.If there was no doctors note provided the child would not be served what was on the menu.

• 2024-11-21 · 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: 2024-12-04. Correction verified: 2024-12-06.

  Based on the information obtained during the investigation the operation was found non-compliant with this standard as a 3-year-old child was left outside on the playground alone for approximately 16 minutes.

• 2024-11-21 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-06.

  Based on the information obtained during the investigation the operation was found non-compliant with this standard as no report was made to childcare regulation of the incident by the operation.

• 2024-11-21 · 746.701(5) · Medium

  Licensing Incident/Illness Report Form - Situations Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-06.

  Based on the information obtained during the investigation the operation was found non-compliant with this standard as no incident report was completed for the incident.

• 2024-11-21 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-12-04. Correction verified: 2024-12-06.

  Based on the information obtained during the investigation the operation was found non-compliant with this standard as no incident report was shared with the parent.

• 2024-11-20 · 746.3311(d) · Medium High

  Special Diets - No Nutrient Concentrates or Supplements

  Corrected at inspection: No. Correction date: 2024-12-05. Correction verified: 2024-12-06.

  Based on the information received during the investigation inspection, the operation was found non-compliant in this standard. The caregiver administered nighttime teething tablets without parental or health care professional authorization.

• 2024-11-20 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2024-12-05. Correction verified: 2024-12-06.

  Based on the information received during the investigation inspection, the operation was found non-compliant in this standard. The caregiver did not use good judgment when purchasing and administering nighttime teething tablets to an infant without parental authorization.

• 2023-10-31 · 746.2805(3) · High

  Prohibited Punishments - Grabbing and Pulling

  Corrected at inspection: No. Correction date: 2023-11-03. Correction verified: 2023-11-07.

  Based on the information obtained during the investigation it was determined that a caregiver used prohibited punishment on a child in care.

• 2023-09-20 · 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: 2023-11-07. Correction verified: 2023-09-21.

  During investigation 3027975 it was found that the operations bus driver did not have a background check submitted.

• 2023-09-14 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2023-09-26. Correction verified: 2023-09-27.

  During the investigation it was determined that the operation failed to use good judgement when an emergency situation arose on the operations bus.

• 2023-09-06 · 745.621(a)(2) · High

  AP Initial background checks submitted - At the time you hire someone

  Corrected at inspection: Yes. Correction date: 2023-09-06. Correction verified: Not recorded.

  There was one caregiver present in the classroom with children that did not have a background check submitted with new operation number. This was corrected at inspection by having the caregiver leave the operation.

• 2023-09-06 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: Yes. Correction date: 2023-09-06. Correction verified: Not recorded.

  Over 5 infants were not buckled in their high chairs for meal time. This was corrected at inspection by having the caregiver buckle all the children.

• 2023-07-20 · 746.3819 · Medium High

  Food Allergy Emergency Plan Signed by Parents and Health Care Professional

  Corrected at inspection: Yes. Correction date: 2023-07-20. Correction verified: Not recorded.

  1 child diagnosed with food allergies that has an epi pen did not have a completed allergy plan on file signed by a healthcare professional. This was corrected at inspection.

• 2023-07-20 · 746.3407(12) · High

  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

  Corrected at inspection: Yes. Correction date: 2023-07-20. Correction verified: Not recorded.

  Cleaning supplies (disinfectant and fabuloso) were left out accessible to children in room 550. This was corrected at inspection.