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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 11 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated December 30, 2025.
The same records list 3 cited deficiencies dated September 17, 2024 to November 13, 2025 (HHSC risk levels: 2 High, 1 Medium High).
Correction status recorded by HHSC: 2 corrected at inspection, 1 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 1 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 3 cited deficiencies for Almost Grandma's Childcare LLC in the 3 years before October 10, 2026 (2 High, 1 Medium High).
Records list 11 inspections in this window. Most recent inspection: 2025-12-30.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 1 |
| Medium | 0 |
| 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.
2025-11-13 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning supplies were accesible to children in a three year old classroom. The Director relocated the cleaning supplies to a place children cannot reach.
Corrected at inspection
2025-03-26 · 746.1109(a)(2) · Medium High
Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver
The operation allowed a 17-year old caregiver to supervise children in care at the operation without another fully qualified caregiver present at all times.
Corrected at inspection
2024-09-17 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Based on interviews with a victim and the parent, the operation was found not to be in compliance with the standard evaluated. A staff member did not discipline a child appropriately.
Correction date recorded: 2024-10-16
2025-11-13 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2025-11-13. Correction verified: Not recorded.
Cleaning supplies were accesible to children in a three year old classroom. The Director relocated the cleaning supplies to a place children cannot reach.
2025-03-26 · 746.1109(a)(2) · Medium High
Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver
Corrected at inspection: Yes. Correction date: 2025-04-23. Correction verified: Not recorded.
The operation allowed a 17-year old caregiver to supervise children in care at the operation without another fully qualified caregiver present at all times.
2024-09-17 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-10-16. Correction verified: 2024-10-29.
Based on interviews with a victim and the parent, the operation was found not to be in compliance with the standard evaluated. A staff member did not discipline a child appropriately.
2023-09-28 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-09-28. Correction verified: 2023-10-09.
In one classroom, there were 14 children with one caregiver; the specified age for the classroom was 2 years old.
2023-09-28 · 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: 2023-09-28. Correction verified: 2023-10-09.
Two children were left unsupervised in a bathroom that was in an unoccupied classroom.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1457826
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.