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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 May 4, 2026.
The same records list 22 cited deficiencies dated November 7, 2023 to April 22, 2026 (HHSC risk levels: 9 High, 6 Medium High, 6 Medium, 1 Medium Low).
Correction status recorded by HHSC: 3 corrected at inspection, 19 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 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 22 cited deficiencies for First Start Child Care #2 in the 3 years before October 10, 2026 (9 High, 6 Medium High, 6 Medium, 1 Medium Low).
Records list 14 inspections in this window. Most recent inspection: 2026-05-04.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 6 |
| Medium | 6 |
| 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.
2026-04-22 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
A caregiver was engaged in duties unrelated to caring for children, while a child was resting in a room unsupervised. A child was observed going to the bathroom unsupervised. This was corrected when the caregiver returned to the room.
Correction date recorded: 2026-04-22
2026-04-22 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
The first aid kit was observed and did not have tweezers, band aids, thermometer, antiseptic wipes or gloves. This was corrected during the inspection when the supplies were added to the kit.
Corrected at inspection
2026-04-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
The wall outlets in each of the classroom did not have protective covers, the outdoors playground had toys that were broken and tires with standing water. The tires did not have holes drilled in them to allow the water to drain. The wall outlets were covered during the…
Correction date recorded: 2026-04-30
2026-04-22 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2026-05-01. Correction verified: 2026-05-04.
The carpets in two of the classrooms were not clean. Stains were observed on the carpets and on some of the cloth seating chairs.
2026-04-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2026-04-30. Correction verified: 2026-05-04.
The wall outlets in each of the classroom did not have protective covers, the outdoors playground had toys that were broken and tires with standing water. The tires did not have holes drilled in them to allow the water to drain. The wall outlets were covered during the inspection.
2026-04-22 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: Yes. Correction date: 2026-04-22. Correction verified: Not recorded.
The first aid kit was observed and did not have tweezers, band aids, thermometer, antiseptic wipes or gloves. This was corrected during the inspection when the supplies were added to the kit.
2026-04-22 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2026-04-22. Correction verified: 2026-05-04.
A caregiver was engaged in duties unrelated to caring for children, while a child was resting in a room unsupervised. A child was observed going to the bathroom unsupervised. This was corrected when the caregiver returned to the room.
2025-10-22 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-10-23.
Training records were deficient for the 24 annual clock hours.
2025-10-22 · 746.5317 · High
Installation of Smoke Detectors
Corrected at inspection: No. Correction date: 2025-10-31. Correction verified: 2025-10-23.
Battery operated smoke add carbon monoxide detectors were not present in 2 of the classrooms where care was being provided.
2025-10-15 · 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: 2026-01-09. Correction verified: 2026-01-09.
A staff member sent an older child in care to another classroom unsupervised. The child went to retrieve something in the room for the staff member.
2025-04-25 · 746.1507(1) · Medium
Determining Child/Caregiver Ratios - Basis
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-05-06.
A classroom was observed out of ratio by 3 children when a caregiver left the room. This was corrected when the caregiver returned to the room. The classroom was observed out of ratio by one child. This was corrected when the child was taken to another classroom bringing the room into ratio.
2025-04-25 · 746.4003(a)(8) · Medium
First Aid Kit Incomplete - Tweezers
Corrected at inspection: No. Correction date: 2025-04-27. Correction verified: 2025-04-29.
The first aid kit was incomplete for tweezers. The kit also had expired supplies. The expired supplies was corrected during the inspection when the director removed the items.
2025-04-25 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-04-29.
The written feeding instructions had not been reviewed, or updated as of today's date.
2025-04-25 · 746.2405(4) · Medium High
Infant Care Area Furnishings and Equipment - Hand-washing Sink
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-05-06.
A caregiver was observed during diaper changing in a classroom without a hand washing sink. This was corrected during the inspection when the caregiver took the child to the bathroom to wash hands.
2025-04-25 · 746.521(1) · Medium High
Parent right to enter and examine operation without advance notice
Corrected at inspection: No. Correction date: 2025-05-02. Correction verified: 2025-04-29.
Parent's rights notices were not observed in the children's records.
2024-08-23 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2024-08-30. Correction verified: 2024-08-26.
One staff did not have the required signed employment affidavit.
2024-08-23 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-11.
4 of the records evaluated did not have parent signatures or the health statement signed by the physician.
2024-08-23 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: Yes. Correction date: 2024-08-23. Correction verified: Not recorded.
A child was observed to have leftover chewed food in the play yard, This was corrected when the caregiver removed the food from the play yard
2023-11-16 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Corrected at inspection: Yes. Correction date: 2023-11-16. Correction verified: Not recorded.
During the walk through of the operation, broken and damaged toys were observed in the play space. This was corrected during the inspection when all of the broken toys were removed.
2023-11-16 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2023-11-16. Correction verified: 2023-12-01.
There was insufficient lighting observed during nap time in the room where children were napping. The caregiver was unable to visibly see the children's faces to be able to intervene in the event of an emergency. This was corrected during the inspection when the caregiver turned on the light and opened the door to the adjoining bathroom.
2023-11-16 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2023-11-16. Correction verified: 2023-12-01.
A child was observed asleep in a restrictive device. The child did not have the required sleep exception form.
2023-11-07 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-01-08. Correction verified: 2024-01-24.
A caregiver was observed grabbing a child in care roughly by the arms and lifting the child from the table and floor on two separate occasions.
2023-11-07 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2024-01-08. Correction verified: 2024-01-24.
A caregiver was observed not interacting positively with a child in care. The caregiver did not provide care, check the child injury or console a child after the child had fallen to the floor, sustaining a possible injury.
2023-11-07 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-01-08. Correction verified: 2024-01-24.
During a DFPS investigation there was sufficient evidence to support a child was abused.
2023-11-07 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-01-08. Correction verified: 2024-01-24.
A caregiver did not use good judgment for a child in care. The caregiver knowingly placed a child at risk of injury by pushing the child and causing the child to lose balance and fall.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1461708
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.