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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 10, 2026.
The same records list 30 cited deficiencies dated November 30, 2023 to August 18, 2026 (HHSC risk levels: 7 High, 14 Medium High, 7 Medium, 1 Medium Low, 1 Low).
Correction status recorded by HHSC: 0 corrected at inspection, 30 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 30 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 30 cited deficiencies for Ruth Academy in the 3 years before October 10, 2026 (7 High, 14 Medium High, 7 Medium, 1 Medium Low, 1 Low).
Records list 14 inspections in this window. Most recent inspection: 2026-09-10.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 14 |
| Medium | 7 |
| Medium Low | 1 |
| Low | 1 |
| 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.
2026-08-18 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
This standard was evaluated regarding an investigation, and a violation was found. It was determined that the caregiver interacted with the victim inappropriately by taking the equipment and not addressing the concern immediately with the parent and the child.
Correction date recorded: 2026-08-31
2026-06-03 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
One out of ten student files were missing updated immunization.
Correction date recorded: 2026-06-17
2024-06-04 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Three infants that are not on table food do not have current feeding instructions.
Correction date recorded: 2024-06-06
2026-08-18 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2026-08-31. Correction verified: 2026-09-10.
This standard was evaluated regarding an investigation, and a violation was found. It was determined that the caregiver interacted with the victim inappropriately by taking the equipment and not addressing the concern immediately with the parent and the child.
2026-06-03 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2026-06-17. Correction verified: 2026-07-09.
One out of ten student files were missing updated immunization.
2024-06-04 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2024-06-20. Correction verified: 2024-06-13.
One of the five caregiver records reviewed do not have first aid training. Two of the five caregiver records reviewed are not current in pediatric first aid training.
2024-06-04 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-07.
Three of the 10 children's records reviewed have incomplete emergency contact information.
2024-06-04 · 746.2431 · Medium High
Infant Daily Report - Share with Parent
Corrected at inspection: No. Correction date: 2024-06-06. Correction verified: 2024-06-14.
Parents of infants in the 12-17 month classroom do not regularly receive daily reports. Daily reports do not include infant activities.
2024-06-04 · 746.501(a)(1) · Medium
Written Operational Policies - Operating Times
Corrected at inspection: No. Correction date: 2024-06-13. Correction verified: 2024-06-24.
The operational policies are missing the following sections. 746.501 (18)(B),(C),(D),(E),(F),(G), (19),(22),(23),(26)(B),(C),(D),(E), (28) and (30).
2024-06-04 · 746.1105(3) · Low
Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-07.
One of the five personnel records reviewed does not have a notarized affidavit on file.
2024-06-04 · 746.605(11) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-13.
Four of the 10 children's records reviewed have incomplete physician or emergency care facility information.
2024-06-04 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-06-06. Correction verified: 2024-06-14.
Three infants that are not on table food do not have current feeding instructions.
2024-03-18 · 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: 2024-03-18. Correction verified: 2024-03-26.
Caregivers are unable to properly supervise during times in which administrative duties were completed. This included preparing food.
2024-03-07 · 746.2207(c)(4) · Medium
Screen Time Activities - Not Used During Eating or Rest Times
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-14.
A classroom was observed watching a movie during naptime. This was corrected at inspection when the movie was turned off.
2024-03-07 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-03-11. Correction verified: 2024-03-14.
A tall bookshelf was not anchored to the wall.
2024-03-07 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-14.
Classrooms do not have the list of ages for children. Caregivers are not aware of children's ages.
2024-03-07 · 746.801(19) · Medium
Required Records Maintained and Made Available - Tracking System
Corrected at inspection: No. Correction date: 2024-03-08. Correction verified: 2024-03-14.
Children's attendance records are not properly maintained. Not all children are signed in and out daily.
2024-03-07 · 746.3301(f)(1) · Medium High
Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-14.
A class was not served water with snack. This was corrected at inspection when water was served.
2024-03-06 · 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: 2024-04-04. Correction verified: 2024-03-26.
This standard was tasked as part of an investigation and found deficient. Napping children were not properly supervised.
2024-03-06 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2024-04-04. Correction verified: 2024-03-14.
This standard was tasked as part of an investigation and found deficient. Caregivers were observed on their phones while supervising a classroom.
2023-11-30 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-13.
2 out of 10 student files reviewed did not include all required information for emergency contcat persons.
2023-11-30 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-13.
1 out of 10 student files reviewed did not include a signature to confirm that staff mayy provide any necessary emergency medical attention required for the child.
2023-11-30 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-13.
5 out of 10 student files reviewed did not include a health statement.
2023-11-30 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-13.
6 out of 10 student files did not include a date of admission to the center.
2023-11-30 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-01-31. Correction verified: 2024-01-24.
The operation did not have a current health inspection on file at the time of the inspection.
2023-11-30 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-14.
Staff did not have emergency medical transport and treatment authorization forms for each child being transported.
2023-11-30 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-14.
Hazards on the playgrounds at the operation included several protruding nails, loose seat fixtures, and a large inoperable table.
2023-11-30 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-13.
1 out of 10 student files reviewed did not include current immunication records.
2023-11-30 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-14.
There were no individual storage spaces designated for toddler and pre-k aged children.
2023-11-30 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-01-31. Correction verified: 2024-01-16.
The operation did not have a current fire inspection on file..
2023-11-30 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2023-12-14. Correction verified: 2023-12-14.
The operation did not have a current gas inspection on file.
2023-11-30 · 746.5617(a)(5) · High
Required Equipment in Vehicles - Fire Extinguisher
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-14.
Vehicles used to transport children in care did not have fire extinguishers available when transporting children in care.
2023-11-30 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2023-11-30. Correction verified: 2023-12-14.
Operational policies did not include policies on the following: 1. Infant safe-sleep 2. Hearing and vision requirements 3. Water play 4. Indoor and outdoor activity physical activity promotion 5. Sunscreen/insect repellent 6. Procedures for parents to view the most recent Licensing inspection report and how the parent may access the minimum standards online 7. Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website 8. Information on vaccine-preventable diseases for employees 9. Procedures for supporting inclusive services to children with special care needs. 10. Any area within 1,000 feet of a child -care center is a gang-free zone
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1465367
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.