Licensed Center
View the official HHSC recordOfficial HHSC provider profile
Report an issue with this page · Corrections and removal process
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 26 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 36 cited deficiencies dated December 5, 2023 to July 23, 2026 (HHSC risk levels: 15 High, 15 Medium High, 5 Medium, 1 Medium Low).
Correction status recorded by HHSC: 7 corrected at inspection, 29 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 29 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 36 cited deficiencies for Kids R Kids of Lakeshore in the 3 years before October 10, 2026 (15 High, 15 Medium High, 5 Medium, 1 Medium Low).
Records list 26 inspections in this window. Most recent inspection: 2026-09-10.
| Risk weight | Citations |
|---|---|
| High | 15 |
| Medium High | 15 |
| Medium | 5 |
| 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.
2026-07-23 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
I observed two infants asleep secured in bouncer chairs. This was corrected when CCR staff asked for the sleeping infants to be removed from the bouncer chairs.
Correction date recorded: 2026-07-23
2026-06-24 · 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
Based on information obtained during the investigation, this minimum standard was found to be in deficient. A child was left unattended on the playground for 14 minutes and was located by a caregiver of another class during their transition to outdoor play.
Correction date recorded: 2026-07-24
2026-06-24 · 746.1003(4) · High
Director Responsibilities - Employees Supervised
Based on the information obtained during the investigation, the minimum standard was determined to be deficient. The operation had implemented procedures requiring caregivers to contact administrative staff prior to taking children outside during periods of extreme heat or when…
Correction date recorded: 2026-07-24
2026-07-23 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2026-07-23. Correction verified: 2026-08-03.
I observed two infants asleep secured in bouncer chairs. This was corrected when CCR staff asked for the sleeping infants to be removed from the bouncer chairs.
2026-06-24 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-07-24. Correction verified: 2026-08-03.
Based on information obtained during the investigation, this minimum standard was found to be in deficient. A caregiver did not demonstrate good judgement when transitioning from outdoor play back to the classroom without completing a headcount or name to face check which caused a child to be left outside on the playground for 14 minutes unattended. Also, staff was aware of the incident and did not immediately report or confirm that administrative staff was aware. Multiple staff members assumed that another staff member reported the incident which delayed parent notification of the incident because administrative staff was not aware until closing time.
2026-06-24 · 746.1003(4) · High
Director Responsibilities - Employees Supervised
Corrected at inspection: No. Correction date: 2026-07-24. Correction verified: 2026-08-03.
Based on the information obtained during the investigation, the minimum standard was determined to be deficient. The operation had implemented procedures requiring caregivers to contact administrative staff prior to taking children outside during periods of extreme heat or when a heat advisory was in effect. However, despite these procedures being in place, a caregiver was able to take a classroom of children outside without obtaining approval from administrative staff. As a result, a child was left unsupervised on the playground for approximately 14 minutes after the remainder of the classroom returned indoors. This incident demonstrated that the operation?s implemented procedures were not effectively monitored or followed to ensure children were protected from potential risks associated with outdoor play during extreme weather conditions and that all children remained accounted for during transitions.
2026-06-24 · 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: 2026-07-24. Correction verified: 2026-08-03.
Based on information obtained during the investigation, this minimum standard was found to be in deficient. A child was left unattended on the playground for 14 minutes and was located by a caregiver of another class during their transition to outdoor play.
2026-03-23 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-06-02.
The director failed to ensure the operation maintained compliance by not acting proactively or efficiently to ensure the child received approved nutritional substitutions identified by the parent on the infant feeding instruction sheet, which listed other foods the child was able to consume in addition to milk. The director also failed to ensure the parent and/or emergency contact were contacted, and in a timely manner. Additionally, communication between the director and staff was not clear and concise, resulting in the child not being provided approved food substitutions and going without eating.
2026-03-23 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-06-02.
Based on the information obtained throughout the investigation, it was determined that the operation did not provide an incident report to a parent. This was corrected when CCR staff suggested emailing the incident report to the parent during the investigation initiation inspection.
2026-03-23 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-06-02.
Based on the evidence obtained throughout investigation it has been determined that operation staff did not demonstrate good judgment regarding adherence to feeding instructions parents provide to the operation or minimum standards feeding requirements. Nor did the operation staff demonstrate adequate communication with each other clarifying if the child was fed baby food which resulted in a child going without eating.
2026-03-23 · 746.2419(4) · High
Requirements for Feeding Infants - Regular Meals and Snacks
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-06-02.
Based on the evidence obtained throughout the investigation, it was established that a child went without eating from 9:30am until she was pick up from the operation at approximately 4:00pm. Daily report documentation, statements, and video footage only verifies that attempts were made to feed the child milk only although the operation had written approval from the parent to provide table food and those attempts were unsuccessful.
2025-12-23 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-02-20. Correction verified: 2026-03-04.
During the investigation the director viewed footage of staff pulling on the child's arm while helping her off the floor. The child's arm was injured as a result of the staff actions.
2025-04-10 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: Yes. Correction date: 2025-04-10. Correction verified: Not recorded.
During the inspection the emergency drills were reviewed and there was not documented fire drill since 02/24/2025. This drill is required monthly. A drill was completed while Child Care Regulation was present to meet compliance.
2025-04-10 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-04-17. Correction verified: 2025-04-15.
During the inspection there were safety hazards observed. In one of the toddler bathrooms there was a broken toy with screws sticking out and accessible to the children. On the playground there was an area of worn material leaving a rigid exposed area, as well as one section of the chain link fence that was sticking out and leaving a sharp point exposed.
2024-10-15 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-10-15. Correction verified: 2024-10-28.
A caregiver stated there were 8 children present in their classroom during the inspection. There were 9 children counted in the room.
2024-09-13 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2024-09-17. Correction verified: 2024-10-15.
3 children in the Walkers classroom were observed sitting in chairs and the safety straps to the chairs were not fastened.
2024-08-27 · 746.605(13)(A) · Medium High
Required Admission Information - Limitations or Restrictions
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-11.
The following special care needs information was missing for 10 children's files evaluated: -Limitations and Restrictions -Adaptive Equipment Provided for the child
2024-08-27 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-11.
Documentation provided for 2 staff files was missing the Pre-Employment Affidiavit forms.
2024-08-27 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2024-08-27. Correction verified: Not recorded.
One infant was observed sitting in a yellow chair and the black safety straps to the chair were not fastened. Note: The caregiver fastened the safety straps during the inspection.
2024-08-27 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-06.
Immunization records for 4 children's files were not current.
2024-08-27 · 746.4751(c) · Medium High
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-11.
Observed a broken playhouse on the playground that has not been removed from the outdoor play area. The poles and green tarpes on the outdoor playground are damaged and have fallen. They have not been repaired.
2024-08-27 · 746.901(9) · Medium
Required Personnel Records - Photo Identification
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-08-29.
Documentation provided for 2 staff files did not contain photo ID.
2024-08-27 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2024-08-27. Correction verified: Not recorded.
A child was observed sleeping on a nap cot which was blocking the doorway entry to the outdoor play area. Note: The provider corrected this during the inspection by moving the child's nap cot away from the door.
2024-08-27 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2024-08-30. Correction verified: 2024-09-06.
During the inspection 1 infant who is not ready for table food did not have a written feeding instructions signed and dated by the child's parents. The documentation shown did not have any written instructions from the parent.
2024-08-19 · 746.2501(3) · Medium High
Care Requirements for Toddlers - Individual Attention
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-10-28.
Based on the information obtained, children were not shown individual attention.
2024-08-19 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-10-28.
Based on the information obtained, caregivers have yelled at children out of frustration.
2024-08-13 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-09-06. Correction verified: 2024-09-11.
Based on the information obtained, there are brown water stains on the ceiling tiles in two classrooms, and water damage floor boards causing the floor to lift. Based on the information obtained, the large pictures that are bolted into the wall are missing bolts and some of the bolts are loose causing the the pictures to be unstable.
2024-08-02 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-02.
Documentation showing completion of transportation safety training for 1 staffs file was still not available for review upon request.
2024-07-17 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-07-22. Correction verified: 2024-08-02.
Documentation showing completion of transportation safety training for 1 out of 2 staff files evaluated was not available for review upon request.
2024-07-17 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2024-07-19. Correction verified: 2024-07-23.
The child safety alarm was not functioning properly due to a corroded battery.
2024-06-04 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-06-11. Correction verified: 2024-06-17.
A food allergy plan was not available for a child with a diagnosed food allergy.
2024-06-04 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-06-04. Correction verified: Not recorded.
Cleaning supplies were observed in an unlocked cabinet in the Gym. Note: The provider moved the cleaning supplies to a high shelf in a closet.
2024-06-04 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: Yes. Correction date: 2024-06-04. Correction verified: Not recorded.
A television was observed in the Steam Lab that was not mounted or anchored. Note: The operation removed the television during inspection.
2024-04-12 · 746.5617(a)(4) · High
Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-12.
Emergency contact information for children was not observed in the vehicle when children were transported to the daycare center.
2024-04-12 · 746.4907(a)(2) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-12.
Loose-fill material was not observed at the required depth of 9 inches during an inspection.
2024-03-05 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-03-05. Correction verified: 2024-03-19.
Caregiver in the toddler room did not provide accurate number of children in the classroom. Note: corrected during inspection.
2024-01-29 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: Yes. Correction date: 2024-02-08. Correction verified: Not recorded.
The director stated she nor did any staff report to licensing that a staff member had tested positive for covid 19.
2024-01-29 · 746.307(d) · Medium High
Parental Notification of Communicable Disease
Corrected at inspection: Yes. Correction date: 2024-02-08. Correction verified: Not recorded.
The director stated that parents were not notified that a staff member tested positive for covid-19.
2023-12-05 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-12-19. Correction verified: 2023-12-21.
This standard was evaluated in regard to a self report and compliance was not met. A caregiver did not use good judgment when her reaction to a child pushing/hitting her was to push the child to the ground and to grab the child aggressively by the arm and spin him around. The caregiver has been terminated.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1467660
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.