2025-12-11 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Feeding instructions for three infants was observed to not be updated for the required every thirty days.
Correction date recorded: 2025-12-18
Licensed Center
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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 17 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 2, 2026.
The same records list 13 cited deficiencies dated September 18, 2024 to December 11, 2025 (HHSC risk levels: 3 High, 4 Medium High, 4 Medium, 2 Medium Low).
Correction status recorded by HHSC: 2 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 11 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 13 cited deficiencies for Childrens Lighthouse of Sienna in the 3 years before October 10, 2026 (3 High, 4 Medium High, 4 Medium, 2 Medium Low).
Records list 17 inspections in this window. Most recent inspection: 2026-07-02.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 4 |
| Medium | 4 |
| Medium Low | 2 |
| 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.
2025-12-11 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Feeding instructions for three infants was observed to not be updated for the required every thirty days.
Correction date recorded: 2025-12-18
2025-12-11 · 746.901(10) · Medium
Required Personnel Records - Current Driver's License
1 out 10 staff records evaluated did not have a current DL in the file. Corrected at Inspection: the director was able to get the current DL from the caregiver.
Corrected at inspection
2025-12-11 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
1 ouf 4 vehicles child safety alarm was observed to not be working.
Correction date recorded: 2025-12-18
2025-12-11 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: Yes. Correction date: 2025-12-11. Correction verified: Not recorded.
Diaper changing pad was observed to have a rips and tares in the middle and on the side of the diaper changing pad exposing the foam. Corrected at Inspection- the diaper changing pad was replaced during the inspection.
2025-12-11 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-12-18. Correction verified: 2025-12-17.
1 out 10 staff files evaluated did not have affidavit completed and notarized.
2025-12-11 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2025-12-18. Correction verified: 2025-12-18.
10 out of 10 staff files did not have the preemployment affidavit made available for review.
2025-12-11 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2025-12-18. Correction verified: 2025-12-17.
2 out of 10 files evaluated did not have the education made available for review.
2025-12-11 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2025-12-18. Correction verified: 2025-12-17.
1 ouf 4 vehicles child safety alarm was observed to not be working.
2025-12-11 · 746.901(10) · Medium
Required Personnel Records - Current Driver's License
Corrected at inspection: Yes. Correction date: 2025-12-11. Correction verified: Not recorded.
1 out 10 staff records evaluated did not have a current DL in the file. Corrected at Inspection: the director was able to get the current DL from the caregiver.
2025-12-11 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-12-18. Correction verified: 2025-12-17.
Feeding instructions for three infants was observed to not be updated for the required every thirty days.
2025-10-24 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2025-11-19. Correction verified: 2025-11-25.
Based off the information from the DFPS investigation, it was determined the operation did not follow background conditions for a caregiver that is employed at the operation.
2025-06-24 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2025-06-24. Correction verified: 2025-07-08.
Children were observed to not wash their hands before eating.
2025-06-24 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2025-07-08. Correction verified: 2025-07-07.
Ten children records' evaluated did not have the parents right form in the file.
2025-05-27 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2025-05-27. Correction verified: 2025-06-10.
Hand washing was not observed in two different classroom after a diaper change.
2025-05-27 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2025-05-27. Correction verified: 2025-06-10.
Caregivers in two different classrooms were observed to not wash their hands after diaper change.
2024-09-18 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-10-28. Correction verified: 2024-11-01.
The operation failed to follow user instructions when cleaning. The cleaning product stated the chemical should not be used on food contact surfaces but was used to clean inside the kitchen.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1472529
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.