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.
Plain-English summary of cited deficiencies
State records list 11 cited deficiencies dated October 15, 2024 to September 4, 2026 (1 High, 5 Medium High, 5 Medium risk). Correction status: 3 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
High risk · AP Background check results - Must receive notification prior to allowing subject to be present at your operation (745.641) Cited June 18, 2025 (correction date recorded: June 18, 2025; correction verified June 25, 2025; technical assistance given). What the record describes: Two caregivers were present and caring for children without eligible background checks.
Medium High risk · Children Handwashing After Toileting or Diapering (746.3417(3)) Cited December 9, 2025 (corrected at inspection; technical assistance given). What the record describes: A child was observed not washing their hands after a diaper change.
Medium High risk · Safety Requirements for Cribs - Snug Fitting Sheets (746.2409(a)(2)) Cited December 9, 2025 (correction date recorded: December 12, 2025; correction verified December 15, 2025; technical assistance given). What the record describes: All 5 cribs in the infant room had loose-fitting sheets.
Medium High risk · Maintenance Procedures for Active Play - Hazards Removed or Repaired (746.4751(c)) Cited June 18, 2025 (corrected at inspection; technical assistance given). What the record describes: A fence panel was broken and had exposed sharp edges.
Medium High risk · Each Caregiver and the Director Must Have Current Training in pediatric CPR (746.1315(b)) Cited October 15, 2024 (correction date recorded: November 5, 2024; correction verified November 7, 2024; technical assistance given). What the record describes: Two caregivers did not have current CPR/First Aid training.
Medium High risk · Required Admission Information - Emergency Contact (746.605(6)) Cited October 15, 2024 (correction date recorded: October 29, 2024; correction verified October 21, 2024; technical assistance given). What the record describes: Six children did not have complete emergency contact information, and three children did not have medical authorizations.
Medium risk · Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance (746.203(2)) Cited September 4, 2026 (correction date recorded: September 11, 2026; correction verified September 22, 2026; technical assistance given). What the record describes: The operation had not entered information in the CCR portal or informed CCR staff about its liability insurance coverage in over a year.
Medium risk · First Aid Kit - Incomplete Kit (746.4003(a)) Cited December 9, 2025 (correction date recorded: December 12, 2025; correction verified December 11, 2025). What the record describes: The first aid kit was missing antiseptic wipes or solution, adhesive tape, and tweezers.
Medium risk · Screen Time Activities - Not Used During Eating or Rest Times (746.2207(c)(4)) Cited December 2, 2024 (corrected at inspection; technical assistance given). What the record describes: Children were observed watching television while eating at the operation.
Medium risk · Children's Records - Immunizations (746.603(a)(4)) Cited October 15, 2024 (correction date recorded: October 29, 2024; correction verified October 21, 2024; technical assistance given). What the record describes: Two children did not have current immunization records on file.
Medium risk · Written Operational Policies - Emergencies (746.501(a)(5)) Cited October 15, 2024 (correction date recorded: October 29, 2024; correction verified November 1, 2024; technical assistance given). What the record describes: Written operational policies were missing procedures for handling medical emergencies, notifying parents of emergencies, and outdoor activities. Policies on parents' rights and the use of insect repellent and sunscreen were also missing.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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 11 cited deficiencies for Papa and Nanas Childcare Center in the 3 years before October 10, 2026 (1 High, 5 Medium High, 5 Medium).
Records list 6 inspections in this window. Most recent inspection: 2025-12-09.
HHSC risk weights of citations
Risk weight
Citations
High
1
Medium High
5
Medium
5
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.
A child was observed not washing their hands after a diaper change. This was corrected at inspection when I asked the caregiver to have the child wash their hands.
Corrected at inspection: Yes. Correction date: 2025-12-09. Correction verified: Not recorded.
A child was observed not washing their hands after a diaper change. This was corrected at inspection when I asked the caregiver to have the child wash their hands.
Maintenance Procedures for Active Play - Hazards Removed or Repaired
Corrected at inspection: Yes. Correction date: 2025-06-18. Correction verified: Not recorded.
A panel of the fence is broken with exposed sharp edges. This was corrected during the inspection when the area was covered and made inaccessible to children.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2025-06-18. Correction verified: 2025-06-25.
Two caregivers were present and caring for children without an eligible background check. This was corrected during the inpsection when the caregiver left the premises.
Corrected at inspection: No. Correction date: 2024-10-29. Correction verified: 2024-11-01.
The following operational policies were missing: procedures for handling medical emergencies, parent notifcations of emergencies, parent's rights, use of insect repellent/sunscreen, and produces for outdoor activties.
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-10-29. Correction verified: 2024-10-21.
Six children do not have complete emergency contact information and three children do not have medical authorizations.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1480888
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.