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.
State records list 21 cited deficiencies dated August 20, 2024 to September 17, 2025 (5 High, 10 Medium High, 6 Medium risk). Correction status: 3 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.
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.
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 21 cited deficiencies for TMC TOTS in the 3 years before October 10, 2026 (5 High, 10 Medium High, 6 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-03-06.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 10 |
| Medium | 6 |
| 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.
2025-09-17 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The operation allowed for a staff member to be present at the operation with a pending background. This was corrected during the inspection when I observed the staff member leave the operation.
Correction date recorded: 2025-09-17
2025-07-09 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
A staff member did not know the youngest child in the toddler classroom and the information was not posted.
Correction date recorded: 2025-07-09
2025-07-09 · 746.3403 · Medium High
Documentation of Annual Sanitation Inspection
The sanitation report was not available for review.
Correction date recorded: 2025-07-16
2025-09-17 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-10-01.
The operation allowed for a staff member to be present at the operation with a pending background. This was corrected during the inspection when I observed the staff member leave the operation.
2025-07-09 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-17.
An operation allowed two caregivers with pending backgrounds to be present with children. This was corrected during the inspection when both caregivers were observed leaving the building.
2025-07-09 · 746.3403 · Medium High
Documentation of Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-07-16. Correction verified: 2025-07-09.
The sanitation report was not available for review.
2025-07-09 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-17.
A staff member did not know the youngest child in the toddler classroom and the information was not posted.
2025-06-27 · 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: 2025-07-09. Correction verified: 2025-07-17.
Two preschool children were allowed to go to the restroom by themselves without proper supervision. The caregiver was observed walking back and fourth between the restroom and preschool classroom.
2025-02-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-02-26. Correction verified: 2025-02-19.
An infant not yet on table food has not had an updated infant feeding sheet since August of 2024.
2025-02-19 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2025-03-05. Correction verified: 2025-02-19.
Three out of ten caregivers are missing a high school diploma or equvilent.
2025-02-19 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-03-05. Correction verified: 2025-03-12.
Three out of eight children were missing a health statement.
2025-02-19 · 746.901(9) · Medium
Required Personnel Records - Photo Identification
Corrected at inspection: No. Correction date: 2025-02-26. Correction verified: 2025-02-19.
Three out of ten caregivers did not have a photo identification available for review.
2024-09-20 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-09-25.
During the walk through inspection I observed a caregiver changing diapers with out washing her or the child's hands.
2024-09-20 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-09-25.
During the walk through inspection I observed a caregiver changing diapers with out washing her or the child's hands.
2024-09-20 · 746.2909(3) · Medium High
Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-09-25.
In the younger toddler classroom the sleeping mats were not properly spaced out and were touching.
2024-09-20 · 746.2803(4)(C) · Medium High
Positive Methods of Discipline and Guidance - Redirecting Behavior
Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-09-25.
Children in the younger toddler classroom were observed riding toys bicycles around the classroom and on top of mats while other children were sleeping. While the children were riding bikes, no caregiver redirected or intervened the behavior and allowed the children to continue riding the bikes in the classroom and on children's mats.
2024-09-10 · 746.3317(7) · High
Food Service and Preparation Requirement - No Foods That Present Choking Risk
Corrected at inspection: No. Correction date: 2024-09-10. Correction verified: 2024-09-19.
I observed the cook/caregiver serving whole grapes to the younger toodler children, older toddler children and preschool children.
2024-09-10 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: Yes. Correction date: 2024-09-10. Correction verified: Not recorded.
Multiple children were observed sitting in a feeding chair without being strapped in. This was corrected during the inspection when the caregiver strapped the children in.
2024-09-10 · 746.3317(8) · Medium High
Food Service and Preparation Requirement - Cover All Stored Food
Corrected at inspection: Yes. Correction date: 2024-09-10. Correction verified: Not recorded.
Multiple types of food was observed uncovered in the refrigerator. This was corrected during the inspection when the caregiver through the food away.
2024-09-06 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-09-10. Correction verified: 2024-09-19.
During the walk through I observed a caregiver leaving the younger toddler classroom to wash children's hands. The classroom had two caregivers with thirteen children. The specified age group was tweny-one months and the ratio was one to nine. The caregiver was observed taking one child at a time to wash there hands, leaving the other caregiver by herself with twelve children. The caregiver was observed doing this two times before i intervened. This was corrected during the inspection when i informed the caregiver that she was leaving the other teacher out of ratio. A third caregiver stepped in and helped the children was there hands.
2024-08-20 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2024-08-20. Correction verified: 2024-08-30.
A caregiver with a pending background check was observed in the toddler classroom working with children. This was corrected during the inspection when I observed the caregiver immediately leaving the operation.
2024-08-20 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-09-27. Correction verified: 2024-09-10.
Two out of ten children were missing an updated shots record.
2024-08-20 · 746.2505(4)(C) · Medium
Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
Corrected at inspection: Yes. Correction date: 2024-08-20. Correction verified: Not recorded.
Toddler children were observed walking around with training cups and a toddler was observed falling asleep in a crib with a bottle in there hand. This was corrected during the inspection when i observed the caregiver removing the child from the crib and placing him at the table to finish his bottle and I observed the caregiver taking the children's training cups and putting them in the children bag.
2024-08-20 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2024-09-27. Correction verified: 2024-09-10.
The fire inspection was not available for review.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1483859
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.