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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 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 14, 2026.
The same records list 28 cited deficiencies dated November 25, 2024 to July 9, 2026 (HHSC risk levels: 8 High, 8 Medium High, 12 Medium).
Correction status recorded by HHSC: 10 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 18 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.
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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 28 cited deficiencies for Grandmas Academy in the 3 years before October 10, 2026 (8 High, 8 Medium High, 12 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-07-14.
| Risk weight | Citations |
|---|---|
| High | 8 |
| Medium High | 8 |
| Medium | 12 |
| 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.
2026-07-09 · 746.301(2) · Medium
Notification of Change in Space
The operation expanded the infant room and did not notify Child Care Regulation prior to using the expanded space. This was corrected during the inspection when the space was inspected and measured.
Corrected at inspection
2026-07-09 · 746.201(11) · High
AP Ensure total number of children both at & away from center within capacity
There were 28 children in care when the center's licensed capacity is 26. This was corrected during the inspection when two children were picked up by a parent.
Correction date recorded: 2026-07-09
2026-07-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
One of the infant caregivers stepped out of the infant room, leaving one caregiver with eight infants. The infant group had a specified age of 12-17 months and could only have five infants with one caregiver in the room. This was corrected during the inspection when the…
Correction date recorded: 2026-07-09
2026-07-09 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: Yes. Correction date: 2026-07-09. Correction verified: Not recorded.
Two of the children in care were not enrolled and did not have any admission information on file. This was corrected during the inspection when the children were picked up and the director informed me that they wouldn't be returning.
2026-07-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-07-09. Correction verified: 2026-07-14.
One of the infant caregivers stepped out of the infant room, leaving one caregiver with eight infants. The infant group had a specified age of 12-17 months and could only have five infants with one caregiver in the room. This was corrected during the inspection when the caregiver returned to the infant room.
2026-07-09 · 746.201(11) · High
AP Ensure total number of children both at & away from center within capacity
Corrected at inspection: No. Correction date: 2026-07-09. Correction verified: 2026-07-14.
There were 28 children in care when the center's licensed capacity is 26. This was corrected during the inspection when two children were picked up by a parent.
2026-07-09 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2026-07-09. Correction verified: Not recorded.
The operation expanded the infant room and did not notify Child Care Regulation prior to using the expanded space. This was corrected during the inspection when the space was inspected and measured.
2026-03-26 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2026-03-26. Correction verified: Not recorded.
Infants in the infant room were watching a television show on a caregiver's phone. This was corrected during the inspection when the show was turned off.
2026-03-23 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-26.
A caregiver stated they had 18 children when they had 19 children in their group. This was corrected when the caregiver was informed that they had 19 children in the group.
2026-03-23 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-26.
There was a bottle of disinfectant wipes on a table within reach of children. This was corrected during the inspection when the disinfectant wipes were moved out of reach.
2026-03-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-03-23. Correction verified: 2026-03-26.
One caregiver had seven infants ages 4-15 months, and another caregiver had 19 children ages 2-3 years old. Both classes were placed into ratio when additional caregivers joined the classrooms.
2026-03-18 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-23.
One caregiver had six infants with a specified age of 0-11 months. A 0-11 month group should only have four infants to one caregiver. This was corrected during the inspection when a second caregiver joined the classroom.
2026-03-18 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-03-25. Correction verified: 2026-04-14.
Two infants had feeding instructions that were not dated, and one had instructions that were last updated in January.
2026-03-18 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-04-01. Correction verified: 2026-04-14.
One caregiver was missing 12.5 hours of their 24 hours of annual training, including training on emergency preparedness, communicable diseases, medication administration, preventing allergic reactions, building and physical premises safety, and handling hazardous materials.
2026-03-18 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-23.
An infant was observed sleeping with a bottle. This was corrected during the inspection when the bottle was taken from the infant.
2026-03-18 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2026-03-18. Correction verified: Not recorded.
The children's product certification form was last signed in November 2024. This was corrected during the inspection when the director signed a new children's product certification form.
2026-03-18 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2026-03-18. Correction verified: 2026-03-23.
Two infants were observed sleeping in bouncers in their play yards. This was corrected when the infants were removed from the bouncers and placed in their bare play yards.
2026-03-18 · 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: 2026-03-18. Correction verified: 2026-03-23.
While a caregiver was changing a diaper, a walking infant walked out of the infant room and was unsupervised briefly until the Child Care Regulation inspector brought the child back into the infant classroom.
2026-03-18 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2026-04-24. Correction verified: 2026-06-11.
Out of four children's records reviewed, one child needed an updated immunization record and a health statement, and another child needed a health statement.
2025-10-27 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2025-10-27. Correction verified: Not recorded.
The operation started using the kitchen or infants to eat lunch in without notifying Child Care Regulation. This was corrected during the inspection when the room was inspected and measured.
2025-10-15 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2025-10-15. Correction verified: 2025-10-27.
An infant was observed sleeping with a bottle. This was corrected during the inspection when the director was informed that infants can't sleep with bottles and the bottle was removed.
2025-10-15 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-11-07. Correction verified: 2025-11-04.
The operation's last fire inspection was completed on 8/27/24.
2025-10-15 · 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: 2025-10-15. Correction verified: 2025-10-27.
During the inspection, two caregivers stepped out of their classrooms to open the front door or get supplies, leaving the children in the room unsupervised. This was corrected during the inspection when the caregivers returned to their rooms.
2025-04-11 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2025-04-11. Correction verified: Not recorded.
The operation had started using the porch, sanctuary, and church nursery without notifying Child Care Regulation. This was corrected during the inspection when Child Care Regulation was notified that the spaces were being used for children and the spaces were measured.
2025-04-02 · 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: 2025-04-02. Correction verified: 2025-04-11.
During the inspection, the seven children in care were separated into different rooms with only one caregiver going between rooms to watch them. This was corrected during the inspection when the children were all combined into one room so that the caregiver could maintain supervision of all children in care.
2025-02-21 · 746.401(6) · Medium
Posting Requirements - Daily menu, including all snacks and meals served by the child care center
Corrected at inspection: No. Correction date: 2025-02-26. Correction verified: 2025-02-28.
The menu that was posted was for the previous month.
2025-02-21 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2025-02-26. Correction verified: 2025-02-28.
An infant who was still on formula did not have written feeding instructions.
2025-01-13 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: Yes. Correction date: 2025-01-13. Correction verified: Not recorded.
The dates that the fire extinguishers, smoke detectors, and carbon monoxide detectors were tested had not been recorded. This was corrected during the inspection when the owner recorded the dates that the equipment was lasted tested.
2025-01-13 · 746.401(2) · Medium
Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Corrected at inspection: Yes. Correction date: 2025-01-13. Correction verified: Not recorded.
The most recent inspection letter was not posted. This was corrected during the inspection when the inspection letter was printed out and posted.
2024-11-25 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2024-11-25. Correction verified: Not recorded.
Several outlets did not have covers. This was corrected during the inspection when outlet covers were placed in the outlets.
2024-11-25 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2024-11-25. Correction verified: Not recorded.
The operation did not have a signed children product certification form. This was corrected during when the owner confirmed that she is subscribed to the recall emails and signed a certification form.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1492181
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.