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State records list 8 cited deficiencies dated June 19, 2024 to January 13, 2026 (4 High, 3 Medium High, 1 Medium risk). Correction status: 1 corrected at inspection, 7 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.
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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 8 cited deficiencies for Creative Connections Childrens Center in the 3 years before October 10, 2026 (4 High, 3 Medium High, 1 Medium).
Records list 9 inspections in this window. Most recent inspection: 2026-01-22.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 3 |
| Medium | 1 |
| 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.
2026-01-13 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
A caregiver responsible for the three and four year old classroom stated they were responsible for 24 children. The children were counted and I observed 25 children in the group.
Correction date recorded: 2026-01-13
2025-11-13 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Based on the information reviewed, it was observed that a caregiver did not wash their hands after diapering children.
Correction date recorded: 2026-01-05
2025-11-13 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Based on the information reviewed during this investigation, it was observed that children did not wash their hands after having their diapers changed.
Correction date recorded: 2026-01-05
2026-01-13 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-01-13. Correction verified: 2026-01-22.
A caregiver responsible for the three and four year old classroom stated they were responsible for 24 children. The children were counted and I observed 25 children in the group.
2025-11-13 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2026-01-05. Correction verified: 2026-01-13.
Based on the information reviewed during this investigation, it was observed that children did not wash their hands after having their diapers changed.
2025-11-13 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2026-01-05. Correction verified: 2026-01-13.
Based on the information reviewed, it was observed that a caregiver did not wash their hands after diapering children.
2024-11-07 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-11-07. Correction verified: 2024-11-21.
Upon arrival, staff members were unaware of the number of children present in a combined area.
2024-11-07 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2024-11-07. Correction verified: Not recorded.
One caregiver was observed with eight infants ages 1-15 months old. The specified age group for the classroom was 0-11 months. The maximum number of children one caregiver can supervise for this age range is four. The caregiver was over ratio by four children.
2024-10-24 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2024-11-04. Correction verified: 2024-11-07.
Records were evaluated for ten children enrolled and the following was determined: Two children needed emergency contact information. Three children needed permissions for transportation. Three children needed permissions for field trips. Four children needed permissions for water activities, including if whether the child is able to swim without assistance. One child needed an updated immunization record. Incident reports completed for two children in care were missing information such as the date and parent/director signature.
2024-10-24 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-07.
A caregiver in the infant room was unaware of the number of children responsible for. The caregiver stated eight children were present however nine were present in the room.
2024-06-19 · 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: 2024-08-09. Correction verified: 2024-08-20.
Based on the information obtained, it was determined a caregiver did not maintain proper supervision while watching two separate groups of children ages three and four years old. The caregiver left one group unattended multiple times to attend to the classroom and retrieve an item from the classroom.
2023-07-20 · 746.2419(5) · Medium High
Requirements for Feeding Infants - Fed in Safe Manner
Corrected at inspection: No. Correction date: 2023-07-20. Correction verified: 2023-08-03.
During this inspection I observed a 12 month old drinking a bottle in the crib.
2023-07-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-07-20. Correction verified: 2023-08-03.
During this inspection I observed a four month old in a crib with a pacifier attached to their clothing. The attachment was observed under the infants neck.
2023-05-04 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-06-16. Correction verified: 2023-06-28.
During this investigation it was determined a caregiver did not demonstrate good judgement by continuously holding a child's hand and wrists as the child was falling to the floor trying to get away causing the child to have a dislocated elbow.
2023-01-17 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2023-01-17. Correction verified: 2023-01-30.
A caregiver in the Two's I classroom was unaware of the group responsible for. The caregiver stated nine children were present, however ten were observed in the classroom.
2023-01-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-01-06. Correction verified: 2023-01-17.
An eight month old child was observed asleep on a floor mat. The child was originally placed on a boppy pillow and slid onto the floor.
2023-01-06 · 746.2405(2) · Medium High
Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Corrected at inspection: No. Correction date: 2023-01-06. Correction verified: 2023-01-17.
During the follow up inspection an eight month old non-walking infant was observed sleeping on a mat.
2022-12-20 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-12-20. Correction verified: 2023-01-06.
One caregiver was observed with five children ages 8 months, 9m, 11m, 11m, and 15 months. The specified age group was 0-11 months. The caregiver was over ratio by one child.
2022-05-26 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-06-09.
The caregiver in the Toddler I classroom was observed caring for 9 children ages 14m, 16m, 16m, 17m, 17m, 18m, 18m, and 19m, and 2y. The specified age group for the room is 12-17 months. The maximum number of children one caregiver may supervise for this age group is 5. The caregiver was over ratio by four children.
2022-05-11 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-26.
The caregiver in the Pre-K classroom was unaware of the number of children present. The caregiver stated a total of 18 children were present, however 19 were counted in the room.
2022-05-11 · 746.2419(5) · Medium High
Requirements for Feeding Infants - Fed in Safe Manner
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-26.
A twelve month old was observed layng down on a mat in the infant classroom. The child was observed drinking from a bottle.
2022-05-11 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-05-11. Correction verified: 2022-05-26.
The caregiver in the Pre-K classroom was observed caring for 19 children ages 3-5 years old. The specified age group for the room was 4 years old. The maximum number of children one caregiver may supervise for this age group is 18. The caregiver was over ratio by one child.
2022-05-10 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-06-08. Correction verified: 2022-06-09.
Based on the information obtained, it was determined that the caregiver failed to demonstrate good judgment as she was issued a citation for failure to control speed after an auto accident.
2022-04-29 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-04-29. Correction verified: 2022-05-11.
The caregiver in the Infant classroom was observed caring for 5 children ages 3 months, 6m, 7m, 11m, and 11m. The specified age group for the room is 0-11 months. The maximum number of children one caregiver may supervise for this age group is four. The caregiver was over ratio by one child.
2022-04-14 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-04-14. Correction verified: 2022-04-29.
The caregiver in the Toddler I classroom was observed caring for 6 children age 13m, 14m, 15m, 15m, and 16 months. The specified age group for the room is 12-17 months. Tthe maximum number of children one caregiver may supervise for this age group is five. The caregiver was over ratio by one child.
2022-04-14 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-04-14. Correction verified: 2022-04-29.
During the follow up inspection a three year olf child left the four year old classroom. The child was discovered hiding under a table.
2022-04-01 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2022-04-01. Correction verified: Not recorded.
I observed unlabeled bottles in two of the classrooms. Note: This was corrected during inspection.
2022-04-01 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-04-01. Correction verified: 2022-04-14.
The caregiver in the Three's classroom was unaware of the number of children present in the room. The caregiver stated 11 children were present, however nine were signed in.
2022-04-01 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2022-04-04. Correction verified: 2022-04-04.
I observed tears in diaper changing equipment in four classrooms.
2022-03-29 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-04-01. Correction verified: 2022-05-05.
The operation did not notify Child Care Regulation of a child injury that required medical care.
2022-03-29 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-06-09.
Based on the information obtained, it was determined that supervision was not maintained when a child fell and broke their collarbone on the outdoor playground.
2022-03-29 · 746.307(b)(1) · Medium High
AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-06-09.
Based on the information obtained, it was determined that a parent was not immediately notified of an injury requiring medical treatment.
2022-03-29 · 746.801(5) · Medium
Required Records Maintained and Made Available - Employees' Attendance
Corrected at inspection: No. Correction date: 2022-04-01. Correction verified: 2022-05-04.
Attendance sheets were reviewed for two directors. Time sheets were only available for the week of March 28, 2022.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=149361
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.