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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 19 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 11, 2026.
The same records list 45 cited deficiencies dated January 13, 2025 to August 10, 2026 (HHSC risk levels: 5 High, 22 Medium High, 16 Medium, 2 Low).
Correction status recorded by HHSC: 6 corrected at inspection, 39 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 39 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 45 cited deficiencies for Angel Care Academy in the 3 years before October 10, 2026 (5 High, 22 Medium High, 16 Medium, 2 Low).
Records list 19 inspections in this window. Most recent inspection: 2026-09-11.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 22 |
| Medium | 16 |
| Medium Low | 0 |
| Low | 2 |
| 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.
2026-08-10 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.
Correction date recorded: 2026-08-10
2026-08-10 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Infants were mixed with children greater than 18 months older than they are.
Correction date recorded: 2026-08-10
2026-07-27 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.
Correction date recorded: 2026-07-27
2026-08-10 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-08-10. Correction verified: 2026-08-21.
Infants were mixed with children greater than 18 months older than they are.
2026-08-10 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Corrected at inspection: No. Correction date: 2026-08-10. Correction verified: 2026-08-21.
Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.
2026-07-27 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-07-27. Correction verified: 2026-08-10.
Infants were mixed with children greater than 18 months older than they are.
2026-07-27 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Corrected at inspection: No. Correction date: 2026-07-27. Correction verified: 2026-08-10.
Upon CCR's arrival the operation was using a reduced nap time ratio with only 1 caregiver present in the building and more than 13 children.
2026-07-13 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-27.
Infants were mixed with children greater than 18 months older than they are.
2026-07-13 · 746.1505(1) · Medium
Placement of Groups - Groups Kept Separate
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-27.
The large classroom was not properly divided allowing children to move freely between the two spaces.
2026-05-21 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-05-28. Correction verified: 2026-06-05.
When CCR arrived there was one caregiver in a room with 21 children of mixed ages.
2026-05-21 · 746.1505(1) · Medium
Placement of Groups - Groups Kept Separate
Corrected at inspection: No. Correction date: 2026-05-28. Correction verified: 2026-06-05.
Children of mixed ages including infants were combined in one room.
2026-05-21 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-05-28. Correction verified: 2026-06-05.
Infants were combined with children more than 18 months older than them in one room.
2026-05-12 · 746.4301(a) · Medium
Outdoor Space Requirements - 80 Sq. Feet Per Child
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-21.
It was observed that more children were outside than the outdoor space allows.
2026-05-12 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-21.
Children of mixed ages were combined outside for over an hour including infants.
2026-05-12 · 746.1505(1) · Medium
Placement of Groups - Groups Kept Separate
Corrected at inspection: No. Correction date: 2026-05-19. Correction verified: 2026-05-21.
It was observed that 24 children of mixed ages were sharing one open space.
2026-05-12 · 746.3301(b) · Medium High
Nutrition and Food Service - Follow Meal Patterns
Corrected at inspection: No. Correction date: 2026-05-15. Correction verified: 2026-05-21.
Lunch did not follow the CACFP guidelines. There were no fruits or vegetables offered.
2026-05-12 · 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: 2026-05-19. Correction verified: 2026-05-21.
The operation did not have a menu but did provide lunch.
2026-05-12 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-21.
An infant was observed in a restrictive device outside for a prolonged period of time.
2026-05-12 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-21.
A caregiver gave an inaccurate count of the number of children present.
2026-05-12 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-21.
There was one caregiver outside with 20 children including infants.
2026-01-15 · 746.1105(3) · Low
Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2026-01-22. Correction verified: 2026-01-16.
One caregiver did not have form 2985 notarized.
2025-12-16 · 746.1613(a) · Medium
Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met
Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2026-01-15.
During nap time it was observed that one caregiver was supervising 15 children with the youngest being 3 months of age.
2025-12-16 · 746.1105(3) · Low
Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-12-23. Correction verified: 2026-01-15.
One caregiver did not have form 2985 notarized.
2025-12-16 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2026-01-15.
An infant was observed sleeping in a crib with a bottle of milk.
2025-12-16 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2025-12-16. Correction verified: Not recorded.
Clorox wipes were observed in two locations within reach of children.
2025-11-04 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-12-02. Correction verified: 2025-12-18.
A caregiver has CPR that was taken online.
2025-11-04 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: Yes. Correction date: 2025-11-04. Correction verified: Not recorded.
Two nap mats were observed with tears. This was corrected during the inspection the mats were removed and replaced.
2025-11-04 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2025-11-18. Correction verified: 2025-12-18.
A caregiver does not have pre-service training.
2025-06-20 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-07-11. Correction verified: 2025-07-29.
A child with a food allergy does not have all required medications on site.
2025-06-20 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-08-08. Correction verified: 2025-08-08.
A caregiver does not have current first aid/CPR.
2025-06-20 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: No. Correction date: 2025-07-11. Correction verified: 2025-07-29.
Four napping mats were observed to be torn and/or missing cushions.
2025-05-08 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-06-12. Correction verified: 2025-06-20.
Three children do not have current or updated immunization records on file.
2025-05-08 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-06-12. Correction verified: 2025-06-20.
Chipped paint was observed in a classroom.
2025-05-08 · 746.2505(4)(A) · Medium
Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
Corrected at inspection: Yes. Correction date: 2025-05-08. Correction verified: Not recorded.
Six children's bottles/cups were not labeled. This was corrected during the inspection when the director and caregivers labeled the bottles.
2025-05-08 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-06-06. Correction verified: 2025-05-30.
Two infants do not have feeding instructions.
2025-05-08 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-06-06. Correction verified: 2025-05-30.
Four staff files did not have one or more of the following: proof of education, proof of pre-service training, a photo ID, the hire date, proof of the background check, proof orientation was completed.
2025-04-26 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2025-05-02. Correction verified: 2025-05-05.
The operation has not provided documentation of drills.
2025-04-11 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-05-05.
Chipped paint was observed on the walls of a classroom.
2025-04-11 · 746.3407(11) · Medium High
Sanitize Tables Tops, Furniture and Similar Equipment
Corrected at inspection: Yes. Correction date: 2025-04-11. Correction verified: Not recorded.
A high chair was observed to have dried food stains. This was corrected during the inspection when the chair was cleaned.
2025-03-31 · 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: 2025-03-31. Correction verified: 2025-04-11.
Two children were observed unattended. This was corrected during the inspection when the caregiver returned to the children.
2025-03-31 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2025-04-14. Correction verified: 2025-04-25.
The operation does not have documentation of the emergency drills practices.
2025-03-31 · 746.3415(1) · Medium High
Employee Handwashing Before Eating or Handling Food
Corrected at inspection: No. Correction date: 2025-03-31. Correction verified: 2025-04-11.
A caregiver did not wash their hands after rubbing their eyes and before handling food. This was corrected during the inspection when the caregiver washed her hands.
2025-03-31 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: Yes. Correction date: 2025-03-31. Correction verified: Not recorded.
A diaper changing table has two small tears. This was corrected during the inspection when the diaper changing table was replaced.
2025-03-31 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: Yes. Correction date: 2025-03-31. Correction verified: Not recorded.
One nap mat was torn and one nap mat was missing a cushion. This was corrected during the inspection when the nap mats were replaced.
2025-03-31 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-05-05.
A child with a diagnosed allergy does not have an allergy plan on file.
2025-01-13 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-02-03. Correction verified: 2025-01-24.
The operation does not have a current fire inspection.
2025-01-13 · 746.501(a)(1) · Medium
Written Operational Policies - Operating Times
Corrected at inspection: No. Correction date: 2025-02-03. Correction verified: 2025-01-24.
The operation does not have the following operational policies: days and months of operation, infant safe sleep, nursing mothers, procedures for inclusive services, gang-free zone policy, parent's rights, unassigned epi-pens, outdoor play and extreme weather criteria, insect/sunscreen, and communicationg with the director.
2025-01-13 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-02-03. Correction verified: 2025-01-24.
The operation does not have a current sanitation inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1495061
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.