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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 1, 2026.
The same records list 19 cited deficiencies dated January 31, 2024 to February 2, 2026 (HHSC risk levels: 4 High, 9 Medium High, 5 Medium, 1 Medium Low).
Correction status recorded by HHSC: 3 corrected at inspection, 16 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 16 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 19 cited deficiencies for Childrens Courtyard-Rufe Snow in the 3 years before October 10, 2026 (4 High, 9 Medium High, 5 Medium, 1 Medium Low).
Records list 19 inspections in this window. Most recent inspection: 2026-09-01.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 9 |
| Medium | 5 |
| Medium Low | 1 |
| 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.
2026-02-02 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
There were 4 caregivers that did not have all required annual training available for review.
Correction date recorded: 2026-02-16
2026-02-02 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
In multiple classrooms it was observed there was chipping of paint and sheetrock. There was also dirt and debris observed on classroom walls. In a specific classroom there was a hole in the sheetrock between the sizes of a nickel and a quarter that was accessible to children.
Correction date recorded: 2026-02-16
2026-01-07 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds.
Correction date recorded: 2026-01-21
2026-02-02 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-02-11.
In multiple classrooms it was observed there was chipping of paint and sheetrock. There was also dirt and debris observed on classroom walls. In a specific classroom there was a hole in the sheetrock between the sizes of a nickel and a quarter that was accessible to children.
2026-02-02 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-02-09.
There were 4 caregivers that did not have all required annual training available for review.
2026-01-07 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2026-01-21. Correction verified: 2026-02-02.
It was observed that six inches of loose-fill surfacing is needed on both playgrounds.
2025-12-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-12-23. Correction verified: 2026-01-07.
The following observed outside on the playground during inspection: Broken plastic box that have sharp edges; Tangle / broken soccer netting on the ground and by the frame; a plier and two metal pieces on the ground by a classroom door that accessible to children; a broken couch by an open toy box; and a metal garden hand rake that accessible to children.
2025-12-22 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2026-01-05. Correction verified: 2026-01-07.
It was observed that six inches of loose-fill surfacing is needed on both playgrounds.
2025-11-20 · 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: 2025-12-18. Correction verified: 2025-12-22.
A child was left alone in the outside playground for approximately minutes.
2025-05-09 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: Yes. Correction date: 2025-05-12. Correction verified: Not recorded.
A caregiver was seen yelling at a child.
2025-05-09 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: Yes. Correction date: 2025-05-12. Correction verified: Not recorded.
A caregiver was witnessed pulling a child by the hair to force them to stand up.
2025-03-13 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-04-10.
Infant bottles were not labeled with the child's name.
2025-03-13 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-03-31. Correction verified: 2025-03-20.
The annual sanitation inspection was expired by the time of the inspection.
2025-03-13 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-03-28. Correction verified: 2025-04-10.
Infant feeding instructions were not updated monthly as required.
2025-03-13 · 746.303(a)(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-03-14.
The operation did not notify licensing of a change in the director in writing by the required 5 days of the change.
2024-11-12 · 745.509 · High
Licensed Operations Required Fees
Corrected at inspection: No. Correction date: 2024-11-12. Correction verified: 2024-11-12.
The operation has failed to pay outstanding background check fees.
2024-06-17 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-07-10. Correction verified: 2024-07-15.
The infant classroom was indicated, on sign-in sheets, to be out of ratio in the mornings for an average of 10-20 minutes.
2024-06-12 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2024-06-12. Correction verified: 2024-06-21.
I observed children under 2 years old watching a cartoon.
2024-04-22 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-04-23.
2 of the 10 children's records were missing updated immunization records.
2024-04-22 · 746.401(3) · Medium
Posting Requirements - Licensing Notice-Keeping Children Safe
Corrected at inspection: Yes. Correction date: 2024-04-22. Correction verified: Not recorded.
Operation was missing the Keeping Children Safe poster. This was corrected at inspection when the director posted it.
2024-04-22 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-05-01.
3 of the 10 staff records reviewed were missing the notarized Employee Affidavit.
2024-01-31 · 746.2905(1) · Medium
Children Not Required to Sleep - May Not Force Child to Sleep
Corrected at inspection: No. Correction date: 2024-02-16. Correction verified: 2024-03-01.
This standard was evaluated as part of an investigation and was deficient based on the preponderance of evidence. A caregiver placed her leg on top of a child in attempt to make them be still and take a nap.
2023-06-16 · 746.605(16) · Medium High
Required Admission Information-Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2023-06-30. Correction verified: 2023-07-14.
2 children with diagnosed food allergies are missing a food allergy emergency plan.
2023-06-16 · 746.3803(c) · Medium
Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
Corrected at inspection: No. Correction date: 2023-06-23. Correction verified: 2023-06-28.
3 infant parents have instructed to give medication when the label states to ask a doctor for their age range.
2023-06-16 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2023-06-30. Correction verified: 2023-07-14.
A current fire inspection was not available for review at the time of the inspection.
2023-06-16 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2023-06-23. Correction verified: 2023-06-28.
I observed medication that is expired and no longer used present at the operation during my inspection.
2023-06-14 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2023-06-23. Correction verified: Not recorded.
A bottle was left unlabeled, and it resulted in an infant getting fed the wrong bottle. Bottles were observed to be labeled during my visit.
2023-03-09 · 746.3703(c) · High
Not Under the Influence of Alcohol or Controlled Substance
Corrected at inspection: No. Correction date: 2023-04-10. Correction verified: 2023-04-10.
Based on information gathered it was determined there is reasonable evidence to believe a caregiver was under the influence of alcohol while caring for children.
2023-02-21 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-03-10. Correction verified: 2023-03-15.
The playground equipment on the toddler playground is chipping in several places. This is exposing raw wood that children have directo access to.
2023-02-09 · 746.3407(1) · Medium High
Toys and Equipment to be Sanitized Set Aside
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-02.
4 caregivers express concern as toys are often visibly dirty and are concerned that the toys are not being cleaned. 1 caregiver stated that she sprays the toys with bleach water, but do not wipe them down and she does not do the deep clean on Friday afternoons as it seems overwhelming.
2023-02-09 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-21.
3 caregivers stated that they have observed infants sleeping in restrictive devices. 2 caregivers stated that they let infants sleep in restrictive devices for a period of time to ensure they were asleep before moving them.
2023-02-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-15.
3 caregivers, who work out of ratio, stated that they often work out of ratio for an extended amount of time because one teacher is late.
2023-02-09 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-02-20.
I observed 2 highchairs in the infant 2 classroom without safety straps.
2022-08-03 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-16.
1 of the 10 children's records needs updated shot records.
2022-08-03 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-16.
The CPSC form was not available for review at the time of the inspection.
2022-08-03 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-16.
There are 7 children present without updated infant feeding instructions.
2022-08-03 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2022-08-12. Correction verified: 2022-08-16.
The training records for 10 of 10 reviewed files were not available for review at the time of inspection.
2022-08-03 · 746.801(6) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-16.
The current proof of liability insurance was not available for review.
2022-08-03 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2022-08-03. Correction verified: Not recorded.
There was an individual present and caring for children without an eligible background check.
2022-08-03 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2022-08-12. Correction verified: 2022-08-16.
The safety documentation was not available for review at the time of the inspection.
2022-01-11 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2022-02-24. Correction verified: 2022-02-24.
The facility did not report positive cases of COVID within the two day time frame.
2021-10-13 · 746.3501(2) · Medium High
Diaper Changing Steps- Cleanse Child with Individual Cloths
Corrected at inspection: Yes. Correction date: 2021-10-21. Correction verified: Not recorded.
The caregiver changed the diapers of the older children when they were standing up. As a result a child was not cleaned thoroughly. The teacher was instructed that when a diaper is being changed as a result of a bowel movement, they must use the changing table.
2021-10-13 · 746.3303 · Medium High
Nutrition and Food Service - Meal and Snack Schedule
Corrected at inspection: Yes. Correction date: 2021-10-21. Correction verified: Not recorded.
Due to an error in communication a class was not served breakfast and not served any food until lunch. The children went without food service for more then 4 hours. The facility has tightened there food service schedule to ensure all of the children eat breakfast.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=162417
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.