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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 4 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 15, 2025.
The same records list 4 cited deficiencies dated January 5, 2024 to December 20, 2024 (HHSC risk levels: 4 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 4 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 4 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 4 cited deficiencies for Buttons and Bows in the 3 years before October 10, 2026 (4 Medium).
Records list 4 inspections in this window. Most recent inspection: 2025-10-15.
| Risk weight | Citations |
|---|---|
| High | 0 |
| Medium High | 0 |
| Medium | 4 |
| 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.
2024-12-20 · 746.3313(2) · Medium
Daily Menus - May Rotate if Keep Record of Dates Menus Used
The operation did not have the posted menu dated showing the date the menu covered. Additionally, the operation did not have menus of the past three months on file for review.
Correction date recorded: 2024-12-27
2024-01-05 · 746.5205(4) · Medium
Documentation of Drills
The last documented fire drill, carbon monoxide detector check, and smoke detector check were conducted 10/2023.
Correction date recorded: 2024-01-19
2024-01-05 · 746.603(a)(2) · Medium
Children's Records - Admission Information
A sampling of children records were evaluated. Three children records lacked the date of admission. One child's record lacked documentation of school information. One child's record lacked a health statement. One child's record lacked an immunization record. Four children's…
Correction date recorded: 2024-02-07
2024-12-20 · 746.3313(2) · Medium
Daily Menus - May Rotate if Keep Record of Dates Menus Used
Corrected at inspection: No. Correction date: 2024-12-27. Correction verified: 2024-12-31.
The operation did not have the posted menu dated showing the date the menu covered. Additionally, the operation did not have menus of the past three months on file for review.
2024-01-05 · 746.901(5) · Medium
Required Personnel Records- Training Hours
Corrected at inspection: No. Correction date: 2024-02-05. Correction verified: 2024-02-07.
One caregiver lacked documentation of 24 clock hours of training to complete last years annual training.
2024-01-05 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: No. Correction date: 2024-02-07. Correction verified: 2024-02-07.
A sampling of children records were evaluated. Three children records lacked the date of admission. One child's record lacked documentation of school information. One child's record lacked a health statement. One child's record lacked an immunization record. Four children's immunization records were observed incomplete.
2024-01-05 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2024-01-19. Correction verified: 2024-01-19.
The last documented fire drill, carbon monoxide detector check, and smoke detector check were conducted 10/2023.
2023-03-03 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2023-03-17. Correction verified: 2023-03-22.
An electrical cord was observed coming from high up on the side of the building all the way down and wrapped around a gate on one of the playgrounds. This accessible to children. This gate to the playground is not large enough to close properly and leaves a space big enough that a small child could get through. There was a a toy Little Tyke tool station on the playground with broken plastic. This was corrected at inspection as it was removed from the playground. Broken wood was observed on the bottom of the door frame that is on the outside of the building. This door opens up to a playground.
2022-03-07 · 746.1011 · Medium High
Director Presence Routine During Operating Hours
Corrected at inspection: No. Correction date: 2022-03-07. Correction verified: 2022-03-21.
The director's presence is not adequate enough to meet the director positions responsibilities.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=171263
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.