Licensed Center
View the official HHSC recordOfficial HHSC provider profile
Report an issue with this page · Corrections and removal process
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 16 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 20, 2026.
The same records list 10 cited deficiencies dated April 18, 2024 to June 17, 2026 (HHSC risk levels: 8 High, 2 Medium High).
Correction status recorded by HHSC: 1 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 9 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 10 cited deficiencies for St Thomas Aquinas Child Development Center in the 3 years before October 10, 2026 (8 High, 2 Medium High).
Records list 16 inspections in this window. Most recent inspection: 2026-08-20.
| Risk weight | Citations |
|---|---|
| High | 8 |
| Medium High | 2 |
| Medium | 0 |
| 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.
2026-06-17 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During an investigation operation staff failed to demonstrate good judgment when a photograph was taken of a soiled diaper and the unclothed child was also captured in the photograph. The photograph was distributed to the parent in their communication app.
Correction date recorded: 2026-06-30
2026-03-03 · 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
The caregiver was not in the physical proximity of the child to intervene and prevent the child from running out of the classroom and down the hallway.
Correction date recorded: 2026-03-04
2024-10-30 · 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
A 2-year-old child was left unsupervised for 15 minutes in the fox classroom.
Correction date recorded: 2024-10-31
2026-06-17 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-06-30. Correction verified: 2026-06-30.
During an investigation operation staff failed to demonstrate good judgment when a photograph was taken of a soiled diaper and the unclothed child was also captured in the photograph. The photograph was distributed to the parent in their communication app.
2026-03-03 · 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: 2026-03-04. Correction verified: 2026-03-10.
The caregiver was not in the physical proximity of the child to intervene and prevent the child from running out of the classroom and down the hallway.
2024-10-30 · 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: 2024-10-31. Correction verified: 2024-11-14.
A 2-year-old child was left unsupervised for 15 minutes in the fox classroom.
2024-07-15 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-08-20. Correction verified: 2024-09-03.
It was found that a caregiver did not physically handle a child in care appropriately when they transitioned a child by one arm three separate times when they dropped their weight to the ground.
2024-05-31 · 746.3421(b) · Medium High
Infant Handwashing - Raised to Sink
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-13.
It was observed that one caregiver did not wash the hands of an infant after a diaper change.
2024-05-31 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-13.
Four infants ages 13 - 17 months old were observed seated at feeding tables. The required safety straps were not fastened while in use. Caregivers were asked to fasten the straps during the inspection.
2024-05-28 · 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: 2024-05-31. Correction verified: 2024-06-13.
It was found during the investigation that one child was left unsupervised in the hallway of the building for about 4 minutes.
2024-05-28 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-13.
A parent was not notified of a situation placing their child at risk in a timely manner.
2024-05-28 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-13.
The operaiton did not report a situation placing a child at risk to licensing within the required time frame.
2024-04-18 · 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: Yes. Correction date: 2024-04-22. Correction verified: Not recorded.
During the inspection it was found that there was a situation that involved a child being left in their classroom without supervision for approx 3 min. The caregiver involved in this situation is no longer working at the operation and supervision at the operation was observed to meet compliance during the investigation inspection.
2023-07-12 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-07-12. Correction verified: Not recorded.
A caregiver was observed changing a child's diaper and failing to wash their hands as well as the child's. This was corrected at inspection when the caregiver washed their hands and the child's hands.
2023-07-12 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2023-07-12. Correction verified: Not recorded.
During the inspection it was found bibs, mats, and spoons used by infants in care during meal times were washed in the handwashing sink. This was corrected at inspection when management informed all operation staff of new system being implemented which is to place meal items in sanitation bins to be sanitized in workroom.
2023-05-23 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-06-21. Correction verified: 2023-07-12.
It was found that a caregiver does not physically handle the children in care appropriately.
2023-04-21 · 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: 2023-05-19. Correction verified: 2023-06-02.
It was found that a caregiver left a child on the playground alone.
2023-03-22 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2023-03-29. Correction verified: 2023-04-14.
A health statedment from a medical professional was missing from a child's file.
2023-03-22 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2023-03-29. Correction verified: 2023-04-14.
The operational policy was missing a section regarding infant safe sleep.
2023-03-22 · 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: 2023-03-29. Correction verified: 2023-04-14.
The loose fill under a play structure did not meet the 6 inch requirement.
2022-05-06 · 746.3803(a)(3) · Medium High
Medication Authorization - By Telephone if for a Single Dose
Corrected at inspection: Yes. Correction date: 2022-05-19. Correction verified: Not recorded.
The operation failed to obtain authorization from a parent prior to administering medication.
2022-05-06 · 746.3805(c)(4) · Medium High
Medication Records - Name of Employee Who Administered
Corrected at inspection: Yes. Correction date: 2022-05-19. Correction verified: Not recorded.
The medication authorization form was not properly documented using the full name of the employee who administered the medication.
2022-05-06 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: Yes. Correction date: 2022-05-19. Correction verified: Not recorded.
The operation failed to update the medication authorization forms before administering medication to a child in care.
2022-01-07 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-01-07. Correction verified: 2022-01-20.
The 2A classroom with a specified age of two-years had fifteen children and one caregiver. A second caregiver came into the room to meet ratio requirements.
2021-10-16 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2021-10-20. Correction verified: 2021-11-16.
A caregiver failed to use good judgement and self control to properly communicate with children in care.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=202733
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.