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 31 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 24, 2026.
The same records list 30 cited deficiencies dated March 18, 2024 to June 17, 2026 (HHSC risk levels: 14 High, 9 Medium High, 7 Medium).
Correction status recorded by HHSC: 11 corrected at inspection, 19 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 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 30 cited deficiencies for Stepping Stone School XIV in the 3 years before October 10, 2026 (14 High, 9 Medium High, 7 Medium).
Records list 31 inspections in this window. Most recent inspection: 2026-09-24.
| Risk weight | Citations |
|---|---|
| High | 14 |
| Medium High | 9 |
| Medium | 7 |
| 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 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
There was an employee that was present that had a pending background check. Note: This was corrected at inspection with the employee became active, and received their eligibility letter during the inspection.
Correction date recorded: 2026-06-17
2026-06-02 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
There were two caregivers that did not know the correct number of children that were in their care. This was corrected at inspection when the caregivers were asked again how many children they had in care, and they knew the correct number. The caregivers were retained on the…
Correction date recorded: 2026-06-02
2025-07-02 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
A caregiver who departed the operation more than 7 days ago still had an active background check at the time of inspection. This was corrected at inspection when the caregiver's background check was inactivated.
Corrected at inspection
2026-06-17 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2026-06-17. Correction verified: 2026-07-02.
There was an employee that was present that had a pending background check. Note: This was corrected at inspection with the employee became active, and received their eligibility letter during the inspection.
2026-06-02 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-06-02. Correction verified: 2026-06-17.
There were two caregivers that did not know the correct number of children that were in their care. This was corrected at inspection when the caregivers were asked again how many children they had in care, and they knew the correct number. The caregivers were retained on the spot how important it is to know how many children they have in their care.
2025-07-02 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Corrected at inspection: Yes. Correction date: 2025-07-02. Correction verified: Not recorded.
A caregiver who departed the operation more than 7 days ago still had an active background check at the time of inspection. This was corrected at inspection when the caregiver's background check was inactivated.
2025-04-29 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2025-05-02. Correction verified: Not recorded.
A group with a specified age of 18-23 months had 10 children present with one caregiver. This was corrected at inspection when the specified age group was discussed with caregivers and the director and an additional staff member was added to the classroom.
2025-04-04 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2025-04-04. Correction verified: 2025-04-14.
It was learned during multiple interviews that the operation is not following the conditions on a staff member's background check at all times.
2025-04-04 · 746.2427(a) · High
AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
Corrected at inspection: No. Correction date: 2025-04-04. Correction verified: 2025-04-14.
An infant was observed to be asleep in a bouncer seat and was not placed on their back to sleep for several minutes.
2025-04-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-04-04. Correction verified: 2025-04-14.
During the first walk-through at the operation, three rooms were over the child to caregiver ratios allowed for their specified age groups.
2025-04-01 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: Yes. Correction date: 2025-04-04. Correction verified: Not recorded.
During the second walk-through at the operation, one caregiver stated there were 13 children present in their group. After counting the group it was found that there were 11 children present. This was corrected when the caregiver counted the group again.
2025-04-01 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-04-04. Correction verified: 2025-04-14.
During the investigation inspection, the operation was found to be in violation of several high weighted Minimum Standards.
2025-02-07 · 746.401(2) · Medium
Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Corrected at inspection: No. Correction date: 2025-02-07. Correction verified: 2025-02-20.
The most reccent inspection form was not posted at the operation.
2025-02-07 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
The operation was not following conditions on a staff member's background check that stated their background check must be run under every operation at which they are present and not just under the main location. This was corrected at inspection when the background check was run under this operation.
2025-02-07 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
An infant was asleep in a bouncer seat with unbuckled straps. This was corrected at inspection when the infant was removed from the bouncer seat.
2025-02-06 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
One classroom had 5 infants present with one caregiver. This was corrected at inspection when one infant was moved to another classroom.
2025-02-06 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
In a group of 12 children with two caregivers, the youngest child was 6 months old and the oldest child was 2 years and 4 months old. At the time, more than 13 children were in care at the operation. This was corrected at inspection when the older children were taken to another classroom.
2025-02-06 · 746.1609 · Medium High
Maximum Group Size 13 or More Children
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
A combined group of three classes with a specified age of 3 years had 32 children present on the playground when it was past time for one of the groups to return inside per their daily schedule. This was corrected at inspection when one group returned to their classroom.
2025-02-06 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
Three caregivers did not know the correct number of children they were responsible for. One caregiver stated 7 children were present when there were 9, another caregiver stated 17 children were present when there were 20, and a third caregiver stated 25 children were present when there were 24. This was corrected at inspection when the caregivers did a head count to confirm the number of children in their group and were then able to answer correctly.
2025-02-06 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: Yes. Correction date: 2025-02-07. Correction verified: Not recorded.
One caregiver did not know the name of a child in their group. Another caregiver was unable to provide Child Care Regulation with the ages of the children in their group. These were corrected at inspection when the caregivers obtained a tablet containing the information and reviewed it.
2024-12-17 · 746.3001(1) · Medium High
Field Trips - Signed Permission
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2025-01-03.
A child was transported on a field trip without a signed permission form.
2024-12-17 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-03.
The director stated she was unaware of the timelines for reporting incidences to CCR and for filling out incident reports.
2024-12-17 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2025-01-03.
The operation did not make the required self-report to Child Care Regulation within two days of the incident occurring.
2024-12-17 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2024-12-20.
The incident report was not given to or signed by the child's parent within 48 hours of when the incident occurred.
2024-12-17 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-03.
The background check for a caregiver who departed from the operation on 12/17/2024 was still active as of 1/3/2025.
2024-04-01 · 746.1607 · Medium High
Child/Caregiver Ratio - 2 Caregivers
Corrected at inspection: No. Correction date: 2024-04-01. Correction verified: 2024-04-11.
There was a four year old child laying on a nap mat in the infant room. There were also 10 infants in the room, so the two caregivers were out of ratio with 11 children.
2024-03-29 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-04-03. Correction verified: 2024-04-11.
A situation placing a child at risk of harm was not reported to Child Care Regulation.
2024-03-29 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2024-04-03. Correction verified: 2024-04-11.
The provider did not create an incident report after a child was left unsupervised for about 5 minutes.
2024-03-29 · 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: 2024-04-03. Correction verified: 2024-04-11.
It was found that a child was left unsupervised in a restroom for about 5 minutes.
2024-03-18 · 746.4751(d) · Medium
Maintenance Procedures for Active Play - Keep Records for 3 Months
Corrected at inspection: Yes. Correction date: 2024-03-18. Correction verified: Not recorded.
It was found during the inspection the operation did not have documentation for the months of December 2023, January and February 2024. This was corrected during the inspection.
2024-03-18 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2024-03-18. Correction verified: 2024-03-21.
It was found during the inspection the operation violated a condition that the CBCU placed on an employees presence at the operation.
2024-03-18 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2024-04-01. Correction verified: 2024-03-21.
1 out of 4 records reviewed was missing 24 out of 24 required annual hours for training year 11/2022-11/2023.
2024-03-18 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2024-04-01. Correction verified: 2024-03-21.
1 out of 4 records reviewed was missing current First Aid and CPR training.
2023-06-13 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-06-27. Correction verified: 2023-06-29.
It was found during the inspection the operation had several infant feeding forms that had not been updated within the last 30 days.
2023-05-22 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-06-14. Correction verified: 2023-06-20.
It was determined that there were a total of 19 children with 2 caregivers. One of the caregivers left the classroom leaving the other caregiver with 19 children by themselves. The specified age group for this classroom is 3 years old which allows 15 children for 1 caregiver. Note: This was immediately corrected when another staff member quickly stepped into the classroom when it was noticed that a caregiver had left the classroom leaving the class out of ratio.
2023-02-14 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2023-02-14. Correction verified: 2023-02-27.
During the course of the probation the operation has continued to receive citations in subchapters that were used as the basis for the probation.
2023-02-14 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-02-14. Correction verified: Not recorded.
It was found during the inspection a caregiver did not wash an infants hands after changing their diaper. This was corrected at the inspection when the caregiver washed the child's hands.
2023-02-14 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2023-02-14. Correction verified: Not recorded.
It was found during the inspection there were two infants that were not strapped in to chairs that had buckles. This was corrected at the inspection when the caregivers strapped in the children.
2023-01-03 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2023-01-03. Correction verified: 2023-01-05.
It was found during the inspection an infant was not strapped into an infant rocking chair.
2022-11-28 · 746.2428 · High
No Swaddling of Infant Unless Completed Sleep Exception Form on File
Corrected at inspection: No. Correction date: 2022-11-28. Correction verified: 2022-12-07.
During the walk through an infant was observed swaddled in their crib. This was corrected when the infant was taken out of the swaddle and placed back in their crib.
2022-06-20 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-06-20. Correction verified: 2022-07-01.
It was found during the inspection that a caregiver stated they had 11 children and they had 12.
2022-06-16 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2022-06-16. Correction verified: 2022-06-20.
The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation.
2022-04-26 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-04-29. Correction verified: 2022-05-31.
It was found during the inspection there were infant feeding forms that had not been updated.
2022-04-26 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2022-04-26. Correction verified: Not recorded.
It was found during the inspection that there were 4 infant bottles that were missing name labels. This was corrected at the inspection when the director labeled the bottles with the children's names and last initial.
2022-04-13 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-26.
The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children.
2022-03-22 · 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: 2022-03-22. Correction verified: 2022-04-13.
It was found during the inspection that the operation had reduced caregivers during nap time in a classroom that had infants. This was corrected when the Director went to the room as an additional caregiver.
2022-03-14 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-03-14. Correction verified: 2022-03-22.
During the follow up inspection a caregiver stated she had 9 children and there were 11.
2022-03-02 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
Corrected at inspection: No. Correction date: 2022-03-02. Correction verified: 2022-03-14.
It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle. It was found during the inspection that there were 2 infants under the age of 6 months with their bottles propped.
2022-03-02 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2022-03-02. Correction verified: 2022-03-14.
It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant. It was found during the follow up inspection that an infant was not strapped into their bouncer seat.
2022-02-18 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-03-02.
It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle.
2022-02-18 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-03-02.
It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant.
2022-02-18 · 746.2429 · High
Covering Infant's Head or Crib
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-03-02.
It was found while conducting the inspection that there was a blanket folded on an infants face to hold in a pacifier. This was corrected when the caregiver removed the blanket and moved the child to the crib.
2022-02-07 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2022-02-07. Correction verified: 2022-02-18.
It was found during the inspection that an employee had access to children without eligibility determination.
2022-02-02 · 746.4205(a) · Medium High
Space Requirements - Under 18 Months of Age Activity Area
Corrected at inspection: No. Correction date: 2022-02-09. Correction verified: 2022-02-07.
The operation space allows for 30 infants and at the time of the inspection there were 32.
2022-02-02 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-02-02. Correction verified: 2022-02-07.
During the follow up inspection a caregiver said she had 17 children but there were only 16.
2022-02-02 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-02-02. Correction verified: 2022-02-07.
It was found during the follow up inspection that 3 classrooms were over child/caregiver ratio.
2022-01-24 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-02-07. Correction verified: 2022-02-07.
It was found during the inspection that there were several children's records that were missing and needing to be updated.
2022-01-24 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-02-07. Correction verified: 2022-02-07.
It was found that there were two employee files that were short of their 24 hours of annual training.
2022-01-24 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2022-02-07. Correction verified: 2022-02-07.
It was found during the inspection that there were several files that were missing the health care provider statement.
2022-01-24 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-01-24. Correction verified: 2022-02-02.
It was found during the inspection that a caregiver was standing in a doorway between two classrooms supervising both rooms during naptime.
2022-01-24 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2022-01-24. Correction verified: Not recorded.
It was found during the inspection that there were two napmats that were blocking the doorway of the classroom. This was corrected at the inspection when the caregivers moved the mats to a different area of the room.
2022-01-24 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2022-02-07. Correction verified: 2022-02-07.
It was found during the inspection there were multiple caregivers with expired CPR/First Aid.
2022-01-24 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2022-01-28. Correction verified: 2022-02-02.
It was found during the inspection that a child in care did not have a signature for the emergency care authorization.
2022-01-24 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-02-09. Correction verified: 2022-02-07.
It was found during the inspection that a caregivers file was missing proof of education, employment affidavit, signed copy of personnel policies, signed copy of center policies, and a copy of their drivers license.
2021-10-27 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2021-10-27. Correction verified: 2021-11-03.
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15. It was found during the follow up inspection a caregiver said she had 11 children. There were actually 13 children and she had 12 children marked present on her attendance sheet.
2021-10-19 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2021-10-19. Correction verified: 2021-10-27.
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=231809
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.