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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 6 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 6, 2026.
The same records list 3 cited deficiencies dated January 11, 2024 to October 16, 2024 (HHSC risk levels: 1 High, 2 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 3 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 3 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 3 cited deficiencies for Noahs Nook in the 3 years before October 10, 2026 (1 High, 2 Medium High).
Records list 6 inspections in this window. Most recent inspection: 2026-07-06.
| Risk weight | Citations |
|---|---|
| High | 1 |
| 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.
2024-10-16 · 746.303(a)(4) · Medium High
Report Change in Director
The operation did not notify licensing (Child Care Regulation-CCR) in writing of a change in director within the required time frame. One of the directors no longer works for the operation since June of this year 2024.
Correction date recorded: 2024-10-21
2024-10-16 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
The operation does not have a current gas leak inspection. The last inspection was completed on 4/8/2022.
Correction date recorded: 2024-10-31
2024-01-11 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
During inspection, director was observed doing a transportation route. Director was not carrying the emergency medical transport and treatment authorization forms for the children being transported.
Correction date recorded: 2024-01-15
2024-10-16 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-10-23.
The operation does not have a current gas leak inspection. The last inspection was completed on 4/8/2022.
2024-10-16 · 746.303(a)(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-10-17.
The operation did not notify licensing (Child Care Regulation-CCR) in writing of a change in director within the required time frame. One of the directors no longer works for the operation since June of this year 2024.
2024-01-11 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2024-01-15. Correction verified: 2024-01-19.
During inspection, director was observed doing a transportation route. Director was not carrying the emergency medical transport and treatment authorization forms for the children being transported.
2023-02-09 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Corrected at inspection: Yes. Correction date: 2023-02-09. Correction verified: Not recorded.
During inspection of the outdoor play area, a composite play structure with a slide had a crack on the slide. Also a water table was observed to be broken, exposing a pinch, and or shear point. Photos taken. This was corrected at inspection after both the slide portion of the play structure and the water table were removed from the playground. Photos taken.
2023-02-09 · 746.801(6) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: Yes. Correction date: 2023-02-09. Correction verified: Not recorded.
The operation does not have a current annual verification of liability insurance. The operation has a next annual verification past due date of 2/07/2022. This was corrected at inspection after Director submitted a Verification of Liability Insurance in CLASS.
2023-02-09 · 746.1301(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-02-28.
One caregiver did not have pediatric first aid with rescue breathing.
2023-02-09 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-01.
One caregiver was missing a total of 16 annual training hours of the required 24 hours of annual training.
2023-02-09 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-02.
One child's file was missing the health statement.
2023-02-09 · 746.2505(4)(A) · Medium
Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
Corrected at inspection: Yes. Correction date: 2023-02-09. Correction verified: Not recorded.
In the toddler room, one toddler did not have a labeled bottle/sippy cup. This was corrected on inspection after the bottle/sippy cup was labeled.
2023-02-09 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-02-21.
One caregiver who was observed caring for toddlers did not have a current shaken baby/SIDS training. The caregiver's shaken baby/SIDS training expired on 10/27/22.
2023-02-09 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2023-03-09. Correction verified: 2023-02-28.
The operation's fire marshall inspection is expired. The inspection was last conducted on 12/23/21.
2022-12-15 · 746.1057 · Low
Director Certificate Not Renewed
Corrected at inspection: No. Correction date: 2023-01-15. Correction verified: 2023-01-02.
Primary director's day care administrator's credential certificate expired on 11/30/22. The operation has not provided proof of a current credentialing certificate or letter of good standing from the credentialing organization/institution.
2022-04-05 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-04-05. Correction verified: 2022-04-11.
During inspection, during nap time in a central location, the operation was found to be out of ratio. One caregiver was found supervising a total of 24 children ages 12 months to 5 years with a specified age of 2 years. The most number of children one caregiver may supervise for the specified age group is 11 children. Child caregiver ratio cannot be reduced for children under 18 months during nap time. This was corrected at inspection after the nap time activity ended and the children were relocated/re-arranged to their regular classrooms.
2022-04-05 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2022-04-20. Correction verified: 2022-04-08.
The operation does not have a current gas leak inspection. The last gas leak inspection was conducted on 9/26/19.
2022-04-05 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2022-04-05. Correction verified: 2022-04-11.
During inspection, during nap time in a central location, a few infants under 18 months were combined into one group with older children as old as 5 years of age. There were a total of 24 children in care. This was corrected at inspection after the nap time activity ended and the different age groups were re-arranged/re-located to their regular classrooms.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=282607
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.