2026-09-14 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
There was not a fire drill completed for the month of August. A fire drill was completed at inspection to bring he operation into compliance.
Corrected at inspection
Licensed Center
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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 8 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 14, 2026.
The same records list 12 cited deficiencies dated November 4, 2024 to September 14, 2026 (HHSC risk levels: 7 High, 4 Medium High, 1 Low).
Correction status recorded by HHSC: 1 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 11 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 12 cited deficiencies for Itty Bitty Child Care in the 3 years before October 10, 2026 (7 High, 4 Medium High, 1 Low).
Records list 8 inspections in this window. Most recent inspection: 2026-09-14.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 4 |
| Medium | 0 |
| Medium Low | 0 |
| Low | 1 |
| 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.
2026-09-14 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
There was not a fire drill completed for the month of August. A fire drill was completed at inspection to bring he operation into compliance.
Corrected at inspection
2026-09-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
There is a staff at the operation without current CPR/First Aid training.
Correction date recorded: 2026-09-30
2026-07-02 · 746.2428 · High
No Swaddling of Infant Unless Completed Sleep Exception Form on File
An infant was swaddled in a crib in the infant room.
Correction date recorded: 2026-07-02
2026-09-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2026-09-30. Correction verified: 2026-09-22.
There is a staff at the operation without current CPR/First Aid training.
2026-09-14 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: Yes. Correction date: 2026-09-14. Correction verified: Not recorded.
There was not a fire drill completed for the month of August. A fire drill was completed at inspection to bring he operation into compliance.
2026-07-02 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2026-07-02. Correction verified: 2026-07-09.
There is an infant asleep in a crib propped up and swaddled with a boppy pillow without an approved waiver/variance and doctor's note.
2026-07-02 · 746.2428 · High
No Swaddling of Infant Unless Completed Sleep Exception Form on File
Corrected at inspection: No. Correction date: 2026-07-02. Correction verified: 2026-07-09.
An infant was swaddled in a crib in the infant room.
2025-09-25 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-10-10. Correction verified: 2025-10-10.
The director and several other staff do not have current first aid and CPR training.
2025-02-13 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2025-05-08. Correction verified: 2025-05-20.
During the course of the DFPS investigation it was determined that the parent wasn't told the truth about their child being left on a vehicle.
2025-02-13 · 746.5605(4) · High
AP Safety Precautions for Loading and Unloading Children - No Child Unattended
Corrected at inspection: No. Correction date: 2025-05-08. Correction verified: 2025-05-20.
During the course of the DFPS investigation it was determined that a child was left unattended in a vehicle for approximately 16 minutes.
2025-02-13 · 746.5625(d)(2) · High
Electronic Child Safety Alarm - Driver or designated employee conduct walk-through and visual check of vehicle
Corrected at inspection: No. Correction date: 2025-05-08. Correction verified: 2025-05-20.
During the course of the DFPS investigation it was determined that the caregiver turned the electronic child safety alarm by walking around the outside of the vehicle.
2025-02-13 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2025-05-08. Correction verified: 2025-05-20.
It was determined throughout the course of the DFPS Investigation that neglectful supervision did occur with a child in care.
2025-02-13 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-05-08. Correction verified: 2025-05-20.
During the course of the DFPS investigation it was determined that the operation failed to notify licensing when a child was left in a vehicle.
2024-11-04 · 746.401(4) · Medium High
Posting Requirements - Emergency and evacuation relocation diagram
Corrected at inspection: No. Correction date: 2024-11-04. Correction verified: 2024-11-04.
Emergency evacuation and relocaton diagram was not posted in the building.
2024-11-04 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2024-11-18. Correction verified: 2024-11-18.
One child's record was missing the required health statement from their file.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=283760
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.