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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 5 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 2 cited deficiencies dated June 25, 2024 to August 20, 2026 (HHSC risk levels: 1 High, 1 Medium High).
Correction status recorded by HHSC: 1 corrected at inspection, 1 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 1 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.
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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 2 cited deficiencies for Care 4 Tots Learning Center, LLC in the 3 years before October 10, 2026 (1 High, 1 Medium High).
Records list 5 inspections in this window. Most recent inspection: 2026-08-20.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 1 |
| 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.
2026-08-20 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks. This was corrected when an eligible caregiver came into the classroom with them.
Correction date recorded: 2026-08-24
2024-06-25 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it.
Corrected at inspection
2026-08-20 · 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: 2026-08-24. Correction verified: 2026-09-15.
Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks. This was corrected when an eligible caregiver came into the classroom with them.
2024-06-25 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
Corrected at inspection: Yes. Correction date: 2024-06-25. Correction verified: Not recorded.
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it.
2023-09-01 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: Yes. Correction date: 2023-09-01. Correction verified: Not recorded.
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots.
2023-07-19 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2023-08-02. Correction verified: 2023-08-07.
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours.
2023-01-23 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2023-01-23. Correction verified: 2023-02-06.
During the inspection it was observed that children under the age of two were having screen time.
2023-01-13 · 746.1605 · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-01-23. Correction verified: 2023-02-06.
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours.
2022-09-20 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-10-03.
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly.
2022-09-20 · 746.4001 · Medium High
First Aid Kit - Available in Each Building, on Field Trips, during Transportation
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-22.
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors.
2022-09-20 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2022-09-27. Correction verified: 2022-09-27.
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately.
2022-02-25 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2022-02-25. Correction verified: Not recorded.
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms.
2021-10-13 · 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: 2021-10-25. Correction verified: 2021-10-25.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=286744
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.