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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 April 28, 2026.
The same records list 6 cited deficiencies dated May 22, 2025 to August 19, 2026 (HHSC risk levels: 2 Medium High, 3 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 6 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 6 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 6 cited deficiencies for Nacogdoches KinderCare in the 3 years before October 10, 2026 (2 Medium High, 3 Medium, 1 Medium Low).
Records list 6 inspections in this window. Most recent inspection: 2026-04-28.
| Risk weight | Citations |
|---|---|
| High | 0 |
| Medium High | 2 |
| Medium | 3 |
| Medium Low | 1 |
| 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.
2026-08-19 · 746.3425(1) · Medium High
Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
During the investigation, it was determined that staff did not initially wear gloves when dealing with an injury that involved blood.
Correction date recorded: 2026-09-04
2025-05-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Two infants not yet on table food did not have updated infant feeding instructions available for review.
Correction date recorded: 2025-06-05
2025-05-22 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Two infant caregiver files that were audited did not have SIDS/Shaken Baby/Early Brain Development for the previous training year.
Correction date recorded: 2025-06-05
2026-08-19 · 746.3425(1) · Medium High
Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-08-24.
During the investigation, it was determined that staff did not initially wear gloves when dealing with an injury that involved blood.
2025-05-22 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-05-27.
One of ten staff files audited did not have an affidavit on file.
2025-05-22 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-05-28.
Name and number maps were not being followed in the Infant C and DPS classrooms.
2025-05-22 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-05-27.
Two of ten staff files audited did not have proof of educational requirements.
2025-05-22 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-05-27.
Two infant caregiver files that were audited did not have SIDS/Shaken Baby/Early Brain Development for the previous training year.
2025-05-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-05-27.
Two infants not yet on table food did not have updated infant feeding instructions available for review.
2023-07-10 · 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: 2023-07-28. Correction verified: 2023-07-13.
One of ten staff files audited did not have a current CPR/FIrst aid certificate.
2023-07-10 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-07-13.
One of ten children's files did not contain a current health care provider statement.
2023-07-10 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2023-07-17. Correction verified: 2023-07-13.
The June fire drill was not documented.
2023-07-10 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-07-19.
Five of ten staff files audited did not have proof of educational qualifications.
2023-07-10 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-07-19.
Two of ten children's files audited did not have a current immunization record.
2022-03-01 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-01.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not report the number of employees who left employment in 2021 by February 22, 2022, as required.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=287319
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.