2026-06-25 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
The director completed CPR training online without the use of a CPR manikin.
Correction date recorded: 2026-07-17
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 21 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated June 25, 2026.
The same records list 14 cited deficiencies dated February 29, 2024 to June 25, 2026 (HHSC risk levels: 9 High, 5 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 14 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 14 cited deficiencies for A+ Kidz Care Learning Center LLC in the 3 years before October 10, 2026 (9 High, 5 Medium High).
Records list 21 inspections in this window. Most recent inspection: 2026-06-25.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 5 |
| 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.
2026-06-25 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
The director completed CPR training online without the use of a CPR manikin.
Correction date recorded: 2026-07-17
2026-04-28 · 746.1003(3) · High
Director Responsibilities - Employee Assignments
Based on information gathered, the director did not ensure the caregiver's job assignment matched their abilities.
Correction date recorded: 2026-05-29
2025-08-11 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
At the time of inspection a provisional caregiver was left alone with children which violates conditions on the background.
Correction date recorded: 2025-08-11
2026-06-25 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-08.
The director completed CPR training online without the use of a CPR manikin.
2026-04-28 · 746.1003(3) · High
Director Responsibilities - Employee Assignments
Corrected at inspection: No. Correction date: 2026-05-29. Correction verified: 2026-06-10.
Based on information gathered, the director did not ensure the caregiver's job assignment matched their abilities.
2025-08-11 · 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: 2025-08-11. Correction verified: 2025-08-18.
At the time of inspection a provisional caregiver was left alone with children which violates conditions on the background.
2025-07-18 · 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: 2025-08-15. Correction verified: 2025-08-18.
During the course of an investigation, it was determined that two caregivers feel asleep during naptime leaving children unsupervised.
2025-07-02 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-02.
Documentation for one caregiver's orientation could not be located at the time of the inspection.
2025-07-02 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-02.
The director could not locate her current SIDS/Shaken Baby Training during the inspection.
2024-11-15 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-01-09. Correction verified: 2025-01-15.
A shelf that posed a tipping hazard was not secured to the wall. This resulted in the shelf tipping over onto a child, causing an injury to the child.
2024-07-22 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-07-24. Correction verified: 2024-07-22.
Two outlet plate covers were broken. A carpet in the school age room was observed stained. Note: This was corrected when the carpet was removed.
2024-06-06 · 746.2417(2)(B) · High
Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Corrected at inspection: No. Correction date: 2024-06-06. Correction verified: 2024-06-11.
An infant was observed in a restrictive device for more than fifteen minutes.
2024-05-03 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-07-17. Correction verified: 2024-07-22.
Based on information gathered during a DFPS investigation and audio provided, caregivers are heard yelling at the children repeatedly throughout the day.
2024-05-03 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-07-17. Correction verified: 2024-07-22.
Based on information gathered during a DFPS investigation and audio provided, a caregiver is heard threatening a child to lay down or they would get a "pow pow."
2024-05-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-07-17. Correction verified: 2024-07-22.
Based on information provided during a DFPS investigation and audio provided, caregivers failed to use good judgement where talking negatively and about personal matters regarding children/families in front of the children.
2024-02-29 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-05-06. Correction verified: 2024-05-14.
The operation failed to notify the parent of a child who was found alone in the operation's parking lot, placing the child at risk of significant harm. The parent was not notified until late the following day that their child was subject of an investigation regarding possible neglectful supervision.
2024-02-29 · 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: 2024-05-06. Correction verified: 2024-05-14.
Operation staff failed to adequately supervise a child in care, resulting in that child pushing their way through a gate and exiting the playground into the parking lot.
2023-10-02 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-02.
The operational policies lacked complete information regarding promotion of indoor and outdoor physical activity.
2022-12-12 · 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: 2022-12-26. Correction verified: 2022-12-21.
One out of ten personnel records evaluated lacked documentation of current First Aid and CPR training.
2022-12-12 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-12-26. Correction verified: 2022-12-23.
One personnel file evaluated lacked 2 hours of annual training. Another personnel file evaluated lacked 21 hours of annual training.
2022-12-12 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2022-12-20.
One out of ten personnel records evaluated lacked documentation of high school diploma or a graduation date.
2022-12-12 · 746.4601(4) · High
Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
Corrected at inspection: Yes. Correction date: 2022-12-12. Correction verified: Not recorded.
The school aged playground's volleyball net was torn and hanging down, posing a risk to children. Note: This was corrected when the net was removed.
2022-12-12 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2022-12-26. Correction verified: 2022-12-23.
Two out of ten children's files evaluated lacked documentation of current immunizations.
2022-12-12 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-12-12. Correction verified: 2022-12-20.
One play area had exposed medal wires on the playground. There were two screws protruding out of blue storage building. There was a red tunnel that was no longer screwed to the structure, posing a hazard. The school aged bathroom's toilet paper dispenser was falling off of the wall, exposing a screw. Note: The wires, screws, and tunnel were removed from the play areas.
2022-10-14 · 745.8417 · High
Licensing must have access to records
Corrected at inspection: No. Correction date: 2022-11-29. Correction verified: 2022-12-12.
Based on information gathered during a DFPS investigation, operation staff were unable provide records related to the investigation in a timely manner as they did not have access to them.
2022-10-14 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2022-11-29. Correction verified: 2022-12-12.
Based on information gathered during a DFPS investigation, the operation failed to timely notify a parent that their infant child had vomited a foreign object with blood, which prevented the child from receiving medical attention. There were also scratches to the child's throat.
2022-10-14 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-11-29. Correction verified: 2022-12-12.
Based on information gathered during a DFPS investigation, the operation failed to notify Child Care Regulation that an infant child had vomited a foreign object with blood.
2022-08-24 · 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: 2022-08-24. Correction verified: 2022-09-07.
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.
2022-08-24 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-08-24. Correction verified: 2022-09-07.
Bees were observed on one of the playgrounds where children were playing.
2022-05-03 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-05-30. Correction verified: 2022-05-10.
The director had 1 out of 30 annual training hours on file for 2020-2021. One staff had 13 out of 24 annual hours for 2020-2021. Trainings missing but are not limited to are child maltreatment, and SIDS, Shaken Baby, and Early Brain Development. One staff was missing training in child maltreatment, SIDS, Shaken Baby, and Early Brain Development, communicable diseases, administering medication, food allergies, building and premises safety, hazardous materials including blood borne pathogens, and emergency preparedness.
2022-05-03 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2022-05-30. Correction verified: 2022-05-10.
The director and two staff did not have transportation training on file.
2022-05-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-05-03. Correction verified: 2022-05-10.
Inspector observed one staff playing with chalk on the sidewalk while children were playing outdoors.
2022-05-03 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2022-05-10. Correction verified: 2022-05-10.
The operation has two buildings and neither building had a carbon monoxide detector.
2022-05-03 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2022-05-03. Correction verified: 2022-05-10.
Inspector observed one staff yanking a child by their arm to sit down. Inspector also heard staff yelling at children more than once during the inspection. The director was present and also heard staff yelling at children. Inspector also observed another staff placed one 3 yr. old child alone in time out for approximately 6-10 minutes.
2022-05-03 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-05-10. Correction verified: 2022-05-10.
The emergency preparedness plan did not have information in regards to how staff will evacuate children with limited mobility or who are under 24 months or how staff will continue to care for children until parents arrive.
2021-10-27 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2021-10-27. Correction verified: Not recorded.
Six infant bottles were observed not being labeled. NOTE: This was corrected at inspection by the bottles being labeled.
2021-10-27 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2021-10-29. Correction verified: 2021-10-29.
CPSC Safety recall has not been reviewed within the previous year. The last time the children's products certification was reviewed was on 01/12/20.
2021-08-13 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2021-10-13. Correction verified: 2021-10-27.
Child Care Licensing was not notified by the provider within the required time frame to report a child/employee contracting a communicable disease.
2021-08-13 · 746.113(a) · Medium High
Operating in compliance with MS Rules Licensed
Corrected at inspection: No. Correction date: 2021-10-13. Correction verified: 2021-10-27.
Permit holder has not operated in compliance as Child Care Licensing has not been officially notified of the additional positive COVID cases for employees/children by the provider. To date, only one case has been reported to Child Care Licensing.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=287488
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.