2026-08-25 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
12 children transported were missing the Emergency Medical Authorization forms in the van.
Correction date recorded: 2026-08-28
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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.
State records list 15 cited deficiencies dated October 12, 2023 to August 25, 2026 (7 High, 6 Medium High, 2 Medium risk). Correction status: 1 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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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 15 cited deficiencies for Small Steps Nurturing Center-5th Ward in the 3 years before October 10, 2026 (7 High, 6 Medium High, 2 Medium).
Records list 16 inspections in this window. Most recent inspection: 2026-09-10.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 6 |
| Medium | 2 |
| 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.
2026-08-25 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
12 children transported were missing the Emergency Medical Authorization forms in the van.
Correction date recorded: 2026-08-28
2026-08-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
2 children with a diagsnosed food allergy were missing medication that the health care provider says needs to be part of the plan.
Correction date recorded: 2026-08-28
2026-05-20 · 746.203(2) · Medium
Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The policy on file that was documented on 10/16/24 had expired on 9/19/25. Note: this was corrected at inspection when the director entered the updated policy in the on line provider portal account.
Correction date recorded: 2026-05-22
2026-08-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-08-28.
2 children with a diagsnosed food allergy were missing medication that the health care provider says needs to be part of the plan.
2026-08-25 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-08-31.
12 children transported were missing the Emergency Medical Authorization forms in the van.
2026-05-20 · 746.203(2) · Medium
Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-22.
The policy on file that was documented on 10/16/24 had expired on 9/19/25. Note: this was corrected at inspection when the director entered the updated policy in the on line provider portal account.
2026-04-01 · 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: 2026-04-02. Correction verified: 2026-04-08.
A self-report by the operation was made that a child was left unsupervised in the hallway for a minute.
2025-11-12 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2025-11-14. Correction verified: 2025-11-14.
The operation did not complete an incident report or share the report with the parent within 48 hours of the incident.
2025-11-10 · 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: 2025-12-01. Correction verified: 2025-12-03.
One child was left unsupervised in the classroom for several minutes.
2025-10-22 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2025-10-29. Correction verified: 2025-10-29.
Two tv monitors in 2 classrooms were unfastended to the children's bookshelf, posing as a tipping hazard.
2025-10-22 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-11-07. Correction verified: 2025-11-06.
4 out of 6 children with diagnosed food allergies did not have a complete and current food allergy emergency plan. 1 kid is missing Benadryl, 2 kids had expired epi-pens, 1 kid missing medication and authorization form.
2024-11-13 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-11-18.
The transportation binder is missing Emergency medical transport and treatment authorization forms for 3 children being transported.
2024-11-13 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: Yes. Correction date: 2024-11-13. Correction verified: Not recorded.
8 medications did not have the date received written on the container. Note; this was corrected at inspection when the director wrote on each medication the date it was received from the parent.
2024-11-13 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2024-11-20. Correction verified: 2024-11-18.
The Emergency Prepardeness Plan is missing the address of the alternate shelter away from the center.
2024-10-16 · 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: 2024-10-16. Correction verified: 2024-10-22.
2 student volunteers, 1 caregiver and 1 contract vendor were with children without approved background checks.
2024-10-14 · 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: 2024-11-08. Correction verified: 2024-11-13.
No narrative recorded.
2023-12-05 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2023-12-12. Correction verified: 2023-12-05.
The director did not have current transportation training, the last training was taken in 2021.
2023-10-12 · 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: 2023-12-05. Correction verified: 2023-12-05.
It was determined that a child was left alone for approximately five minutes.
2022-09-30 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-10-28.
Caregivers left a child on the outside patio of the classroom.
2022-01-06 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: Yes. Correction date: 2022-01-06. Correction verified: Not recorded.
During review of transportation the operation was found to not have emergency medical information on van used to transport children. This was corrected when the director updated the transportation binder.
2022-01-06 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2022-01-06. Correction verified: Not recorded.
During the walkthrough I observed four buckets of disinfectant wipes and spray bottles with cleaning solution in the reach of children. This was corrected when the director removed the buckets and placed the bottles out of reach.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=302500
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.