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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 11 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated June 8, 2026.
The same records list 10 cited deficiencies dated December 4, 2023 to January 9, 2026 (HHSC risk levels: 3 High, 5 Medium High, 1 Medium, 1 Medium Low).
Correction status recorded by HHSC: 5 corrected at inspection, 5 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 5 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 10 cited deficiencies for Almost Grandmas Childcare Center in the 3 years before October 10, 2026 (3 High, 5 Medium High, 1 Medium, 1 Medium Low).
Records list 11 inspections in this window. Most recent inspection: 2026-06-08.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 5 |
| Medium | 1 |
| 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.
2026-01-09 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning supplies and other sanitizers were located in several classrooms and a bathroom. The Director removed and threw out all of the supplies located.
Corrected at inspection
2025-01-09 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
A child in care was bitten by another child in care. This was observed by a caregiver, who did not intervene in a timely manner.
Correction date recorded: 2025-02-07
2024-11-12 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
A 18 month-24 month classroom has a trash can with soiled diapers accessible to children.
Correction date recorded: 2024-11-19
2026-01-09 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2026-01-09. Correction verified: Not recorded.
Cleaning supplies and other sanitizers were located in several classrooms and a bathroom. The Director removed and threw out all of the supplies located.
2025-01-09 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2025-02-07. Correction verified: 2025-02-20.
A child in care was bitten by another child in care. This was observed by a caregiver, who did not intervene in a timely manner.
2024-11-12 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2024-11-12. Correction verified: Not recorded.
A two's classroom had an outlet exposed to the children in care without childproof covers. This was corrected at inspection by the director.
2024-11-12 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: Yes. Correction date: 2024-11-12. Correction verified: Not recorded.
A child was observed walking around the classroom with a training cup. It was corrected during inspection when the caregiver had removed it from the child.
2024-11-12 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2024-11-12. Correction verified: Not recorded.
Two classrooms didn't have their emergency evacuation posted in the classroom. This was corrected at inspection and they were posted in prominent areas.
2024-11-12 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2024-11-12. Correction verified: 2024-11-26.
Two classrooms did not use proper hand washing such as soap and running water prior to the children eating lunch. The caregiver corrected this as she guided the children to wash their hands.
2024-11-12 · 746.3501(5) · Medium
Diaper Changing Steps-Label Powders, Lotions, Etc. with Name
Corrected at inspection: No. Correction date: 2024-11-19. Correction verified: 2024-11-26.
Two infant classrooms and a two's classroom had diaper creams not labeled with the individual child's name.
2024-11-12 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: No. Correction date: 2024-11-19. Correction verified: 2024-11-26.
A 18 month-24 month classroom has a trash can with soiled diapers accessible to children.
2024-01-16 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2024-01-16. Correction verified: 2024-01-16.
The operation did not report the number of employees who left the operation in 2023 to CCR.
2023-12-04 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2025-03-27. Correction verified: Not recorded.
During the inspection a caregiver was present and caring for children without an active background check. This was corrected during the inspection when the operation submitted the background check and the caregiver was sent home.
2022-12-06 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: Yes. Correction date: 2022-12-06. Correction verified: Not recorded.
I observed that the operation had not documented the fire drill for November of 2022. The operation corrected this at the inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=319460
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.