Licensed Center
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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 10 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated May 6, 2026.
The same records list 21 cited deficiencies dated October 26, 2023 to June 4, 2025 (HHSC risk levels: 6 High, 7 Medium High, 7 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 21 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 21 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 21 cited deficiencies for Living Water Christian Pre School in the 3 years before October 10, 2026 (6 High, 7 Medium High, 7 Medium, 1 Medium Low).
Records list 10 inspections in this window. Most recent inspection: 2026-05-06.
| Risk weight | Citations |
|---|---|
| High | 6 |
| Medium High | 7 |
| Medium | 7 |
| 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.
2025-06-04 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
The operation did not provide proof of a completed food allergy emergency plan for a child with a documented allergy by the compliance date.
Correction date recorded: 2025-06-13
2025-06-04 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
The operation did not provide proof of completed annual training for the director and caregiver by the original compliance date.
Correction date recorded: 2025-06-13
2025-05-13 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
One child with a diagnosed food allergy listed in admission information did not have a food allergy emergency plan on file at the operation.
Correction date recorded: 2025-05-27
2025-06-04 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-06-13. Correction verified: 2025-06-16.
The operation did not provide proof of completed annual training for the director and caregiver by the original compliance date.
2025-06-04 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2025-06-13. Correction verified: 2025-06-16.
The operation did not provide proof of a completed food allergy emergency plan for a child with a documented allergy by the compliance date.
2025-05-13 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-05-27. Correction verified: 2025-06-04.
The director and one caregiver did not have proof of the required number of training hours being completed during the most recently completed training year.
2025-05-13 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-20.
The operation was unable to provide proof of emergency drills being conducted in 2025.
2025-05-13 · 746.801(6) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-20.
The operation was unable to provide proof of current liability insurance.
2025-05-13 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2025-05-27. Correction verified: 2025-06-04.
One child with a diagnosed food allergy listed in admission information did not have a food allergy emergency plan on file at the operation.
2025-01-21 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-24. Correction verified: 2025-01-28.
A review of the Employees Who Left Employment in 2024 data revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
2024-06-25 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-07-09. Correction verified: 2024-07-12.
One caregiver did not have proof that they had completed all required training topics listed in 1309(e) during the most recently completed training year.
2024-06-25 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-07-09. Correction verified: 2024-07-10.
The most recent annual fire inspection was conducted over 12 months ago.
2024-06-25 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-07-09. Correction verified: 2024-07-08.
One caregiver's most recent CPR card expired 3/25/2024.
2024-06-25 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2024-07-09. Correction verified: 2024-07-10.
The operation was unable to provide proof that maintence checklists had been completed.
2024-06-25 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2024-07-09. Correction verified: 2024-07-10.
The operation was unable to provide documentation of fire drills conducted in 2024.
2023-12-19 · 745.635(2) · High
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
Corrected at inspection: No. Correction date: 2023-12-19. Correction verified: 2024-01-08.
A caregiver with an ineligible background check was present around children during the inspection. The individual was removed from the class and placed in the office.
2023-12-19 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2023-12-19. Correction verified: 2024-01-08.
A 16 month old infant was combined with children more than 18 months older during naptime in a room when there was more than 13 children present in the building. This was corrected when the infant was moved to another room with their own caregiver.
2023-10-26 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2023-12-19.
Based on the DFPS investigation, there is sufficient evidence to support that abused occurred when an infant in care of the operation obtained injuries including bruises and marks that were caused by a caregiver.
2023-10-26 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2023-12-19.
The operation did not notify the parent when they picked up their child of scratches that were observed by center staff.
2023-10-26 · 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: 2023-10-31. Correction verified: 2023-11-08.
Sufficient evidence found during DFPS investigation inspection to prove via video that infant room caregivers walked out of the room multiple times leaving infants unattended and caregivers unable to intervene.
2023-10-26 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2024-01-03.
Operation did not complete an incident report once being notified by the parent of a non-routine situation in which the child was taken to the doctor for concerns about injuries observed on the child.
2023-10-26 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-11-08.
Sufficient evidence found during DFPS investigation inspection to prove via video that a caregiver was using their cell phone for personal use while in direct care of children.
2023-10-26 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2023-12-19.
A caregiver did not demonstrate competency when picking up an infant by one arm to remove the child from the nap cot. Additionally, the caregiver did not demonstrate self-control when interaction with the infant resulted in bruising on the child's arm.
2023-10-26 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-12-15. Correction verified: 2024-01-05.
The operation did not notify Licensing of a non-routine situation in which a child was seen by a doctor for injuries that occurred while the child was in care.
2023-08-28 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-09-20.
One caregiver did not have proof of completion of 24 hours of training in the most recently completed training year.
2023-08-28 · 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: 2023-08-28. Correction verified: 2023-08-30.
A caregiver was present in the two year old classroom without an eligible background check. She was removed from the classroom during inspection.
2023-08-28 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-09-20.
Two caregivers hired within the last year did not have proof of completed orientation.
2023-08-28 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-09-20.
The director did not have proof of training being obtained in the following topics during the most recently completed training year: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood
2022-08-29 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-11-28.
The operation failed to notify licensing after allowing a child to wander away from the center unsupervised.
2022-08-29 · 746.307(b)(4) · Medium High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-11-28.
The operation failed to notify the child?s parents after allowing the child to wander away from the center unsupervised.
2022-08-29 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-12-13. Correction verified: 2023-01-13.
The classroom exterior door does not shut completely and allowed a child to leave the room.
2022-08-29 · 745.621(a)(7) · High
AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
Corrected at inspection: No. Correction date: 2022-09-06. Correction verified: 2022-11-29.
A staff without a background check was present around children.
2022-08-29 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-11-28.
Based on evidence gathered by the DFPS investigator, a caregiver failed to appropriately supervise a child in care.
2022-08-29 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-11-23. Correction verified: 2022-11-28.
A child was able to leave the building during naptime without the caregiver noticing.
2022-05-17 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2022-05-17. Correction verified: Not recorded.
There were multiple cups and bottles not labeled with the child's name. * This was corrected at a=inspection by the caregiver labeling the bottles and cups.
2022-05-17 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2022-05-17. Correction verified: Not recorded.
There were multiple electrical outlets that did not have child proof covers in both toddler classrooms. *This was corrected by the caregiver covering the electrical outlets inside the classrooms.
2021-11-18 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2021-11-18. Correction verified: Not recorded.
During inspection, four children under 2 years were watching television. Note: This was corrected when television was turned off.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=462969
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.