Tiny Tots Childcare

Licensed Center

Provider details

City / County / ZIP: Emory / Rains / 75440
Street address: 299 Lake Fork Dr Ste 2
Phone: (903) 473-0280
Capacity: 37
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:45 AM-05:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: March 29, 2011
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

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.

Summary of state inspection records

Texas HHSC records list 13 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated August 3, 2026.

The same records list 18 cited deficiencies dated November 2, 2023 to July 22, 2025 (HHSC risk levels: 5 High, 8 Medium High, 5 Medium).

Correction status recorded by HHSC: 0 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 18 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

Summary of the record

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 18 cited deficiencies for Tiny Tots Childcare in the 3 years before October 10, 2026 (5 High, 8 Medium High, 5 Medium).

Records list 13 inspections in this window. Most recent inspection: 2026-08-03.

HHSC risk weights of citations
Risk weight	Citations
High	5
Medium High	8
Medium	5
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.

Recent citations in the summary window

2025-07-22 · 746.5531 · High

Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

At the inspection, the operation did not have a working carbon monoxide detection system.

Correction date recorded: 2025-07-29

2025-07-22 · 746.901(6) · Medium

Required Personnel Records -Training Hours

At the inspection, two out of four training records reviewed did not complete their hours within the training year. Two caregivers need 9 hours of annual training.

Correction date recorded: 2025-08-22

2025-07-22 · 746.605(6) · Medium High

Required Admission Information - Emergency Contact

At the inspection, 2 out of 3 children's records reviewed did not have the address for the emergency contact in the file.

Correction date recorded: 2025-07-29

Full citation history from HHSC (45)

2025-07-22 · 746.501(a)(29) · High
Written Operational Policies - Unassigned Epinephrine Auto-Injectors
Corrected at inspection: No. Correction date: 2025-07-29. Correction verified: 2025-07-23.
At the inspection, the operational policy did not include information related to having an unassigned epipen available for emergency situations.
2025-07-22 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-08-12. Correction verified: 2025-08-06.
At the inspection, 3 out of 3 children's records reviewed did not include a health care provider statement.
2025-07-22 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-07-29. Correction verified: 2025-08-08.
At the inspection, the grass on the playground was knee high and needs to be mowed.
2025-07-22 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2025-07-29. Correction verified: 2025-07-29.
At the inspection, 2 out of 3 children's records reviewed did not have the address for the emergency contact in the file.
2025-07-22 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Corrected at inspection: No. Correction date: 2025-08-22. Correction verified: 2025-08-08.
At the inspection, two out of four training records reviewed did not complete their hours within the training year. Two caregivers need 9 hours of annual training.
2025-07-22 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2025-07-29. Correction verified: 2025-08-08.
At the inspection, the operation did not have a working carbon monoxide detection system.
2025-03-05 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-03-26. Correction verified: 2025-04-10.
This standard was evaluated as part of the investigation and found to be deficient. The children in the infant classroom were moved into another room in January after a frozen pipe busted in the classroom. The classroom was not tested for mold until 2 months later and the result was positive.
2024-09-26 · 746.305(a)(5) · Medium High
Report of Criminal Complaint Against Employees
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-11-14.
This standard was evaluated as part of the investigation and found to be deficient. The operation did not notify Child Care Regulation about an arrest of one of the caregivers employed at the center.
2024-08-09 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2024-08-23. Correction verified: 2024-08-19.
At the inspection, the operational policy did not include information supporting inclusive services for children with special needs.
2024-08-09 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2024-09-17. Correction verified: 2024-09-19.
At the inspection, the director has recorded 9 hours of annual training and needs 21 hours of training to complete the 2023 training year.
2024-08-09 · 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: 2024-08-12. Correction verified: 2024-08-19.
At the inspection, two caregivers violated the conditions set by CBCU by being left alone with a group of children in care at the operation.
2024-08-09 · 746.2403(3) · Medium High
Infant Care Area - Separate from Older Children
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-19.
At the inspection, two infants age 7 months and 15 months were present on the playground with the older children through age 7 years old.
2024-08-09 · 746.501(a)(29) · High
Written Operational Policies - Unassigned Epinephrine Auto-Injectors
Corrected at inspection: No. Correction date: 2024-08-23. Correction verified: 2024-08-15.
At the inspection, the operational policy did not include information regarding having an unassigned epinephrine auto injector at the operation.
2024-08-09 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2024-09-17. Correction verified: 2024-09-19.
At the inspection, 2 out of 2 personnel training records reviewed did not meet the required 24 hours of annual training. One caregiver needs 14 hours of training and the other caregiver needs 11 hours of annual training for the 2023 training year.
2024-03-26 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2024-04-24. Correction verified: 2024-05-07.
This standard was evaluated as part of the investigation and found to be deficient. The children present were combined in a classroom together ages 7 months to 5 years old.
2024-03-26 · 746.4305 · Medium High
Fenced Outdoor Activity Space
Corrected at inspection: No. Correction date: 2024-04-24. Correction verified: 2024-05-07.
This standard was evaluated as part of the investigation and found to be deficient. A caregiver allowed children age 3 & 4 years old to play in the front parking area of the operation and not be fenced or in an enclosed outdoor activity space.
2024-03-26 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-05-29. Correction verified: 2024-06-10.
At the investigation inspection, it was determined the fire inspection expired as of 2/24/23.
2023-11-02 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2023-11-16. Correction verified: 2023-11-29.
11/2/23- At the follow-up inspection, one caregiver needs 5 hours of training to complete the training year. At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.
2023-09-26 · 746.503 · Medium
Provide Parents With Copy of Policies
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-10-16.
At the inspection, 2 out of 4 children's records reviewed did not include information of receiving the operational policy.
2023-09-26 · 746.501(a)(30) · Medium
Written Operational Policies - Support inclusive services
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-11-02.
At the inspection, the operational poilcy did not include information related to services for children with special needs.
2023-09-26 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-10-16.
At the inspection, 3 out of the 4 children's records reviewed did not include a health care provider statement.
2023-09-26 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2023-10-24. Correction verified: 2023-11-02.
At the inspection, the director did not meet the 30 hours of required annual training for the training year and needs 12 hours of training.
2023-09-26 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-11-02.
At the inspection, the practice drills documentation was incomplete for half of the 2023 year.
2023-09-26 · 746.501(a)(26) · Medium
Written Operational Policies - Preventing and Responding to Abuse and Neglect
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-11-02.
At the inspection, the operational policy did not include information related to preventing and respnding to abuse and neglect of children.
2023-09-26 · 746.501(a)(23) · Medium
Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-11-02.
At the inspection, the operational policy did not include information related to accessing the HHSC website.
2023-09-26 · 746.501(a)(29) · High
Written Operational Policies - Unassigned Epinephrine Auto-Injectors
Corrected at inspection: No. Correction date: 2023-10-17. Correction verified: 2023-11-02.
At the inspection, the operational policy did not include information related to maintaining and administering unassigned ephinephrine injectors for use during an emergency.
2023-09-26 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2023-10-24. Correction verified: 2023-11-02.
At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.
2023-01-19 · 746.2401(7) · High
Basic Requirements for Infants - Never Unsupervised
Corrected at inspection: No. Correction date: 2023-02-16. Correction verified: 2023-02-23.
This standard was evaluated as part of the investigation and found to be deficient. It was determined the caregiver was taking infant children to the playground one at a time, leaving the room with one infant and leaving the other infants unsupervised in the classroom.
2023-01-19 · 746.2431 · Medium High
Infant Daily Report - Share with Parent
Corrected at inspection: No. Correction date: 2023-02-16. Correction verified: 2023-02-23.
This standard was evaluated as part of an investigation and found to be deficient. The infant caregiver is not sharing a daily report with parents of infant children every day of the week.
2022-10-12 · 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: 2022-10-26. Correction verified: 2022-10-19.
At the inspection, the director and the two caregivers did not have current first aid training.
2022-10-12 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-11-09. Correction verified: 2022-11-07.
At the inspection, one caregiver needs to complete 24 hours of annual training.
2022-10-12 · 746.1305(a)(1) · Medium
Pre-service Training- Developmental Stages
Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-11-07.
At the inspection, one caregiver that started in May 2022 did not have proof of having completed pre-service training.
2022-10-12 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-11-07.
At the inspection, the operational policy did not include the information related to the promotion of indoor/outdoor physical activity.
2022-10-12 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-10-19.
At the inspection, the director and the caregivers present did not have current CPR training.
2022-10-12 · 746.1301(6)(A) · Medium High
Training Requirements for Directors 30- Annual Training
Corrected at inspection: No. Correction date: 2022-11-02. Correction verified: 2022-11-21.
At the inspection, the director needs 22 hours of training for the prior training year.
2022-08-08 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2022-08-16. Correction verified: 2022-08-16.
This standard was evaluated as part of an investigation and found deficient. The operation failed to self-report a positive case of Covid within the required 48 hours. The operation was informed by a teacher that was positive on 8/4/22 and did not report until 8/10/22.
2021-12-09 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2021-12-17. Correction verified: 2022-01-20.
At the inspection, the director did not have annual training hours for the year 2020-2021.
2021-11-17 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2021-12-01. Correction verified: 2021-11-18.
3 out of 4 childrens records reviewed at the inspection did not include the emergency care authorization information.
2021-11-17 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-12-09.
At the inspection, the caregiver was not expressing positive language or encouraging good behavior with children playing in centers and at clean up time.
2021-11-17 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2021-12-17. Correction verified: 2021-12-08.
The fire inspection for the operation has expired and is dated 7/27/2020.
2021-11-17 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2021-12-08. Correction verified: 2021-12-06.
At the inspection, the operational policy did not include the indoor/outdoor physical activity information.
2021-11-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2021-12-01. Correction verified: 2021-11-19.
1 out of 4 children's records reviewed at the inspection did not include a current immunization.
2021-11-17 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2021-12-17. Correction verified: 2021-12-09.
At the inspection, the director did not have annual training hours for the year 2020-2021.
2021-11-17 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2021-11-17. Correction verified: 2021-12-09.
At the inspection, a bottle was present in the crib of a 10 month old sleeping infant. The operation corrected at inspection.
2021-11-17 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2021-12-01. Correction verified: 2021-11-18.
3 out of 4 childrens records reviewed did not have the information required for emergency contacts.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=622368

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.