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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 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 8, 2026.
The same records list 12 cited deficiencies dated October 7, 2024 to September 8, 2026 (HHSC risk levels: 5 High, 5 Medium High, 1 Medium, 1 Medium Low).
Correction status recorded by HHSC: 1 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 11 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 12 cited deficiencies for Rainbow of Friends Care Center in the 3 years before October 10, 2026 (5 High, 5 Medium High, 1 Medium, 1 Medium Low).
Records list 12 inspections in this window. Most recent inspection: 2026-09-08.
| Risk weight | Citations |
|---|---|
| High | 5 |
| 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.
2026-09-08 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One out of four employees were lacking current training in pediatric first-aid with rescue breathing and choking.
Correction date recorded: 2026-09-14
2026-09-08 · 746.201(1) · High
Policies Comply with Rules
The operational polices were lacking several sections including policies on: transportation, infant safe sleep, parent's rights, and a complete promotion of indoor/outdoor physical activity section. In addition, the emergency preparedness plan was lacking a couple of sections…
Correction date recorded: 2026-09-22
2025-12-10 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During this investigation, this standard was cited due to staff using poor judgement when using a small elastic hair band to hold the socks up on an infant. This action caused the infant to sustain skin depression from the tightness around their ankles. Pictures received for…
Correction date recorded: 2026-01-08
2026-09-08 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2026-09-22. Correction verified: 2026-10-09.
The operational polices were lacking several sections including policies on: transportation, infant safe sleep, parent's rights, and a complete promotion of indoor/outdoor physical activity section. In addition, the emergency preparedness plan was lacking a couple of sections such as the diagram, information on how the staff will continue to care for children during an emergency, and how children will be reunified with parents after the emergency.
2026-09-08 · 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: 2026-09-14. Correction verified: 2026-09-08.
One out of four employees were lacking current training in pediatric first-aid with rescue breathing and choking.
2025-12-10 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-01-08. Correction verified: 2026-01-15.
During this investigation, this standard was cited due to staff using poor judgement when using a small elastic hair band to hold the socks up on an infant. This action caused the infant to sustain skin depression from the tightness around their ankles. Pictures received for this investigation revealed the use of a small elastic hair band placed around the top area of the sock by the ankles causing the elastic band imprint.
2025-09-11 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2025-09-25. Correction verified: 2025-10-10.
The child safety alarm on the bus is not working at this time.
2025-01-21 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2025-01-23. Correction verified: 2025-01-23.
The reporting of the number of employees that left in 2024 for operations was due on 1/15/2025.
2024-10-07 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-10-08.
The health inspection was expired at the time of inspection 8/22/2023.
2024-10-07 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-10-08.
The fire inspection was expired at the time of review 9/11/2023.
2024-10-07 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-10-29. Correction verified: 2024-10-08.
2 out of the 5 children immunization records were not current at the time of inspection.
2024-10-07 · 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: 2024-10-07. Correction verified: 2024-10-08.
The caregiver stepped out of the classroom to call the director, leaving the children unattended.
2024-10-07 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-10-14. Correction verified: 2024-10-08.
Caregiver did not have CPR training within 90 days of employment and currently does not have one.
2024-10-07 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2024-10-14. Correction verified: 2024-10-08.
Caregiver did not have First Aid training within 90 days of employment and currently does not have one.
2024-10-07 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: Yes. Correction date: 2024-10-07. Correction verified: Not recorded.
Fire drills were not conducted monthly and were not available at the time of inpection.
2022-11-01 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2022-11-15. Correction verified: 2022-11-03.
Four out of four children's files reviewed were missing required information including: Emergency contact addresses; Dates of Admission; and Healthcare Provider Statements.
2022-11-01 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-11-01. Correction verified: 2022-11-02.
One infant feeding schedule observed was not updated and signed by parents within the last thirty days as required.
2022-11-01 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: Yes. Correction date: 2022-11-01. Correction verified: Not recorded.
One infant was observed in a highchair without using the required safety straps. This was corrected at inspection when the child was removed from the chair.
2022-11-01 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2022-11-15. Correction verified: 2022-11-17.
Two out of Four employee records reviewed were missing the required documentation of educational qualifications.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=661492
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.