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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 20 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 16, 2026.
The same records list 23 cited deficiencies dated April 19, 2024 to September 3, 2026 (HHSC risk levels: 6 High, 10 Medium High, 6 Medium, 1 Medium Low).
Correction status recorded by HHSC: 0 corrected at inspection, 23 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 23 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 23 cited deficiencies for Hart to Hart Learning Center in the 3 years before October 10, 2026 (6 High, 10 Medium High, 6 Medium, 1 Medium Low).
Records list 20 inspections in this window. Most recent inspection: 2026-09-16.
| Risk weight | Citations |
|---|---|
| High | 6 |
| Medium High | 10 |
| Medium | 6 |
| 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.
2026-09-03 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Five children did not have current immunizations. One was missing their 15 month immunizations, four children are missing their 6m - 18m immunizations.
Correction date recorded: 2026-09-11
2026-07-17 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
During an investigation inspection walk through, the television in the infant room was on. Corrected at inspection when a caregiver turned it off.
Correction date recorded: 2026-07-17
2026-05-28 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
This standard was found to be out of compliance when children were told to do wall squats or run laps as a form of punishment.
Correction date recorded: 2026-06-25
2026-09-03 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
Five children did not have current immunizations. One was missing their 15 month immunizations, four children are missing their 6m - 18m immunizations.
2026-07-17 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-28.
During an investigation inspection walk through, the television in the infant room was on. Corrected at inspection when a caregiver turned it off.
2026-05-28 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2026-06-25. Correction verified: 2026-07-10.
This standard was found to be out of compliance when children were told to do wall squats or run laps as a form of punishment.
2026-04-10 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2026-04-13. Correction verified: 2026-04-22.
Infant caregiver has not updated her SIDS, shaken bay syndrome, and early childhood brain development training. It expired February 2026
2026-04-10 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-04-10. Correction verified: 2026-04-22.
An infant caregiver was alone with nine infants under 18 months.
2026-04-09 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2026-05-08. Correction verified: 2026-05-21.
This standard was found to be out of compliance when a caregiver used corporal punishment to redirect a child.
2026-03-16 · 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: 2026-03-16. Correction verified: 2026-03-26.
A caregiver on conditional status was left alone with children. This was corrected at inspection when a second caregiver returned to the classroom.
2026-01-20 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2026-01-20. Correction verified: 2026-01-26.
The operation failed to report the number of employees who left in 2025 by January 15, 2026.
2025-09-18 · 746.1403(a)(6)(A) · Medium High
Training requirements for substitutes, volunteers, and contractors-Transportation training
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-09-24.
A volunteer who provides transportation has not completed the annual transportation training.
2025-09-18 · 746.1301(a)(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-09-24.
Director has not completed transportation training.
2025-09-18 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-09-25. Correction verified: 2025-09-29.
Fire inspection expired in July 2025.
2025-04-16 · 746.501(a)(14) · Medium
Written Operational Policies - Transportation
Corrected at inspection: No. Correction date: 2025-04-23. Correction verified: 2025-05-05.
Upon reviewing the operational policies, the policy for transportation was not addressed.
2025-04-16 · 746.501(a)(12) · Medium
Written Operational Policies - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2025-04-23. Correction verified: 2025-05-05.
Upon reviewing the operational policies, the policy for hearing and vision was not addressed.
2025-04-16 · 746.501(a)(11) · Medium
Written Operational Policies - Immunizations
Corrected at inspection: No. Correction date: 2025-04-23. Correction verified: 2025-05-05.
Upon reviewing the operational policies, the information on immunization requirements for children was not included.
2025-04-16 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2025-04-23. Correction verified: 2025-05-05.
Upon revewing the operational policies, the safe sleep policies was not included.
2025-04-16 · 746.501(a)(28) · Medium
Written Operational Policies - Vaccine Preventable Diseases
Corrected at inspection: No. Correction date: 2025-04-23. Correction verified: 2025-05-05.
Upon reviewing the operational policies, the policy for staff vaccines was not addressed.
2024-12-06 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-12-06. Correction verified: 2024-12-17.
I observed a caregiver by herself with children between the ages of 0-11 months of age. There were 5 children present. This was corrected when another caregiver went to help.
2024-10-21 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-10-29.
Caregiver in the room with children that are 0-12 months of age had 5 children present. This was corrected when another caregiver went into the room.
2024-10-21 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-10-21. Correction verified: 2024-10-29.
The cabinet under the bathroom sink had cleaning products. These were accessible to children as the safety lock in the cabinet was not working properly. The cabinet could easily be opened.
2024-04-19 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2024-04-19. Correction verified: 2024-05-01.
I observed a group of children that consists of some 2 year olds, watching an animated show on TV/monitor.
2024-04-19 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2024-04-19. Correction verified: 2024-05-01.
Upon reviewing children's records, two children's files did not have the Emergency Care Authorization signed by parent/guardian.
2024-04-19 · 746.3701(5) · Medium High
Safety - Play Materials and Equipment Safe
Corrected at inspection: No. Correction date: 2024-04-19. Correction verified: 2024-05-01.
A piece of outdoor play equipment was broken and had sharp edges. This was corrected at inspection when it was removed from the outdoor area.
2024-04-19 · 746.3417(1) · Medium High
Children Handwashing Before Eating
Corrected at inspection: No. Correction date: 2024-04-19. Correction verified: 2024-05-01.
A group of children ate their lunch without washing their hands prior.
2023-05-26 · 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: 2023-05-26. Correction verified: 2023-06-06.
I observed the infant room caregiver walk out of the room, leaving the child in the room unsupervised.
2023-02-27 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-02-27. Correction verified: 2023-03-08.
During my inspection, the caregiver that was with the children that are between the ages of 5 months to 13 months had 6 children present and was intially by herself. This caregiver had 6 children present by herself before her co-worker arrived.
2022-12-09 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2022-12-16. Correction verified: 2022-12-20.
Cots that are used are not labeled.
2022-12-09 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-12-09. Correction verified: 2022-12-20.
Upon my arrival to the operation, I observed a caregiver walking out of a room and going into another classroom where 18 children were present. There was not a teacher in the room that the children were in.
2022-12-09 · 746.2411(2)(B) · Medium High
Safety Requirements for Play Yards - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2022-12-09. Correction verified: 2022-12-20.
I observed a sheet in a play yard that was an oversized sheet and did not fit snuggley. This was corrected when the sheet was removed.
2022-12-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-12-09. Correction verified: 2022-12-20.
Infant room classroom was out of ratio by 3. Caregiver had 7 children present that were between the ages of 0 through 11 months. Another caregiver had 18 children total. There were 7 children that were 2 years old, 3 children that were 3 years old and 6 children that were 4 years old.
2022-01-05 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2022-01-06. Correction verified: 2022-01-06.
One staff did not complete required training.
2022-01-05 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2022-01-07. Correction verified: 2022-01-06.
One employee did not complete required training.
2021-12-22 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-05.
One caregiver had 23 children present in her classroom. The children ranged in age from 18 months to 12 years of age. Caregiver was over ratio by 4 children. This changed when another worker arrived.
2021-12-22 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-05.
Upon reviewing personnel records, it was observed that caregivers did not complete the required 24 hours of annual training.
2021-12-22 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-05.
Upon reviewing personnel records, it was observed that director has not completed the required annual training hours.
2021-12-22 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2022-01-05.
Upon reviewing personnel records, one staff did not have current training in SIDS, Shaken Baby Syndrome and Early Childhood Brain Development.
2021-12-22 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2022-01-05. Correction verified: 2022-01-05.
While conducting my walk through, I observed that the surfacing around the climbing equipment is low.
2021-12-22 · 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: 2021-12-22. Correction verified: 2022-01-05.
An individual that has been present at the operation does not have a background check.
2021-12-22 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2021-12-29. Correction verified: 2022-01-05.
Upon reviewing personnel records, it was observed that two staff that provide transportation have not completed the 2 annual training hours in transportation.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=704988
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.