2026-03-09 · 746.1319(b) · Medium
Block certification training include hours and topics
CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.
Correction date recorded: 2026-03-16
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.
State records list 14 cited deficiencies dated October 12, 2023 to March 9, 2026 (4 High, 7 Medium High, 3 Medium risk). Correction status: 0 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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 14 cited deficiencies for AVANCE Mangum Center in the 3 years before October 10, 2026 (4 High, 7 Medium High, 3 Medium).
Records list 10 inspections in this window. Most recent inspection: 2026-09-15.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 7 |
| Medium | 3 |
| 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.
2026-03-09 · 746.1319(b) · Medium
Block certification training include hours and topics
CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.
Correction date recorded: 2026-03-16
2026-02-02 · 746.1319(b) · Medium
Block certification training include hours and topics
CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.
Correction date recorded: 2026-02-16
2025-02-28 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
There was less than two inches of loose fill observed on both playground areas.
Correction date recorded: 2025-03-14
2026-03-09 · 746.1319(b) · Medium
Block certification training include hours and topics
Corrected at inspection: No. Correction date: 2026-03-16. Correction verified: 2026-03-17.
CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.
2026-02-02 · 746.1319(b) · Medium
Block certification training include hours and topics
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-03-09.
CCR reviewed the director training certificate, which does not specify the training's topic and the training hours.
2025-02-28 · 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: 2025-03-14. Correction verified: 2025-03-06.
There was less than two inches of loose fill observed on both playground areas.
2025-02-03 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-02-17. Correction verified: 2025-02-28.
Part of the baseboard in one of the bathrooms was peeling from the wall. A large hole was observed in the outside playground area that posed a tripping hazard.
2025-02-03 · 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: 2025-02-17. Correction verified: 2025-02-28.
There was less than two inches of loose fill observed on both playground areas.
2024-11-11 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-12-17. Correction verified: 2024-12-18.
A caregiver grabbed a child's arm in an attempt to redirect the child.
2024-11-11 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2024-12-17. Correction verified: 2024-12-18.
The incident report was not shared with the parent within 48 hours of the incident.
2024-11-11 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-12-17. Correction verified: 2024-12-18.
The operation did not report the incident to CCR within the 48-hour time frame.
2023-11-01 · 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: 2023-12-19. Correction verified: 2023-12-20.
It was determined that the caregivers failed to provide the level of supervision necessary to ensure visual awareness when they allowed a 3-year-old to be in the restroom for approximately 5 minutes without checking on them.
2023-10-12 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
Corrected at inspection: No. Correction date: 2023-12-06. Correction verified: 2023-12-20.
The caregiver was observed of video footage not washing their hands after cleaning children's noses.
2023-10-12 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2023-12-06. Correction verified: 2023-12-20.
The caregiver was observed in video footage changing several children's diapers without washing their hands as required.
2023-10-12 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-12-06. Correction verified: 2023-12-20.
Based on video footage the caregiver was found to have grabbed a child by one arm and pulled them across the floor to sit them on another spot on the carpet.
2023-10-12 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2023-12-06. Correction verified: 2023-12-20.
Children were observed on video footage not washing their hands after getting their diapers changed.
2023-10-12 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2023-12-06. Correction verified: 2023-12-20.
The caregiver was observed on video footage provided not sanitizing the diaper changing table after each diaper change.
2023-02-09 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
Corrected at inspection: No. Correction date: 2023-02-09. Correction verified: 2023-03-03.
During the walkthrough I observed two caregivers not washing their hands after assisting a child with wiping their notse.
2022-05-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-06-29. Correction verified: 2022-07-08.
It was determined that the director did not demonstrate good judgement when she did not contact parents to pick up children and allowed them to stay in a building without cool air from 7:30 am until 12pm when the building finally cooled down.
2022-02-16 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-02-23.
One out of ten staff records reviewed is missing the CPR training completed face to face.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=734528
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.