Kids Place at Grace

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 33 cited deficiencies for Kids Place at Grace in the 3 years before October 10, 2026 (14 High, 12 Medium High, 6 Medium, 1 Medium Low).

Records list 18 inspections in this window. Most recent inspection: 2026-10-07.

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

Full citation history from HHSC (42)

• 2026-02-25 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-20.

  2 personnel records reviewed were lacking all required training hours, 1 missing 10 hours, the other missing 18.25.

• 2026-02-25 · 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: 2026-02-25. Correction verified: 2026-03-10.

  One infant was observed sleeping, laying in a crib that was not bare, a blanket was in the crib with the child in addition to a bib.

• 2026-02-25 · 746.801(1) · Medium

  Required Records Maintained and Made Available - Children's Records

  Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-20.

  3 out 10 childrens' records monitored were missing some of the following: health care statements, authorization for emergency medical attention, and emergency contact address and phone numbers.

• 2026-02-25 · 746.901(5) · Medium Low

  Required Personnel Records - Required Affidavit (Form 2912)

  Corrected at inspection: No. Correction date: 2026-03-13. Correction verified: 2026-03-12.

  2 of the 10 personnel records reviewed were missing affidavits, form 2912. 1 record of the 10 had the affidavit; however, it was not notarized.

• 2026-02-25 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2026-03-20. Correction verified: 2026-03-20.

  2 out of 10 child records were observed to be missing up to date immunization records. 2 additional records had immunization records that were not current.

• 2026-02-25 · 746.1111 · Medium

  Education Outside of U.S.

  Corrected at inspection: No. Correction date: 2026-03-13. Correction verified: 2026-03-13.

  1 of the 10 personnel records reviewed had records that were not transcribed to English.

• 2025-07-01 · 746.2409(a)(2) · Medium High

  Safety Requirements for Cribs - Snug Fitting Sheets

  Corrected at inspection: No. Correction date: 2025-07-01. Correction verified: 2025-07-31.

  In the infant classroom, one infant was observed asleep in a crib with a loose fitted sheet.

• 2025-07-01 · 746.3701(1) · Medium High

  Safety - Electrical Outlets Covered

  Corrected at inspection: Yes. Correction date: 2025-07-01. Correction verified: Not recorded.

  In the 4 to 5 year old classroom, 8 electrical outlets were observed to not have safety outlet plug covers. ***this was corrected at inspection

• 2025-06-16 · 746.2805(3) · High

  Prohibited Punishments - Grabbing and Pulling

  Corrected at inspection: No. Correction date: 2025-08-08. Correction verified: 2025-08-22.

  A caregiver used an inappropriate method of discipline when she grabbed a child by his forearm to redirect his behavior.

• 2025-06-09 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: No. Correction date: 2025-06-09. Correction verified: 2025-07-01.

  Seven children observed seated at the table with bucket type seats were observed to not be strapped properly in their seats.

• 2025-01-10 · 746.5202(1) · Medium High

  Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

  Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-10.

  The emergency preparedness plan submitted for compliance did not have an address listed of where children will be evacuated or how children will continue to care for children until parents arrive. This is a re-cite.

• 2024-12-09 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2025-01-08. Correction verified: 2025-01-09.

  The director was missing 17 out of thirty training hours. Some of the hours include but not limited to: Communicable diseases including immunizations, administering medication, building and premises safety, hazardous materials, and transportation training. One out of four staff was missing 24 hours of pre-service training. One out of four staff was missing 16 hours of annual training. The trainings include but are not limited to child maltreatment, sids, shaken baby, and early brain development, communicable diseases, and food allergies.

• 2024-12-09 · 746.5202(1) · Medium High

  Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

  Corrected at inspection: No. Correction date: 2025-01-08. Correction verified: 2025-01-09.

  The emergency preparedness is not provided to parents in the operational policy. The emergency preparedness information that was on file did not have information on how children with limited mobility or who are under 24 months will be evacuated, how children will continue to be cared for until parents arrive, and an address as to where they will go if they need to evacuate.

• 2024-11-25 · 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: 2024-11-25. Correction verified: 2024-12-09.

  Inspector observed one 9 month old infant asleep with a swaddle outfit on top of him being used as a blanket. Inspector asked that staff remove it from the crib and staff member put it in the corner of the crib.

• 2024-11-25 · 746.2428 · High

  No Swaddling of Infant Unless Completed Sleep Exception Form on File

  Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-12-09.

  Inspector observed a 2 month old infant swaddled while asleep in a crib. Inspector asked staff to take the swaddle off the child but the staff left the swaddle on and only took the child's arms out.

• 2024-11-25 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-12-09.

  Inspector observed one staff in a classroom talking on a cell phone while children were napping. Inspector observed a second caregiver reading a book while caring for children who were napping and a third caregiver eating lunch while in a classroom with children who were napping. A fourth caregiver was observed coloring in a color book while supervising children who were napping.

• 2024-11-15 · 746.1201(4) · High

  AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

  Corrected at inspection: No. Correction date: 2025-01-21. Correction verified: 2025-01-28.

  The standard was found deficient as part of a DFPS investigation.

• 2024-11-15 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2025-01-21. Correction verified: 2025-01-28.

  Based on the information gathered by the DFPS investigation, a caregiver grabbed and threw a child on a table, causing bruising to the left and right arms, left shoulder and left lateral torso.

• 2024-08-30 · 746.3301(h) · Medium High

  Nutrition and Food Service - Food not a reward

  Corrected at inspection: No. Correction date: 2024-11-11. Correction verified: 2024-11-25.

  Staff used lollipops to bribe a child who was attempting to climb the fence and later left the operation unsupervised.

• 2024-08-30 · 746.1203(10) · Medium High

  Responsibilities of Caregivers - Share Information with Incoming Caregivers

  Corrected at inspection: No. Correction date: 2024-11-11. Correction verified: 2024-11-25.

  One staff did not communicate with other staff about which incoming children they would be in charge of.

• 2024-08-30 · 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: 2024-11-11. Correction verified: 2024-11-25.

  Based on the information obtained during the course of the investigation, one child was not properly supervised and as a result left the operation and went into a high-traffic road. At the time of the incident, four staff were observed in close proximity to one another instead of caring for children.

• 2024-04-11 · 746.301(2) · Medium

  Notification of Change in Space

  Corrected at inspection: No. Correction date: 2024-04-11. Correction verified: 2024-04-19.

  At the time of inspection the operation was using one room as an infant room without the approval of an amendment. The room has been used since March 2024 for infants however an amendment was not submitted until April 2nd, 2024 and has not yet been approved.

• 2024-04-11 · 746.201(11) · High

  AP Ensure total number of children both at & away from center within capacity

  Corrected at inspection: No. Correction date: 2024-04-11. Correction verified: 2024-04-19.

  At the time of inspection on 4/9/24 the operation was over their infant capacity. The operation's capacity for infants is 23 and they had 24 infants in care.

• 2024-04-09 · 746.5205(1) · Medium High

  Fire Drill Monthly - Exit in 3 Minutes

  Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-04-15.

  There are no fire drills listed as of January 2024. The operation also has no documentation of checking the carbon monoxide, fire extinguisher, or smoke alarm.

• 2024-04-09 · 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: 2024-04-09. Correction verified: 2024-04-09.

  Inspector observed two staff in two different classroom on cell phones. This citation was previously cited for an investigation. This is a re-cite.

• 2024-04-09 · 746.501(a)(29) · High

  Written Operational Policies - Unassigned Epinephrine Auto-Injectors

  Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-04-15.

  The operational policy on file was missing the following information: 1. Information on TB testing for children and adults 2. Transportation 3. Maintaining unassigned eppi-pens 4. Promotion of indoor/outdoor activity 5. Procedures for parents to contact the director for any concerns, or questions

• 2024-04-09 · 746.5202(1) · Medium High

  Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

  Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-04-15.

  The emergency preparedness did not have information on how children who are under 24 months or who have limited mobility will be evacuated or for how staff will continue to care for children until parents arrive.

• 2024-04-09 · 745.621(a)(2) · High

  AP Initial background checks submitted - At the time you hire someone

  Corrected at inspection: No. Correction date: 2024-04-09. Correction verified: 2024-04-12.

  The operation failed to submit and receive the results of a background check and FBI Fingerprint for one person who was present and had unsupervised access to children.

• 2024-04-09 · 746.2427(a) · High

  AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

  Corrected at inspection: No. Correction date: 2024-04-09. Correction verified: 2024-04-15.

  Inspector observed one infant 5 months of age asleep on stomach, when inspector spoke to staff they stated they placed the baby on her stomach to sleep.

• 2024-04-09 · 746.1309(a) · Medium

  Documented Annual Training Area - 24 Hours Required

  Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-04-15.

  Four out of four staff did not have complete training records on file. One out of four staff was missing training on Sids, Shaken Baby, and Early Brain Development, Food Allergies, and Emergency Preparedness. One out of four staff was missing six hours of training including child maltreatment. The caregiver needs in person training on file. One out of four staff had no trainings on file and requires pre-service. One out of four staff was missing training in child maltreatment, sids, shaken baby and early brain development, and food allergy.

• 2024-04-09 · 746.2426(a)(2) · High

  Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

  Corrected at inspection: No. Correction date: 2024-04-09. Correction verified: 2024-04-15.

  Inspector observed two infants asleep in restrictive devices. One infant was four months in age and one was six months in age. One child was in a swing and the other was in a bouncer. Inspector observed the classroom a second time later during the inspection and an infant was again observed asleep in a swing.

• 2024-02-27 · 746.1201(5) · High

  Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

  Corrected at inspection: No. Correction date: 2024-04-02. Correction verified: 2024-04-09.

  Based on the information obtained during the course of the investigation, staff at the operation failed to report suspected abuse/neglect within the operation.

• 2024-02-27 · 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: 2024-04-02. Correction verified: 2024-04-09.

  Based on the information provided during the course of the investigation, staff were texting on cell phones while caring for children.

• 2023-05-11 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2023-05-12. Correction verified: 2023-05-17.

  Operation did not have a current fire inspection at time of follow up inspection. This deficiency will be recited.

• 2023-04-20 · 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: 2023-04-20. Correction verified: 2023-05-11.

  At the time of inspection, a caregiver who had unsupervised access to children in care, was present with an ineligible background check.

• 2023-04-20 · 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: 2023-05-25. Correction verified: 2023-05-24.

  The outside playground area did not have the required six inches of loose fill around the play structure which also has a slide.

• 2023-04-20 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2023-05-04. Correction verified: 2023-05-11.

  Operation did not have a current fire inspection; the last fire inspection was completed on 4/8/2022.

• 2023-04-20 · 746.5625(a) · High

  Electronic Child Safety Alarm - is equipped in each vehicle

  Corrected at inspection: No. Correction date: 2023-05-04. Correction verified: 2023-05-11.

  One out of the two transportation vehicles did not have an electronic child safety alarm installed in the vehicle.

• 2023-04-20 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: No. Correction date: 2023-04-20. Correction verified: 2023-05-11.

  Two infant classrooms observed during lunchtime were not utilizing the safety straps on high chairs, half-moon bucket seats, and low-to-the-floor high chairs.

• 2022-05-05 · 746.4751(c) · Medium High

  Maintenance Procedures for Active Play - Hazards Removed or Repaired

  Corrected at inspection: No. Correction date: 2022-05-12. Correction verified: 2022-05-26.

  There is peeling paint and rust on a stationary piece of equipment used by children for climbing and sitting. The toddler play area has a gate that does not oepn freely as the bottom of the gate scrapes the ground.

• 2022-05-05 · 746.3819 · Medium High

  Food Allergy Emergency Plan Signed by Parents and Health Care Professional

  Corrected at inspection: No. Correction date: 2022-05-12. Correction verified: 2022-05-26.

  One child's food allergy emergency plan was not signed by the parent.

• 2022-05-05 · 746.4907(d) · Medium High

  Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

  Corrected at inspection: No. Correction date: 2022-05-26. Correction verified: 2022-05-26.

  The outside playground area did not have the required six inches of loose fill around the play structure which also has a slide.