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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 24 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated May 22, 2026.
The same records list 31 cited deficiencies dated October 17, 2023 to May 2, 2025 (HHSC risk levels: 8 High, 13 Medium High, 10 Medium).
Correction status recorded by HHSC: 3 corrected at inspection, 28 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 28 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 31 cited deficiencies for Papa & Nanas Child Care in the 3 years before October 10, 2026 (8 High, 13 Medium High, 10 Medium).
Records list 24 inspections in this window. Most recent inspection: 2026-05-22.
| Risk weight | Citations |
|---|---|
| High | 8 |
| Medium High | 13 |
| Medium | 10 |
| 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.
2025-05-02 · 746.623(2)(D) · Medium
Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine
A child's immunization record did not have a healthcare professionals stamp or signature.
Correction date recorded: 2025-05-16
2025-04-01 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
The operation conducted a fire drill in January of 2025 and did not exit in 3 minutes or less. The operation did not conduct a fire drill in the month of March of 2025.
Correction date recorded: 2025-04-08
2025-04-01 · 746.5319 · High
Smoke Detectors Testing
The smoke detectors were not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.
Corrected at inspection
2025-05-02 · 746.623(2)(D) · Medium
Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-16.
A child's immunization record did not have a healthcare professionals stamp or signature.
2025-04-01 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-04-05.
One child did not have a statement of the child's health from a health-care professional.
2025-04-01 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: Yes. Correction date: 2025-04-01. Correction verified: Not recorded.
The fire extinguisher was not inspected in the months of February or March of 2025. This was corrected at inspection when the provider inspected it during inspection.
2025-04-01 · 746.5537(a)(2) · Medium High
Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Corrected at inspection: Yes. Correction date: 2025-04-01. Correction verified: Not recorded.
The carbon monoxide detection system was not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.
2025-04-01 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-04-18. Correction verified: 2025-05-01.
One child did not have current immunization records.
2025-04-01 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: Yes. Correction date: 2025-04-01. Correction verified: Not recorded.
The smoke detectors were not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.
2025-04-01 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-04-08. Correction verified: 2025-04-02.
The operation conducted a fire drill in January of 2025 and did not exit in 3 minutes or less. The operation did not conduct a fire drill in the month of March of 2025.
2025-03-10 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-03-18.
The provider is not consistently using a sign-in and sign-out tracking system daily. The provider is also not including the required information daily on the tracking system in place such as: the name of each child; the date, time of arrival, and time of departure; and the employee or parent's initials or other unique identifier.
2025-03-10 · 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: 2025-03-14. Correction verified: 2025-03-18.
Conditions on a background check were not being followed when the subject was found during an investigation to have been alone with children and caring for them.
2025-03-05 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-03-19. Correction verified: 2025-03-19.
One caregiver did not have current training in pediatric CPR.
2025-03-05 · 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: 2025-03-19. Correction verified: 2025-03-19.
One caregiver did not have current training in pediatric first aid with rescue breathing and choking.
2025-03-03 · 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: 2025-03-03. Correction verified: 2025-03-10.
Conditions on a background check were not being followed when the subject was observed alone with a child while taking them to the bathroom.
2025-03-03 · 746.801(5) · Medium
Required Records Maintained and Made Available - Employees' Attendance
Corrected at inspection: No. Correction date: 2025-03-10. Correction verified: 2025-03-03.
The provider did not have attendance records or time sheets listing all days and hours worked.
2025-03-03 · 746.1013(a)(1) · Medium High
Director's Absence - Caregiver in Charge Knows in Charge
Corrected at inspection: No. Correction date: 2025-03-10. Correction verified: 2025-03-04.
Two caregivers present did know who was in charge during the director's absence or for how long.
2025-03-03 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-03-10. Correction verified: 2025-03-07.
Four personnel files were reviewed: 3 were missing a record of training hours 4 were missing proof of request for a background check
2025-02-20 · 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: 2025-02-20. Correction verified: 2025-03-03.
Seven children were left unsupervised in a classroom while the caregiver answered the door. This was corrected when the caregiver returned to the classroom after answering the door.
2025-02-20 · 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: 2025-02-20. Correction verified: 2025-03-03.
One infant was observed asleep in a restrictive device. The caregiver moved the infant from the restrictive device into a crib during the inspection.
2025-02-20 · 746.1013(a)(1) · Medium High
Director's Absence - Caregiver in Charge Knows in Charge
Corrected at inspection: No. Correction date: 2025-02-21. Correction verified: 2025-03-03.
Two caregivers present did know who was in charge during the director's absence or for how long.
2025-02-20 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-02-24.
The plastic nap mats being used during inspection were not labeled with the child's name.
2025-02-20 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-02-27. Correction verified: 2025-03-03.
Four personnel files were reviewed: 1 was missing dates of hire 1 was missing docmentation showing how the employee meets the minimum age and education qualifications 1 was missing a A Pre-Employment Affidavit form 2912 4 were missing a record of training hours 2 were missing a photo ID 3 were missing proof of request for a background check 1 was missing a statement dated/signed showing that the staff recieved a copy of operational and personnel policies
2025-02-20 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2025-03-07. Correction verified: 2025-02-25.
Two children were missing a statement of the child's health from a health-care professional.
2025-02-20 · 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: 2025-02-20. Correction verified: 2025-02-21.
Two people were present without eligible background checks, and left during the inspection.
2025-02-20 · 746.3301(b) · Medium High
Nutrition and Food Service - Follow Meal Patterns
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-02-24.
The snacks did not follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.
2025-02-20 · 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: 2025-03-07. Correction verified: 2025-02-24.
Two caregivers did not have proof of current pediatric first aid with rescue breathing and choking training.
2025-02-20 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-03-07. Correction verified: 2025-02-24.
Two caregivers did not have current pediatric cardiopulmonary resuscitation (CPR).
2024-04-17 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-04-29.
Children's records on file were missing the release form from the physician.
2024-04-01 · 746.3301(b) · Medium High
Nutrition and Food Service - Follow Meal Patterns
Corrected at inspection: No. Correction date: 2024-04-17. Correction verified: 2024-04-17.
Meals served do not meet the nutritional requirements established by the U.S. Department of Agriculture (USDA).
2024-04-01 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: No. Correction date: 2024-04-17. Correction verified: 2024-04-17.
Meals do not reflect the posted menu, and substitutions are not tracked.
2023-10-17 · 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: 2023-11-07. Correction verified: 2023-11-29.
It is alleged that a caregiver with conditions on the background check was alone with a child or group of children.
2023-10-17 · 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: 2023-11-07. Correction verified: 2023-11-29.
Based on the evidence obtained it was found a child was left unsupervised. A caregiver left the room to answer the front door.
2023-10-17 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2023-11-07. Correction verified: 2023-11-29.
A child under the age of two was allowed screen time.
2023-08-08 · 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: 2023-08-29. Correction verified: 2023-08-21.
A staff member did not have current first aid training updated.
2023-08-08 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2023-08-29. Correction verified: 2023-08-21.
A staff member did not have current CPR training updated.
2023-06-14 · 746.2803(4)(D) · Medium
Positive Methods of Discipline and Guidance - Brief Supervised Separation
Corrected at inspection: No. Correction date: 2023-07-06. Correction verified: 2023-08-08.
During a DFPS investigation it was found that time out periods being used can be up to 5-10 minutes in length.
2023-06-14 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2023-07-14. Correction verified: 2023-08-08.
During a DFPS investigation it was found that the operation did not report an injury that required medical attention.
2023-06-14 · 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: 2023-07-28. Correction verified: 2023-08-08.
A staff member did not have current first aid training.
2023-06-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-08-08.
A staff member did not have current CPR training.
2023-06-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-07-28. Correction verified: 2023-08-08.
Paint was found chipping off the wall in the front and in a classroom.
2023-05-05 · 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: 2023-05-08. Correction verified: 2023-05-08.
Caregiver supervising children in care did not have a complete background check on file. This was corrected when the caregiver was asked to leave the operation.
2023-04-06 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2023-05-05. Correction verified: 2023-05-05.
Based on the information obtained it was determined that the infant room did not have adequate lighting during naptime.
2023-04-06 · 746.2909(5) · High
Arrangement of Napping Equipment -All Children Supervised
Corrected at inspection: No. Correction date: 2023-05-05. Correction verified: 2023-05-05.
During naptime, the caregiver will sit in the hallway to supervise napping children in two different classrooms.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=785688
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.