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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 15 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 19, 2026.
The same records list 34 cited deficiencies dated October 30, 2023 to August 19, 2026 (HHSC risk levels: 10 High, 17 Medium High, 6 Medium, 1 Medium Low).
Correction status recorded by HHSC: 2 corrected at inspection, 32 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 32 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 34 cited deficiencies for Little Tyke Ranch CDC in the 3 years before October 10, 2026 (10 High, 17 Medium High, 6 Medium, 1 Medium Low).
Records list 15 inspections in this window. Most recent inspection: 2026-08-19.
| Risk weight | Citations |
|---|---|
| High | 10 |
| Medium High | 17 |
| 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.
2026-08-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
There were 4 infant feeding instructions that were observed not to have been updated since the first week of July and 2 were last updated in June of 2026.
Correction date recorded: 2026-08-26
2025-11-14 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
The menu posted did not reflect what the children ate for lunch today. The operation has a rotating menu and the substitution was not documented.
Correction date recorded: 2025-11-14
2025-11-14 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
A caregiver's file did not have a notarized affidavit on file for review.
Correction date recorded: 2025-12-05
2026-08-19 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-08-26. Correction verified: 2026-08-20.
There were 4 infant feeding instructions that were observed not to have been updated since the first week of July and 2 were last updated in June of 2026.
2025-11-14 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-08.
There were 3 children that did not have a health statement on file for review.
2025-11-14 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-11-18.
The operational policy was reviewed and the following sections were not observed in the policy: infant safe sleep, policy changes and insect repellent/sunscreen.
2025-11-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-05.
A classroom was observed to have water damage on a wall under the air conditioner, trash on the floor in the bathroom and near a trashcan by the sink, crumbs on the table and floor, their were 2 light fixtures hanging from the ceiling and a sofa was observed to have fraying.
2025-11-14 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-12-08.
A caregiver did not have verification of pre-service/oriientation on file for review.
2025-11-14 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-05.
The director had only completed 10 out of 30 required hours of annual training.
2025-11-14 · 746.3427 · Medium High
Pest Extermination
Corrected at inspection: No. Correction date: 2025-11-14. Correction verified: 2025-12-05.
There were rodent droppings observed under the sink in the infant classroom.
2025-11-14 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-05.
A caregiver only had 21 out of the 24 hour annual training required. A caregiver had 10 of the 24 required annual training. A 3rd caregiver only had 3 of the 24 required hours on file for review.
2025-11-14 · 746.3505(f) · Medium High
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Corrected at inspection: Yes. Correction date: 2025-11-14. Correction verified: Not recorded.
Soiled diapers were observed in a trashcan with no lid and the diapers were not observed in individual closed bags.
2025-11-14 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-05.
A caregiver's file did not have a notarized affidavit on file for review.
2025-11-14 · 746.3313(1) · Medium
Daily Menus - Record Comparable Substitutions
Corrected at inspection: No. Correction date: 2025-11-14. Correction verified: 2025-12-05.
The menu posted did not reflect what the children ate for lunch today. The operation has a rotating menu and the substitution was not documented.
2024-07-11 · 746.3421(b) · Medium High
Infant Handwashing - Raised to Sink
Corrected at inspection: No. Correction date: 2024-07-11. Correction verified: 2024-07-18.
A caregiver was observed not to have washed an infant's hands after changing the infant's diaper.
2024-07-11 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2024-07-25. Correction verified: 2024-07-18.
The child safety alarm was observed to not be working properly when tested.
2024-07-11 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-07-11. Correction verified: 2024-07-18.
A caregiver stated she had 14 children in care and it was determined she had 17 children in care.
2024-05-16 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2024-05-16. Correction verified: 2024-05-29.
There were 2 caregivers that were unaware of the ages of children in their group. The caregivers were unaware where to the find the sheet that contained the information.
2024-05-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-29.
It was determined the driver of the transportation vehicle did not utilize good judgement when he attempted to pass another vehicle and did not ensure there was enough clearance. During attempting to pass the vehicle, the driver hit the other transportation vehicle, that also had children in the vehicle.
2024-05-01 · 746.5619 · Medium High
Plan to Handle Transportation Emergencies
Corrected at inspection: No. Correction date: 2024-05-17. Correction verified: 2024-05-29.
The operation did not have a plan to ensure the supervision of children, if the transportation was involved in an accident. After the accident, the driver left the children unattended in the vehicle, to check on the other vehicle.
2024-05-01 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-05-03. Correction verified: 2024-05-16.
It was determined the operation did not notify Child Care Regulation of the incident that placed children at risk.
2024-05-01 · 746.1301(a)(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
Corrected at inspection: No. Correction date: 2024-05-07. Correction verified: 2024-05-07.
During the inspection on 5/03/24, the Director did not have documentation of transportation training for herself.
2024-04-16 · 746.2207(c)(4) · Medium
Screen Time Activities - Not Used During Eating or Rest Times
Corrected at inspection: Yes. Correction date: 2024-04-16. Correction verified: Not recorded.
Two children were observed utilizing/viewing a tablet during naptime. The tablet was removed from the children.
2024-04-16 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-04-16. Correction verified: 2024-04-19.
A caregiver stated she had 27 children, during naptime, and it was determined she had 28 children in her group.
2024-04-05 · 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: 2024-04-05. Correction verified: 2024-04-16.
A caregiver had unsupervised access to the children in care without a cleared background check. This was corrected when the caregiver was asked to leave the operation. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
2024-04-05 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
There were two infant bottles that were not labeled with the infants first name and last initial.
2024-04-05 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
Two classrooms did not know the ages of the children they were caring for. One classroom stated that the youngest was 14 months and the oldest was 4 years old. The correct ages of the children were youngest being 20 months and oldest being 3 years old. The second classroom was askeed about the ages of the children and the caregiver stated that they did not know how old the children were that were in the caregivers classroom. I explained to both classrooms that they must know how many children and the ages of the children in their care.
2024-04-05 · 746.2419(7) · Medium High
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
An infant was found asleep in a crib with a bottle The bottle was removed from the crib during inspection and I spoke to the caregiver about not allowing infants to sleep with bottles or cups.
2024-02-29 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-01.
There were 2 infants that did not have updated infant feeding instructions on file.
2024-02-29 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2024-02-29. Correction verified: 2024-03-01.
There was a 70 inch television in the school age room that was not anchored.
2024-02-29 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-01.
The operation was observed to have not completed a building grounds checklist since the beginning of December 2023.
2024-02-29 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-03-21. Correction verified: 2024-03-19.
There was 1 child in care, that has a food allergy and there was not a food allergy plan on file for review.
2024-02-29 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-02-29. Correction verified: 2024-03-01.
I observed a toilet that needed a new toilet seat, the school age classroom was observed to have food and crumbs on the floor, there was a used paper towel near the sink and paper pieces on the floor, the restrooms had a ring around the toilet and one toilet was observed to have feces that had not been cleaned. There was toilet paper observed on the floor of an indoor restroom and in both of the restrooms in the outdoor classroom.
2023-10-30 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-02-20. Correction verified: 2024-03-01.
It was determined a caregiver was heard multiple times yelling at children in care when they were not following instructions.
2023-10-30 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-02-20. Correction verified: 2024-03-01.
Information from a DFPS investigation supports that a threat of corporal punishment was made and children have been spanked.
2023-10-30 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-02-20. Correction verified: 2024-03-01.
It was determined a caregiver restrained a child with their arms and legs to prevent the child from moving after being disciplined.
2023-10-30 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2024-02-20. Correction verified: 2024-02-29.
During an investigation, dead bugs were observed on the window seals.
2023-03-21 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-03-27.
Observed 8 children files and 5 children did not have health statements on file.
2023-03-21 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2023-03-21. Correction verified: Not recorded.
Observed the infant bottles being washed in the sink that is also used for washing hands after diaper changing. This was corrected when I spoke to the director and caregiver about cross contamination.
2023-03-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-03-29. Correction verified: 2023-04-14.
During an investigation it was found a caregiver was left to supervise a group of 15-18 two-year-old children alone, placing the caregiver out of ratio by 4-7.
2023-03-01 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2023-03-29. Correction verified: 2023-04-14.
During the DFPS investigation it was found caregivers spanked children in care.
2022-04-19 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-04-19. Correction verified: 2022-05-03.
A classroom did not have a caregiver in the classroom when a walkthrough was completed. This was corrected when a caregiver came in to the classroom.
2022-04-19 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-04-19. Correction verified: 2022-05-03.
A 5 month old infant was sleeping in a restrictive device. This was corrected when the infant was woken up.
2022-04-06 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2022-04-06. Correction verified: 2022-04-07.
A diaper changing pad in a classroom was observed to have several tears, making the changing pad non absorbent.
2022-04-06 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-04-11. Correction verified: 2022-04-13.
There were 2 infants that did not have updated infant feeding instructions on file.
2022-04-06 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: Yes. Correction date: 2022-04-06. Correction verified: Not recorded.
The operation had not completed a fire drill since February. A fire drill was completed during the inspection, bringing the deficiency into compliance.
2022-04-06 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2022-04-29. Correction verified: 2022-04-26.
There were 3 caregivers that did not have current CPR/First Aid training on file.
2022-04-06 · 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: 2022-04-06. Correction verified: 2022-04-06.
A person was observed at the operation with access to children in care, prior to having a background check submitted.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=787045
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.