2026-08-04 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Unsecured stage risers in the operation gym collapsed onto a child in care.
Correction date recorded: 2026-08-25
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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 21 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 30, 2026.
The same records list 16 cited deficiencies dated March 7, 2024 to August 4, 2026 (HHSC risk levels: 4 High, 9 Medium High, 3 Medium).
Correction status recorded by HHSC: 2 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 14 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 16 cited deficiencies for Top of the World Preschool in the 3 years before October 10, 2026 (4 High, 9 Medium High, 3 Medium).
Records list 21 inspections in this window. Most recent inspection: 2026-09-30.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 9 |
| 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.
2026-08-04 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Unsecured stage risers in the operation gym collapsed onto a child in care.
Correction date recorded: 2026-08-25
2026-05-08 · 746.2415(a)(1) · Medium High
Prohibited Equipment for Infants - Baby Walkers
An infant was observed utilizing a walker with wheels that would allow movement. Walkers are prohibited equipment and would allow infants to move around and have access to materials or may cause a hand injury to other infants during floor time. The deficiency was corrected…
Corrected at inspection
2025-12-10 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The loose-fill surfacing for the swings and Preschool playground had a depth of 1-4 inches under and around the equipment.
Correction date recorded: 2026-01-07
2026-08-04 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-09-10.
Unsecured stage risers in the operation gym collapsed onto a child in care.
2026-05-08 · 746.2415(a)(1) · Medium High
Prohibited Equipment for Infants - Baby Walkers
Corrected at inspection: Yes. Correction date: 2026-05-08. Correction verified: Not recorded.
An infant was observed utilizing a walker with wheels that would allow movement. Walkers are prohibited equipment and would allow infants to move around and have access to materials or may cause a hand injury to other infants during floor time. The deficiency was corrected during the inspection when the staff removed the infant out of the equipment and removed the prohibited equipment out of the classroom with CCR brought it to their attention.
2025-12-10 · 746.801(2) · Medium
Required Records Maintained and Made Available - Infant Feeding Instructions
Corrected at inspection: No. Correction date: 2025-12-15. Correction verified: 2025-12-15.
Three infants were missing current feeding schedules.
2025-12-10 · 746.4907(a)(2) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
Corrected at inspection: No. Correction date: 2026-01-07. Correction verified: 2026-01-13.
The loose-fill surfacing on the School Age playground had a depth of 1-4 inches under and around the equipment.
2025-12-10 · 746.801(13) · Medium
Required Records Maintained and Made Available - Gas Inspection Report
Corrected at inspection: No. Correction date: 2026-01-07. Correction verified: 2026-01-13.
The operation did not have proof of a current gas leak inspection.
2025-12-10 · 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: 2026-01-07. Correction verified: 2026-01-13.
The loose-fill surfacing for the swings and Preschool playground had a depth of 1-4 inches under and around the equipment.
2025-11-12 · 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: 2025-11-21. Correction verified: 2025-11-14.
During a DFPS investigation, one caregiver was found to be missing pediatric first aid training.
2025-11-12 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-11-14.
During a DFPS investigation, one caregiver was found to be missing pediatric CPR training.
2025-07-15 · 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: 2025-07-15. Correction verified: 2025-07-25.
During an inspection, it was observed that a caregiver was not adhering to the conditions on their background check.
2025-07-15 · 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: 2025-07-15. Correction verified: 2025-07-25.
During an inspection, a caregiver was present with children prior to the operation receiving an eligibility letter from the Centralized Background Check Unit.
2025-07-09 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-11.
During the inspection, there were 12 children aged two years old in a class with one caregiver.
2025-06-12 · 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: 2025-07-02. Correction verified: 2025-07-09.
This standard was evaluated as part of the investigation and was found to be deficient. Based on review of video, and interviews of children and staff, it was determined a caregiver left a child unsupervised in a classroom. The child left the building where their classroom was located. The child was found by another caregiver on the concrete path between the two buildings of the operation. The child was unsupervised for 6 minutes and 59 seconds.
2025-04-23 · 746.5207(a)(1) · Medium High
Emergency Evacuation and Relocation Diagram - Floor Plan
Corrected at inspection: Yes. Correction date: 2025-04-23. Correction verified: Not recorded.
Three of the eight rooms did not have emergency evacuation and relocation diagrams posted in the room. This was corrected at inspection when the operation printed out new diagrams and posted them in the rooms.
2025-04-23 · 746.5205(3) · Medium High
Sheltering Drills for Lock-Down-4 times in a calendar year
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-04-25.
The operation has not conducted a lockdown drill in the past year.
2025-04-23 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-04-25. Correction verified: 2025-04-25.
Two of the four infants in care did not have current infant feeding schedules.
2024-03-07 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-04-29.
This standard was evaluated as part of the investigation and was found to be deficient. Through interviews with staff and children, and review of photos, it was determined that a caregiver had allowed children to sit on a fence to take photos on 3/4/2024. When a child was trying to sit on the same fence on 3/5/2024, the child fell off the fence and received two fractures in their wrist.
2023-07-11 · 746.801(6) · Medium
Required Records Maintained and Made Available - Liability Insurance
Corrected at inspection: No. Correction date: 2023-07-17. Correction verified: 2023-07-14.
The operation was missing a copy of their current liability insurance.
2023-07-11 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2023-07-11. Correction verified: Not recorded.
One of the nine classrooms was missing an emergency evacuation map. This was corrected at inspection when the operation posted a new evacuation map in the room.
2023-07-11 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-07-17. Correction verified: 2023-07-11.
Three infants were missing current feeding schedules.
2023-07-11 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-07-19.
One of the ten personnel records reviewed was missing current training in handling hazardous materials and responding to food allergy emergencies.
2023-02-06 · 746.4803 · Medium
Measurement of Use Zone for Stationary Equipment
Corrected at inspection: Yes. Correction date: 2023-02-06. Correction verified: Not recorded.
The use zones of five pieces of stationary equipment overlapped use zones of nearby stationary equipment. This was corrected at inspection when the operation put caution tape around the equipment to prevent children from using the equipment until the installer can come back out to the operation to properly install the equipment.
2022-08-11 · 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: 2022-08-29. Correction verified: 2022-08-25.
One of the ten personnel records reviewed was missing current training in pediatric first aid.
2022-08-11 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2022-08-29. Correction verified: 2022-08-25.
One of the ten personnel records reviewed was missing current training in pediatric cpr.
2022-08-11 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2022-08-29. Correction verified: 2022-09-07.
The school van, manufactured in 2014, had a child safety alarm at the back on the vehicle but it was not operating.
2022-08-11 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-08-29. Correction verified: 2022-08-22.
Five children who were identified by their parents as having food allergies did not have food allergy emergency plans on file
2022-08-11 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: Yes. Correction date: 2022-08-11. Correction verified: Not recorded.
The phone app that the operation uses to track children when transporting children did not have medical transport and treatment authorization forms that could be pulled up on the app. This was corrected at inspection when the operation made paper copies of the medical authorizations to carry on the school vans.
2022-02-15 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-03-09. Correction verified: 2022-03-22.
The standard was evaluated as part of a standard investigation and was not found compliant. Based on the interviews with parents, staff, and a video, it has been determined that the caregiver did not use good judgement to redirect a child which resulted in the child sustaining an injury.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=933528
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.