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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 4 cited deficiencies dated November 9, 2023 to January 14, 2026 (2 High, 1 Medium High, 1 Medium risk). Correction status: 0 corrected at inspection, 4 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 4 cited deficiencies for Mainspring at Live Oak in the 3 years before October 10, 2026 (2 High, 1 Medium High, 1 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-05-19.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 1 |
| Medium | 1 |
| 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.
2026-01-14 · 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
There is a violation of this standard, as a child was left unsupervised for 2 minutes.
Correction date recorded: 2026-02-03
2024-11-20 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
A staff member didn't have a current training in pediatric first aid with rescue breathing and choking, as was expired. *Compliance was met, as the current training in pediatric first aid with rescue breathing and choking was completed after, the certificate was sent via email…
Correction date recorded: 2024-12-17
2023-11-13 · 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
There was a caregiver present without an eligible background check. This was corrected when the caregiver left the operation.
Correction date recorded: 2025-01-23
2026-01-14 · 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: 2026-02-03. Correction verified: 2026-02-10.
There is a violation of this standard, as a child was left unsupervised for 2 minutes.
2024-11-20 · 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: 2024-12-17. Correction verified: 2024-12-17.
A staff member didn't have a current training in pediatric first aid with rescue breathing and choking, as was expired. *Compliance was met, as the current training in pediatric first aid with rescue breathing and choking was completed after, the certificate was sent via email with a renewed date of 12/02/2024.
2023-11-13 · 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: 2025-01-23. Correction verified: 2023-11-28.
There was a caregiver present without an eligible background check. This was corrected when the caregiver left the operation.
2023-11-09 · 746.2905(1) · Medium
Children Not Required to Sleep - May Not Force Child to Sleep
Corrected at inspection: No. Correction date: 2023-12-07. Correction verified: 2023-12-20.
Based on the evidence gathered during the inspection, a caregiver attempted to restrict a child during nap.
2023-06-06 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-08.
Three out of ten children's files did not have updated immunization records.
2023-06-06 · 746.901(8) · Medium
Required Personnel Records- Photo Identification
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-08.
Five out of ten staff did not have a photo ID in their file.
2023-06-06 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2023-06-09. Correction verified: 2023-06-08.
Two out of ten children's files did not have emergency care authorization.
2023-06-06 · 746.901(5) · Medium
Required Personnel Records- Training Hours
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-19.
Five out of ten staff files reviewed did not have the required annual training hours.
2023-06-06 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-06-09. Correction verified: 2023-06-08.
A child with a food allergy did not have a food allergy plan available for review.
2022-12-07 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-05-19. Correction verified: 2023-05-17.
The operation did not complete an incident report for an incident that placed a child at risk.
2022-12-07 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-05-19. Correction verified: 2023-05-17.
The operation did not report an incident to Child Care Regulation that placed a child at risk.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=94315
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.