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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 33 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 25, 2026.
The same records list 27 cited deficiencies dated January 17, 2024 to August 25, 2026 (HHSC risk levels: 10 High, 13 Medium High, 4 Medium).
Correction status recorded by HHSC: 6 corrected at inspection, 21 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 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 27 cited deficiencies for Madonna Center in the 3 years before October 10, 2026 (10 High, 13 Medium High, 4 Medium).
Records list 33 inspections in this window. Most recent inspection: 2026-08-25.
| Risk weight | Citations |
|---|---|
| High | 10 |
| Medium High | 13 |
| Medium | 4 |
| 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.
2026-08-25 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Three classrooms did not have the evacuation maps posted in the classroom. Note: This was corrected at inspection when evacuation maps were posted in the classroom.
Corrected at inspection
2026-08-25 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Three of four staff files evaluated did not have health and safety trainings available for review.
Correction date recorded: 2026-09-25
2026-08-25 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
During the inspection, 14 bucket seats in two infant classrooms were observed without safety straps to secure the children.
Correction date recorded: 2026-09-25
2026-08-25 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2026-09-25. Correction verified: Not recorded.
During the inspection, 14 bucket seats in two infant classrooms were observed without safety straps to secure the children.
2026-08-25 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2026-09-25. Correction verified: Not recorded.
Three of four staff files evaluated did not have health and safety trainings available for review.
2026-08-25 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2026-08-25. Correction verified: Not recorded.
Three classrooms did not have the evacuation maps posted in the classroom. Note: This was corrected at inspection when evacuation maps were posted in the classroom.
2026-08-11 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2026-08-11. Correction verified: Not recorded.
All four infant bottles in the Infant 0-6 month old classroom had no labels on the bottles with their names.
2026-06-01 · 746.501(a)(8) · Medium High
Written Operational Policies - Suspension and Expulsion
Corrected at inspection: No. Correction date: 2026-07-16. Correction verified: 2026-07-28.
Throughout the investigation, it was observed that the operational policy lacks provisions for the processes of suspension and expulsion.
2026-06-01 · 746.2705(2) · Medium
School-age Furnishings and Equipment - Age-appropriate Rest Equipment
Corrected at inspection: No. Correction date: 2026-07-16. Correction verified: 2026-07-28.
During the investigation, it was noted school-aged children were napping on the class floor.
2026-06-01 · 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: 2026-07-16. Correction verified: 2026-07-28.
During the course of the investigation, it was noted operation staff failed to provide adequate supervision due to daily incidents where children are fighting among themselves while in care.
2026-04-06 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: No. Correction date: 2026-04-08. Correction verified: 2026-04-06.
During the inspection, it was determined that an individual present at the operation does not have a valid background check. Note: This was corrected when background check was re-submitted to change Role Type during inspection.
2026-03-31 · 745.621(a)(3) · High
AP Initial background checks submitted - At the time you contract with someone who requires a background check
Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-04-16.
During the inspection, it was determined that an individual present at the operation does not have a valid background check completed for this operation.
2026-03-24 · 745.621(a)(3) · High
AP Initial background checks submitted - At the time you contract with someone who requires a background check
Corrected at inspection: No. Correction date: 2026-04-22. Correction verified: 2026-04-23.
During the course of this investigation, it was found that the staff member who accompanied the child in the ambulance to the hospital had not completed a valid background check for this operation.
2026-01-22 · 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: 2026-03-17. Correction verified: 2026-03-25.
During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2026.
2026-01-22 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2026-03-17. Correction verified: 2026-03-25.
During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2025. The operation did not notify the parent.
2026-01-22 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2026-03-17. Correction verified: 2026-03-25.
During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2025. The incident was not reported to Child Care Regulation (CCR) until 1/27/2026.
2025-12-01 · 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: 2025-12-01. Correction verified: 2025-12-03.
One caregiver in classroom D-12 was observed working in the classrooms supervising children without receiving a background check and letter of eligibility. NOTE: This was corrected at inspection when the caregiver left the operation and a background check was submitted.
2025-11-05 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2025-11-05. Correction verified: 2025-12-01.
At time of inspection multiple caregivers were unable to provide the ages of the children in their class.
2025-10-06 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2025-10-06. Correction verified: 2025-11-05.
During the inspection, it was observed that infants seated in restrictive devices were not properly secured with straps. This was corrected at inspection.
2025-10-06 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2025-10-06. Correction verified: 2025-11-05.
At time of inspection two toddler caregivers were unable to provide the ages of the children in their class.
2025-04-09 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2025-04-09. Correction verified: Not recorded.
Napping children were observed placed in front of exits in multiple classrooms. This was corrected when the director moved each child away from the exits.
2025-01-23 · 746.3317(6) · Medium High
Food Service and Preparation Requirement - Use Sanitary Holders
Corrected at inspection: Yes. Correction date: 2025-01-23. Correction verified: Not recorded.
In toddler room, the children were served crackers without a plate or napkin. This was corrected when it was addressed with the caregiver and caregiver provided plastic plates for the children to eat their snack on.
2024-11-14 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2024-11-14. Correction verified: Not recorded.
A caregiver did not wash an infant's hands after changing their diaper. This was corrected when the caregiver was reminded about handwashing procedures and the caregiver washed the infant's hands.
2024-09-26 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-09-26. Correction verified: Not recorded.
Cleaning solutions and chemicals were observed under the sinks in three children's restrooms without child safety locks.
2024-01-17 · 746.4403(a) · Medium
Handwashing Sink in Diaper-Changing Area
Corrected at inspection: No. Correction date: 2024-01-22. Correction verified: 2024-02-06.
An infant classroom with a diaper-changing area does not have a handwashing sink.
2024-01-17 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-02-06.
Children were observed using a restroom in a room filled with stacks of boxes and other storage items.
2024-01-17 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2024-01-18. Correction verified: 2024-02-06.
The following personnel records were not available for review at time of inspection: proof of education, notarized Affidavit for Applicants for Employment form, proof of background check eligibility letter, copy of photo ID, and signed statement employees recieved copies of operational policies and employee policies.
2024-01-17 · 746.4805(d) · Medium High
Measurement of Use Zone for Slides - No Overlap
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-02-06.
A piece of outdoor play equipment was observed in front of a slide on the playground. The equipment overlapped the slide's required use zone.
2024-01-17 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-02-06.
A vehicle that is used to transport children is not equipped with an electronic child safety alarm.
2024-01-17 · 746.3317(6) · Medium High
Food Service and Preparation Requirement - Use Sanitary Holders
Corrected at inspection: No. Correction date: 2024-01-17. Correction verified: 2024-02-06.
Crackers were served on a bare table for children to eat from.
2023-09-24 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-09-28. Correction verified: 2023-11-06.
Based off information gathered, a child was bitten by another child when the classroom was out of ratio by one child. There were 6 infants present with a specified age group of 15 months with only one caregiver.
2023-09-24 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2023-09-28. Correction verified: 2023-11-06.
Based off information gathered, a parent wasn't notified at pick up the same day their child was bitten by another child. The parent was notified two days later.
2023-01-18 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-02-17. Correction verified: 2023-02-17.
Five of ten children's files did not contain up to date immunization records.
2023-01-11 · 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: 2023-02-03. Correction verified: 2023-02-03.
Three of twenty two caregivers did not have a current CPR/First Aid certificate on file.
2022-09-07 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-09-07. Correction verified: 2022-09-16.
During inspection it was observed that one caregiver had 8 children in care ages 8 month, 9 month, 9 month, 9 month, 10 month, 10 month, 12 month, and 18 month. Based on the ages of the children caregiver is out of ratio.
2022-07-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-08-26. Correction verified: 2022-09-07.
Caregiver's used poor judgment when they failed to touch the playground equipment that is unshaded, ensuring the playground equipment was cool enough for children to play. This resulted in a child receiving a burn on abdomen area.
2022-02-01 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
Corrected at inspection: No. Correction date: 2022-02-15. Correction verified: 2022-02-08.
Two fire extinguishers in the center vans have not been serviced, as required.
2021-11-23 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2021-12-22. Correction verified: 2021-11-30.
The operation did not have a current fire inspection. The last fire inspection was conducted on 8/3/2020.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=94693
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.