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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 19 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 20, 2026.
The same records list 10 cited deficiencies dated February 7, 2024 to August 20, 2026 (HHSC risk levels: 6 High, 3 Medium High, 1 Low).
Correction status recorded by HHSC: 1 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 9 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 10 cited deficiencies for Madison Square Child Development Center in the 3 years before October 10, 2026 (6 High, 3 Medium High, 1 Low).
Records list 19 inspections in this window. Most recent inspection: 2026-08-20.
| Risk weight | Citations |
|---|---|
| High | 6 |
| Medium High | 3 |
| Medium | 0 |
| Medium Low | 0 |
| Low | 1 |
| 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.
2026-08-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
Correction date recorded: 2026-08-25
2026-06-09 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.
Correction date recorded: 2026-07-08
2026-02-17 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.
Corrected at inspection
2026-08-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-08-25. Correction verified: 2026-08-25.
During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
2026-06-09 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-07-08. Correction verified: 2026-08-07.
Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.
2026-02-17 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-23.
The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.
2026-02-17 · 746.4601(7) · High
Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Corrected at inspection: Yes. Correction date: 2026-02-17. Correction verified: Not recorded.
At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.
2026-02-09 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2026-03-09. Correction verified: 2026-02-10.
One of the four children files was missing an updated immunization record.
2025-04-01 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2025-05-09. Correction verified: 2025-04-08.
1 child's file is missing a health statement for review during the inspection.
2025-02-26 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-04-01.
When reviewing the video it was observed of a child not washing hands after getting diaper changed.
2025-02-26 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-04-01.
When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.
2024-07-30 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2024-08-26. Correction verified: 2024-09-06.
It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.
2024-02-07 · 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: 2024-02-09. Correction verified: 2024-02-14.
It was found that a child was left unsupervised on the playground.
2023-05-16 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-05-26. Correction verified: 2023-05-19.
8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.
2023-05-16 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2023-05-26. Correction verified: 2023-05-19.
The operation does not have a current monthly maintenance checklists available for review during an inspection.
2023-05-16 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-05-26. Correction verified: 2023-05-19.
8 files were reviewed, 1 was found to be missing immunization records.
2023-05-16 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: Yes. Correction date: 2023-05-16. Correction verified: Not recorded.
8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file.
2022-07-14 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2022-07-14. Correction verified: Not recorded.
Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes.
2022-07-14 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2022-07-28. Correction verified: 2022-07-28.
There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created.
2022-07-14 · 746.201(8) · Medium
Liability Insurance Maintained
Corrected at inspection: Yes. Correction date: 2022-07-14. Correction verified: Not recorded.
Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=94723
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.