2026-06-30 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
The operational policies did not include the parent's rights information.
Correction date recorded: 2026-07-06
Licensed Center
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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 11 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 23, 2026.
The same records list 26 cited deficiencies dated November 30, 2023 to June 30, 2026 (HHSC risk levels: 4 High, 7 Medium High, 14 Medium, 1 Medium Low).
Correction status recorded by HHSC: 1 corrected at inspection, 25 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 25 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 26 cited deficiencies for Little Hugs Childcare LLC DBA Milestones in the 3 years before October 10, 2026 (4 High, 7 Medium High, 14 Medium, 1 Medium Low).
Records list 11 inspections in this window. Most recent inspection: 2026-09-23.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 7 |
| Medium | 14 |
| 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.
2026-06-30 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
The operational policies did not include the parent's rights information.
Correction date recorded: 2026-07-06
2026-06-30 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.
Correction date recorded: 2026-07-06
2026-05-18 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.
Correction date recorded: 2026-06-05
2026-06-30 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2026-07-06. Correction verified: 2026-07-02.
The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.
2026-06-30 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2026-07-06. Correction verified: 2026-06-30.
The operational policies did not include the parent's rights information.
2026-05-18 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-05-29.
The operation does not have a current sanitation inspection.
2026-05-18 · 746.631(a) · Medium High
Sign-in and Sign-out Tracking System
Corrected at inspection: No. Correction date: 2026-05-20. Correction verified: 2026-05-19.
The operation does not currently have system to sign children in and out.
2026-05-18 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-05-21.
The operation does not have a current fire inspection.
2026-05-18 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-06-23.
Four children did not have current immunization records. Two children did not have health statements. One child was missing emergency contact and authorized pick up information.
2026-05-18 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-06-30.
The operational policies did not include the parent's rights information.
2026-05-18 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2026-05-18. Correction verified: 2026-06-03.
A 6 month old was sleeping in a crib with a toy in the crib. This was corrected when the toys was removed from the crib.
2026-05-18 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-19.
Four infants do not have infant feeding instructions.
2026-05-18 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-06-30.
The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.
2025-12-05 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2025-12-12. Correction verified: 2025-12-11.
The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.
2025-12-05 · 746.801(8) · Medium
Required Records Maintained and Made Available - Playground Maintenance Records
Corrected at inspection: No. Correction date: 2025-12-12. Correction verified: 2025-12-11.
The operation did not have a playground maintenance checklist available for review.
2025-12-05 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-16.
There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.
2025-11-18 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2025-12-19.
Two caregivers did not have current training in pediatric CPR.
2025-11-18 · 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: 2025-12-17. Correction verified: 2025-12-19.
Two caregivers did not have current training in pediatric first aid.
2025-11-18 · 746.801(8) · Medium
Required Records Maintained and Made Available - Playground Maintenance Records
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-12-05.
The operation did not have a playground maintenance checklist available for review.
2025-11-18 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2025-11-18. Correction verified: 2025-12-05.
One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.
2025-11-18 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-11-28. Correction verified: 2025-12-05.
Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.
2025-11-18 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2025-11-21. Correction verified: 2025-12-05.
The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.
2025-11-18 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-11-28. Correction verified: 2025-12-05.
One child did not have immunization records available for review.
2024-12-13 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-02.
The operation does not have a current fire inspection on file.
2024-12-13 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-02.
Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.
2024-12-13 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2024-12-17.
Two staff hired after 9/1/2023 do not have the preemployment affidavit.
2024-12-13 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-06.
The operation does not have a current sanitation inspection on file.
2024-12-13 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-08.
Three infants do not have updated feeding instructions.
2023-11-30 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2023-11-30. Correction verified: Not recorded.
A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.
2023-03-15 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2023-05-17. Correction verified: 2023-05-03.
There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.
2023-03-15 · 746.801(1) · Medium
Required Records Maintained and Made Available - Children's Records
Corrected at inspection: No. Correction date: 2023-04-07. Correction verified: 2023-03-27.
Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.
2023-03-15 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-04-19.
Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center's operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation
2023-03-15 · 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: 2023-03-15. Correction verified: 2023-03-23.
One caregiver was present without an active background check status. This was corrected at inspection when the director had the caregiver leave.
2022-04-27 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2022-05-09. Correction verified: 2022-06-03.
Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training
2022-04-27 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2022-05-09. Correction verified: 2022-06-03.
The Director was missing the required Building and Physical and Premises Safety training.
2021-12-01 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-01-28. Correction verified: 2022-02-04.
It was found during an investigation that good judgment was not used when ankle weights were used on an infant's ankles without parental or physician consent.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=951650
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.