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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 49 cited deficiencies dated April 22, 2024 to July 24, 2026 (4 High, 19 Medium High, 21 Medium, 1 Medium Low, 4 Low risk). Correction status: 7 corrected at inspection, 42 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 49 cited deficiencies for Toddler House 5 in the 3 years before October 10, 2026 (4 High, 19 Medium High, 21 Medium, 1 Medium Low, 4 Low).
Records list 15 inspections in this window. Most recent inspection: 2026-07-24.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 19 |
| Medium | 21 |
| Medium Low | 1 |
| Low | 4 |
| 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.
2026-07-24 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Of the six personnel records, one caregiver lacked First Aid Training.
Correction date recorded: 2026-08-07
2026-07-24 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Of the six personnel records evaluated, two caregivers did not training in one or more of the following topics for the previous training year: food allergies and administering medications.
Correction date recorded: 2026-08-07
2026-07-24 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Background check for two former staff have not been inactivated within seven days of their last day of employment.
Correction date recorded: 2026-07-24
2026-07-24 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Corrected at inspection: No. Correction date: 2026-07-24. Correction verified: 2026-07-24.
Background check for two former staff have not been inactivated within seven days of their last day of employment.
2026-07-24 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2026-08-07. Correction verified: 2026-09-04.
Of the six personnel records evaluated, two caregivers did not training in one or more of the following topics for the previous training year: food allergies and administering medications.
2026-07-24 · 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: 2026-08-07. Correction verified: 2026-09-04.
Of the six personnel records, one caregiver lacked First Aid Training.
2026-06-25 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2026-06-25. Correction verified: 2026-07-24.
An infant was combined with children that were more than 18 months older than the youngest child in the group.
2026-06-16 · 746.3701(3) · Medium High
Safety - Air Conditioners, Fans, Heaters Safeguarded
Corrected at inspection: Yes. Correction date: 2026-06-16. Correction verified: Not recorded.
An air blower was found to be accessible to children in a classroom that did not have a safegaurd or barrier around it. This was corrected when the blower was removed out of the classroom.
2026-06-16 · 746.3701(9) · High
Safety - Bodies of Water Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2026-06-16. Correction verified: Not recorded.
A mop bucket with water was accessible to children in the children's restroom. This was corrected when the mop bucket was removed from the restroom an away from children's access.
2026-02-03 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-17.
Of the eight children's records evaluated, one was behind with immunizations.
2026-02-03 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-17.
The operational policies did not include the following information: 1. The benefits of outdoor play. 2. Recommended clothing and footwear. 3. The criteria used to determine when the weather will prevent outdoor play. 4. Parent's Rights. 5. The correct website for Child Care Regulation.
2026-02-03 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2026-03-12. Correction verified: 2026-03-12.
Of the seven personnel records evaluated, two did not complete the required 24 clock hours of training for their respective training year.
2026-02-03 · 746.2431(2) · Medium High
Infant Daily Report - Times and Amount of Food
Corrected at inspection: No. Correction date: 2026-02-03. Correction verified: 2026-02-24.
The daily report sheet for one child did not include the times or amount of food the child is eatinig throughout the day.
2026-02-03 · 746.2417(1) · Medium
Activities for Infants - Outdoor Play Daily
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
Infants are not going outside daily.
2026-02-03 · 746.1309(g) · Medium Low
Documented Annual Training-Self-Instructional 80%
Corrected at inspection: No. Correction date: 2026-03-12. Correction verified: 2026-03-12.
Caregivers did not receive at least six clock hours of training through in-person training.
2026-02-03 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2026-03-12. Correction verified: 2026-03-12.
One caregiver did not complete training in communicable diseases including immunizations and food allergies.
2026-02-03 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
The First Aid Kits on the buses was missing supplies. Bus 12 was missing scissors, tweezers and adhesive tape and Bus 11 was missing a thermometer.
2026-02-03 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: Yes. Correction date: 2026-02-03. Correction verified: Not recorded.
The written feeding instructions for one infant has not been updated within the last 30 days.
2026-02-03 · 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: 2026-02-17. Correction verified: 2026-03-02.
Of the eight children's records evaluated, one lacked a health statement from a health care professional.
2026-02-03 · 746.611(a)(2) · Medium
Required Health Statement - Signed affidavit from parent stating medical diagnosis and treatment conflict with religious beliefs
Corrected at inspection: No. Correction date: 2026-03-12. Correction verified: 2026-03-12.
Of the seven children's records evaluated, two lacked a parent signed health statement that the child has been examined by a health care professional within the past year.
2026-02-03 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2026-03-12. Correction verified: 2026-03-12.
The director received 22 of the 30 clock hours of required annual training for the March 2024-March 2025 training year. The director will need to complete 8 clock hours of training.
2026-02-03 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2026-02-19. Correction verified: 2026-02-24.
Of the seven personnel records evaluated, two have not completed 24 clock hours of pre-service training.
2025-07-16 · 746.5015(c) · Medium High
Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach
Corrected at inspection: Yes. Correction date: 2025-07-16. Correction verified: Not recorded.
Waster hoses used on Friday were on the toddler playground. This was corrected at inspection.
2025-06-04 · 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: 2025-06-18. Correction verified: 2025-07-16.
A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Two children's records lacked a health statement from a health care professional.
2025-06-04 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2025-06-18. Correction verified: 2025-06-10.
A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.
2025-06-04 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-06-18. Correction verified: 2025-06-16.
A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials
2025-06-04 · 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: 2025-07-17. Correction verified: 2025-07-16.
A follow-up inspection was conducted and compliance was not met. The loose fill surfacing in the use zone for equipment on the infant/toddler playground is not measuring at least 6 inches.
2025-06-04 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2025-06-18. Correction verified: 2025-06-10.
A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.
2025-06-04 · 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: 2025-07-17. Correction verified: 2025-07-16.
A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.
2025-04-16 · 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: 2025-05-16. Correction verified: 2025-06-04.
Of the 8 children's records evaluated, 2 lacked a health statement from a health care provider.
2025-04-16 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2025-05-23. Correction verified: 2025-06-04.
Of the 8 personnel records evaluated, one did not complete an orientation that included the following topics: administering medication, responding to and preventing food allergies, understanding building and physical premises safety, handling, storing and disposing of hazardous materials and precautions when transporting children.
2025-04-16 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-06-04.
Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials
2025-04-16 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-04-21.
Of the 8 children's records evaluated, 2 lacked the name and address of the doctor for the health statement.
2025-04-16 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: No. Correction date: 2025-04-21. Correction verified: 2025-05-02.
The diaper changing tables are not equipped with a smooth, non-absorbent easy to clean pad. Diapers are being changed on a wooden surface.
2025-04-16 · 745.651(1) · Medium
Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Corrected at inspection: No. Correction date: 2025-04-16. Correction verified: 2025-04-17.
Background checks for persons no longer affiliated with the operation has not been inactivated.
2025-04-16 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2025-04-21. Correction verified: 2025-05-02.
The First Aid Kits on the buses did not include a Guide to First Aid and the kit in the building did not have tweezers.
2025-04-16 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-06-04.
The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.
2025-04-16 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: Yes. Correction date: 2025-04-16. Correction verified: Not recorded.
The director is not current with the required transportation safety training. This was corrected at inspection.
2025-04-16 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-05-02.
Of the 8 personnel records evaluated, the following information was not available for review: 1. One staff lacked the age and education requirements 2. One staff lacked photo identification 3. One staff lacked signed documentation that a copy of the parent handbook was received. 4. All staff lacked a pre-employment affidavit 5. One staff lacked a notarized affidavit
2025-04-16 · 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: 2025-04-16. Correction verified: 2025-05-02.
Infant children were not being properly supervised. The caregiver was sitting in the doorway of the classroom and playground. Three children were observed playing on the playground. The other two children were in the classroom.
2025-04-16 · 746.801(18) · Medium
Required Records Maintained and Made Available - Children's Product Certification
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-04-21.
The CPSC form has not been completed for 2025. The last one was completed in January 2024.
2025-04-16 · 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: 2025-06-02. Correction verified: 2025-06-04.
The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.
2025-04-16 · 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: 2025-06-02. Correction verified: 2025-06-04.
The loose fill surfacing in the use zones for equipment at least 5 feet high is not being maintained at a depth of at least 6 inches.
2025-04-16 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-06-04.
The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.
2025-04-16 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-05-02.
Of the 8 personnel records evaluated, 1 staff has not completed 8 clock hours of pre-service training prior to being counted in the child/staff ratio.
2025-03-31 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2025-03-31. Correction verified: 2025-04-04.
During the follow up completed a 7 month was combined with two older 2 year olds (32 Months) for nap time. There were 14 children total in the building.
2025-02-06 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2025-03-25. Correction verified: 2025-03-31.
Based on the investigation completed it was determined that a staff member is using inappropriate discipline with the children. This includes yelling and humiliating the children.
2025-02-06 · 746.1011(a) · Medium High
Director present-Minimum 75%
Corrected at inspection: No. Correction date: 2025-03-25. Correction verified: 2025-03-31.
Based on the investigation completed it found that the director is not present at the center. It was found that the director is present less than 75% of the time or less than 30 hours a week.
2024-04-22 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-04-25.
One child out of eight child files reviewed is missing the health statement on file.
2024-04-22 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-05-10. Correction verified: 2024-05-09.
During the inspection it was found that the health inspection was last completed on 3/28/23 and expired on 3/28/24.
2024-04-22 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-04-29. Correction verified: 2024-04-25.
One out eight child files reviewed is missing the immunization on file.
2024-04-22 · 746.1045 · Low
Education Outside of U.S.
Corrected at inspection: No. Correction date: 2024-05-03. Correction verified: 2024-05-07.
One personnel file reviewed had a education document in a foreign language and not translated to english.
2022-06-09 · 746.603(a) · Medium
Children's Records Maintained
Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-06-24.
A file for a newly enrolled child was not available for review during the inspection.
2022-06-09 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2022-06-30. Correction verified: 2022-06-30.
During the inspection, children were observed on the swings without any surfacing underneath. Picture taken
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=95358
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.