Toddler House INC No 4

Licensed Center

Provider details

City / County / ZIP: Houston / Harris / 77018
Street address: 2215 W 34th St
Phone: (713) 681-3422
Capacity: 140
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:00 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: March 18, 1987
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

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.

Plain-English summary of cited deficiencies

State records list 17 cited deficiencies dated October 24, 2023 to March 19, 2025 (6 High, 7 Medium High, 4 Medium risk). Correction status: 2 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.

High risk · Report Situation Placing Children at Risk (746.305(a)(6))
Cited March 19, 2025 (correction date recorded: May 15, 2025; correction verified May 16, 2025; technical assistance given).
What the record describes: The operation did not report an incident that placed a child at risk within the two-day reporting period.
High risk · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control (746.1201(1))
Cited March 19, 2025 (correction date recorded: May 15, 2025; correction verified May 16, 2025; technical assistance given).
What the record describes: The narrative states that a caregiver used improper judgment.
High risk · AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age (746.2415(b))
Cited September 19, 2024 (correction date recorded: November 15, 2024; correction verified November 19, 2024; technical assistance given).
What the record describes: An infant was asleep in a crib with a bib around their neck.
High risk · Infant May Not Sleep in a Restrictive Device (746.2426(a)(1))
Cited August 9, 2024 (correction date recorded: August 9, 2024; correction verified August 22, 2024; technical assistance given).
What the record describes: An infant was observed sleeping in a swing at 12:51pm, and the daily report showed sleep began at 11:40 am. The infant had been asleep in the swing for over an hour and was removed.
High risk · Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children (746.3407(12))
Cited August 9, 2024 (corrected at inspection; technical assistance given).
What the record describes: Cleaning supplies were within children’s reach in the school-age room.
High risk · Responsibilities of Caregivers - Know number of children responsible for (746.1205(a)(2))
Cited August 9, 2024 (correction date recorded: August 9, 2024; correction verified August 22, 2024; technical assistance given).
What the record describes: During the inspection, 3 caregivers gave licensing an incorrect number of children they were responsible for supervising.
Medium High risk · Required Admission Information - Emergency Contact (746.605(6))
Cited October 22, 2024 (correction date recorded: October 25, 2024; correction verified October 23, 2024; technical assistance given).
What the record describes: Two children had a parent listed as an emergency contact.
Medium High risk · Floors, ceilings and Walls in Good Repair and Clean (746.3407(9))
Cited October 1, 2024 (correction date recorded: October 18, 2024; correction verified October 22, 2024); September 9, 2024 (correction date recorded: September 20, 2024; correction verified October 1, 2024; technical assistance given).
What the record describes: Narratives describe classroom walls and floors that were not clean, including in the preschool and school-age classrooms. A toddler classroom wall was also missing its border.
Medium High risk · Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games (746.1203(3)(D))
Cited August 9, 2024 (corrected at inspection; technical assistance given).
What the record describes: A caregiver was seen using a personal device to watch a show during nap time.
Medium High risk · Responsibilities of Caregivers - Know children's names and ages (746.1205(a)(3))
Cited August 9, 2024 (correction date recorded: August 9, 2024; correction verified August 22, 2024; technical assistance given).
What the record describes: Two teachers did not know or have documentation of the children’s names and ages.
Medium High risk · Annual Sanitation Inspection (746.3401(a))
Cited October 24, 2023 (correction date recorded: November 17, 2023; correction verified October 24, 2023; technical assistance given).
What the record describes: The sanitation inspection expired on October 4, 2023.
Medium High risk · Fenced Outdoor Activity Space (746.4305)
Cited October 24, 2023 (correction date recorded: January 12, 2024; correction verified January 17, 2024; technical assistance given).
What the record describes: The fences around both play areas measured 3 ft and 9 inches, below the required 4ft height.
Medium risk · Children's Records - Health Statement (746.603(a)(3))
Cited October 22, 2024 (correction date recorded: November 1, 2024; correction verified October 23, 2024).
What the record describes: One child who had been enrolled for longer than a year was missing a health statement.
Medium risk · Documented Annual Training Area - 24 Hours Required (746.1309(a))
Cited October 22, 2024 (correction date recorded: November 1, 2024; correction verified October 23, 2024; technical assistance given).
What the record describes: A caregiver was missing 13 hours of annual training for the training year 6/29/23-6/29/24. Another caregiver was missing 15 hours for the training year 9-4-23-9-4-24.
Medium risk · Fenced Outdoor Activity Space -Exits Required (746.4307)
Cited October 24, 2023 (correction date recorded: January 12, 2024; correction verified January 17, 2024; technical assistance given).
What the record describes: The fenced infant and toddler playground had only one exit and needed another exit.
Medium risk · Written Feeding Instructions - Review and Update Every 30 Days (746.2421(b))
Cited October 24, 2023 (correction date recorded: October 31, 2023; correction verified October 26, 2023; technical assistance given).
What the record describes: Two infants’ feeding instruction forms had not been updated since September.

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

Summary of the record

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 17 cited deficiencies for Toddler House INC No 4 in the 3 years before October 10, 2026 (6 High, 7 Medium High, 4 Medium).

Records list 15 inspections in this window. Most recent inspection: 2026-10-05.

HHSC risk weights of citations
Risk weight	Citations
High	6
Medium High	7
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.

Recent citations in the summary window

2025-03-19 · 746.1201(1) · High

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

A caregiver displayed improper good judgement.

Correction date recorded: 2025-05-15

2025-03-19 · 746.305(a)(6) · High

Report Situation Placing Children at Risk

The operation did not report an incident that placed a child at risk within the two-day time frame.

Correction date recorded: 2025-05-15

2024-10-22 · 746.1309(a) · Medium

Documented Annual Training Area - 24 Hours Required

One caregiver is missing 13 hours of annual training for training year 6/29/23-6/29/24, one caregiver is missing 15 hours for training year 9-4-23-9-4-24.

Correction date recorded: 2024-11-01

Full citation history from HHSC (37)

2025-03-19 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-05-15. Correction verified: 2025-05-16.
The operation did not report an incident that placed a child at risk within the two-day time frame.
2025-03-19 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-05-15. Correction verified: 2025-05-16.
A caregiver displayed improper good judgement.
2024-10-22 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-23.
Two children had a parent as a emergency contact.
2024-10-22 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2024-11-01. Correction verified: 2024-10-23.
One child is missing a health statement and the child has been enrolled for longer then a year.
2024-10-22 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2024-11-01. Correction verified: 2024-10-23.
One caregiver is missing 13 hours of annual training for training year 6/29/23-6/29/24, one caregiver is missing 15 hours for training year 9-4-23-9-4-24.
2024-10-01 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2024-10-18. Correction verified: 2024-10-22.
In the pre-school and school age classroom the walls and floors are still not clean.
2024-09-19 · 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: 2024-11-15. Correction verified: 2024-11-19.
Base on the investigation conducted an infant had a bib on their neck while asleep in the crib.
2024-09-09 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-10-01.
In the classrooms walls and floors are not cleaned. In the toddler classroom the wall is missing the boarder.
2024-08-09 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: Yes. Correction date: 2024-08-09. Correction verified: Not recorded.
A caregiver was seen using her personal device to watch a show during nap time. This was corrected at the inspection when the caregiver put her phone away.
2024-08-09 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-22.
Two teachers did not know or have documentation of the children's names and ages.
2024-08-09 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-22.
An infant was observed sleeping in a restrictive device at 12:51pm the infant dailly report showed the infant went to sleep at 11:40 am. The infant was asleep in the swing for over an hour. The infant was removed from the swing.
2024-08-09 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-22.
During the inspection 3 caregivers provided an incorrect number to licensing for the number of children they were responsible for supervising.
2024-08-09 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-08-09. Correction verified: Not recorded.
Cleaning supplies were within reach of children in the school age room. This was corrected at the inspection when the caregiver moved the cleaning supplies to the cleaning supplies closet.
2023-10-24 · 746.4307 · Medium
Fenced Outdoor Activity Space -Exits Required
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-17.
On the infant/toddler playground they is only one exit, the fence area needs another exit.
2023-10-24 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2023-11-17. Correction verified: 2023-10-24.
The sanitation inspection expired 10-4-2023.
2023-10-24 · 746.4305 · Medium High
Fenced Outdoor Activity Space
Corrected at inspection: No. Correction date: 2024-01-12. Correction verified: 2024-01-17.
The fence around both play area was only 3 ft and 9 inches, it is not the required 4ft tall.
2023-10-24 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-10-31. Correction verified: 2023-10-26.
Two infants did not have updated feeding instruction forms the forms was last updated in September.
2023-09-11 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2023-09-18. Correction verified: 2023-10-24.
Under the swings and moving equipment they did not have the required loose-fill surfacing under the equipment.
2023-09-11 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-09-18. Correction verified: 2023-09-20.
On the playground the grass area was high and one of the play structures had broken pieces.
2023-08-31 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-09-11. Correction verified: 2023-09-20.
In the school age classroom they was one caregiver with 48 children in care they were 22 children over ratio. In the infant classroom the caregiver had 5 infants specified age group 0-11 months old the caregiver had one over ratio. One caregiver had 19 children specified age group 4 years old, the caregiver had one over ratio.
2022-10-25 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2022-11-11. Correction verified: 2022-10-27.
Two caregivers are missing CPR training one caregivers expired 1/27/2019 and the other caregiver did not have a card.
2022-10-25 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2022-10-31. Correction verified: 2022-10-27.
The director and three caregiver do not have annual transportation training. One caregiver last training was done 3/6/2020.
2022-10-25 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2022-11-11. Correction verified: 2022-10-27.
Four caregivers did not have 24 annual training hours (6/29/2021 to 6/29/2022, 11/2/2020 to 11/2/2021, 9/17/2021 to 9/17/2022, 10/21/2021 to 10/21/2022 and 9/4/2021 to 9/4/2022) and one caregiver is missing 14 hours of annual training for training year 11/5/2020 to 11/5/2021.
2022-10-25 · 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: 2022-11-11. Correction verified: 2022-10-27.
Two caregivers are missing first aid training one caregivers expired 1/27/2019 and the other caregiver did not have a card.
2022-10-25 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: No. Correction date: 2022-10-25. Correction verified: 2022-10-27.
One child is missing admission date on their enrollment form.
2022-10-25 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: Yes. Correction date: 2022-10-25. Correction verified: Not recorded.
The director did not have any training hours for training year 2/15/2021 to 2/15/2022. Corrected: When the director had training hours for current training year 2/15/2022 to 2/15/2023.
2022-10-25 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2022-10-28. Correction verified: 2022-10-27.
Three children are missing an address for their emergency contact.
2022-10-25 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2022-10-28. Correction verified: 2022-10-27.
One caregiver is missing an affidavit form in their file.
2022-07-28 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-08.
The play area on both playgrounds didn't have enough loose-fill surfacing under both swings sets.
2022-07-20 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-07-28. Correction verified: 2022-08-08.
I asked a caregiver how many children they had it was stated 25, when I counted the children it was 26.
2022-07-14 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-07-14. Correction verified: 2022-07-22.
The pre-school and school age children were combined together in the school age classroom. When asked the school age caregiver how many it was stated 15, when I asked the first pre-school caregiver how many she stated 6. When I counted all the children in the room their where 26 children, which left 5 children unattended without a caregiver.
2022-07-14 · 746.2205(a)(4) · Medium
Written Activity Plan - No Long Waiting Periods
Corrected at inspection: No. Correction date: 2022-07-14. Correction verified: 2022-07-22.
Children were sitting around at the tables and carpet with no activity sitting and waiting to go home.
2022-07-01 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2022-07-01. Correction verified: 2022-07-14.
The school age caregiver had 27 children, the max group for one caregiver is 1 to 26.
2022-07-01 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-07-01. Correction verified: 2022-07-14.
When asking a caregiver how many children they had it was stated 15 and when I counted they were only 13 children. When asking another caregiver how many children she had it was stated 17 when I counted it was only 16 children.
2022-06-30 · 746.201(7) · Medium
Operation Open to Parents At All Times
Corrected at inspection: No. Correction date: 2022-07-29. Correction verified: 2022-07-29.
During the determination of the investigation it was stated that parents are not allowed in the building to drop children off or talk with caregivers. Parents are only allowed at the front entrance of the operation.
2021-10-29 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: Yes. Correction date: 2021-10-29. Correction verified: Not recorded.
During the inspection I observed a changing table that was found to be contaminated with food and other substances. Photos were taken. This was corrected when the caregiver sanitized the changing table.
2021-10-29 · 746.3415(7) · Medium High
Employee Handwashing After Handling or Cleaning Bodily Fluids
Corrected at inspection: No. Correction date: 2021-11-12. Correction verified: 2021-11-11.
During the inspection I observed a caregiver wiping two children's noses without washing her hands in between.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=95407

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.