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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 6 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 14, 2026.
The same records list 3 cited deficiencies dated November 8, 2023 to October 22, 2024 (HHSC risk levels: 1 High, 1 Medium High, 1 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 2 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 2 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 3 cited deficiencies for First Steps in the 3 years before October 10, 2026 (1 High, 1 Medium High, 1 Medium).
Records list 6 inspections in this window. Most recent inspection: 2026-07-14.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 1 |
| Medium | 1 |
| 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.
2024-10-22 · 746.615(a) · Medium
Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
Two children's files reviewed had the "Exemption from School or Childcare Immunizations for Reasons of Conscience" in file but they were not valid as they were photocopied and not the original ones.
Corrected at inspection
2024-10-22 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children's files were reviewed and there was no food allergy plan required for the food allergies listed with the required information of the food allergen, symptoms to treat if the child eats the food allergic to, treatment the symptoms, and the required parent and doctor…
Correction date recorded: 2024-11-05
2023-11-08 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Four vehicles that are use to transport children in care do not have the electronic child safety alarm installed.
Correction date recorded: 2023-11-29
2024-10-22 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-11-05. Correction verified: 2024-11-06.
Two children's files were reviewed and there was no food allergy plan required for the food allergies listed with the required information of the food allergen, symptoms to treat if the child eats the food allergic to, treatment the symptoms, and the required parent and doctor signature and dates.
2024-10-22 · 746.615(a) · Medium
Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
Corrected at inspection: Yes. Correction date: 2024-11-05. Correction verified: Not recorded.
Two children's files reviewed had the "Exemption from School or Childcare Immunizations for Reasons of Conscience" in file but they were not valid as they were photocopied and not the original ones.
2023-11-08 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2023-11-29. Correction verified: 2023-12-05.
Four vehicles that are use to transport children in care do not have the electronic child safety alarm installed.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=95538
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.