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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 16 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 2, 2026.
The same records list 39 cited deficiencies dated October 23, 2023 to September 2, 2026 (HHSC risk levels: 5 High, 18 Medium High, 11 Medium, 5 Medium Low).
Correction status recorded by HHSC: 4 corrected at inspection, 35 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 35 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 39 cited deficiencies for Shepherd of the Hills Lutheran in the 3 years before October 10, 2026 (5 High, 18 Medium High, 11 Medium, 5 Medium Low).
Records list 16 inspections in this window. Most recent inspection: 2026-09-02.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 18 |
| Medium | 11 |
| Medium Low | 5 |
| 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.
2026-09-02 · 746.4907(a)(2) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
The loose-fill under and around the swings is not installed to the required depth of nine inches within the use zone.
Correction date recorded: 2026-09-16
2026-09-02 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
On two of the playgrounds the loose-fill was not installed to the required depth of six inches.
Correction date recorded: 2026-09-16
2026-09-02 · 746.1013(a)(3) · Medium
Director's Absence - Caregiver in Charge Has Access to All Records
The director informed me that the two individuals left in charge in the directors absences would not be aware of the location of the staff and children's files.
Correction date recorded: 2026-09-02
2026-09-02 · 746.1013(a)(3) · Medium
Director's Absence - Caregiver in Charge Has Access to All Records
Corrected at inspection: No. Correction date: 2026-09-02. Correction verified: 2026-09-24.
The director informed me that the two individuals left in charge in the directors absences would not be aware of the location of the staff and children's files.
2026-09-02 · 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: 2026-09-16. Correction verified: 2026-09-14.
On two of the playgrounds the loose-fill was not installed to the required depth of six inches.
2026-09-02 · 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: 2026-09-16. Correction verified: 2026-09-14.
The loose-fill under and around the swings is not installed to the required depth of nine inches within the use zone.
2026-04-20 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2026-05-26. Correction verified: 2026-05-26.
Recite: Ten of the staff files reviewed had a CPR certification that was completed through an online source, which did not include hands-on training. Noted: seven updated CPR certifications were submitted.
2026-03-17 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-04-20.
Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.
2026-03-17 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-03-31.
Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.
2026-03-17 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: Yes. Correction date: 2026-03-17. Correction verified: Not recorded.
Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.
2025-09-18 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-09-25. Correction verified: 2025-09-25.
Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
2025-09-03 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-09-18.
The operation's most recent fire inspection was completed on July 2, 2024.
2025-09-03 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-09-18.
The operation did not have a current gas inspection.
2025-09-03 · 746.401(7) · Medium Low
Posting Requirements - Licensing Parent Notification Poster
Corrected at inspection: No. Correction date: 2025-09-03. Correction verified: 2025-09-18.
The Parent Notifiation Poster was not visably posted.
2025-09-03 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-09-18.
Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
2025-09-03 · 746.401(8) · Medium Low
Posting Requirements - Telephone Numbers
Corrected at inspection: No. Correction date: 2025-09-03. Correction verified: 2025-09-18.
Required telephone numbers were not visibly posted.
2025-03-12 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2025-03-12. Correction verified: Not recorded.
Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.
2024-10-10 · 746.605(12) · Medium High
Required Admission Information - Special Needs Statement
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-12-05.
When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.
2024-10-10 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.
2024-10-10 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2024-11-21. Correction verified: 2024-12-05.
Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.
2024-10-10 · 746.5627 · Medium
Required Vehicle Documentation - date of lease or purchase for each vehicle
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-07.
Proof of one of the vehicles purchases was not available for review.
2024-10-10 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.
2024-10-10 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.
2024-10-10 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2024-10-10. Correction verified: Not recorded.
There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.
2024-10-10 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-12-05.
Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.
2024-10-10 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
Two of the ten staff files did not have training certificates available for review for the most recently completed training year.
2024-10-10 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-07.
Six of the ten staff files were reviewed did not have current CPR/First aid certification.
2024-10-10 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-07.
There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.
2024-10-10 · 746.1301(a)(7)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
Corrected at inspection: No. Correction date: 2024-10-17. Correction verified: 2024-11-05.
An individual required to have two hours of transportation did not have certificates available for review.
2024-05-30 · 746.3301(h) · Medium High
Nutrition and Food Service - Food not a reward
Corrected at inspection: No. Correction date: 2024-07-01. Correction verified: 2024-07-10.
It was determined through an investigation that caregivers were using food items as a reward for good behavior.
2024-05-30 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-07-01. Correction verified: 2024-07-10.
It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.
2024-05-28 · 746.3701(10) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2024-05-29. Correction verified: 2024-05-29.
A television was observed to be sat on top of crate on a shelf and was not anchored.
2024-05-28 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: No. Correction date: 2024-05-28. Correction verified: 2024-05-28.
Outlets in Pre-K rooms were observed to be uncovered.
2023-10-23 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
One file did not include current immunization records.
2023-10-23 · 746.503 · Medium
Provide Parents With Copy of Policies
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.
2023-10-23 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2023-10-23. Correction verified: Not recorded.
The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.
2023-10-23 · 746.901(1) · Medium Low
Required Personnel Records - Dates of Employment
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
Seven of the ten staff files did not include employment begin dates.
2023-10-23 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2023-10-27. Correction verified: 2023-11-10.
Two of the ten staff files did not include the employment affidavit.
2023-10-23 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
The ten files reviewed did not include necessary information for the listed emergency contact.
2023-10-23 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
Ten of the children's files did not include emerceny care authorization.
2023-10-23 · 746.501(a)(24) · High
Written Operational Policies - Emergency Preparedness Plans
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
The operational polcies/Parent handbook did not include the emergency prepardness plan.
2023-10-23 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: No. Correction date: 2023-11-06. Correction verified: 2023-11-17.
The ten files reviewed did not include the date of admission.
2023-08-18 · 746.3501(1) · Medium High
Diaper Changing Steps- Prompt
Corrected at inspection: No. Correction date: 2023-10-09. Correction verified: 2023-10-23.
Children who are toilet learning, were sent home in soiled diapers.
2023-08-10 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: No. Correction date: 2023-08-10. Correction verified: 2023-08-10.
Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.
2023-08-10 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-08-10. Correction verified: Not recorded.
In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.
2023-07-03 · 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: 2023-07-25. Correction verified: 2023-07-27.
Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.
2023-06-23 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-06-23. Correction verified: Not recorded.
A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.
2023-06-05 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-07-10. Correction verified: 2023-07-17.
After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.
2023-06-05 · 746.3501(1) · Medium High
Diaper Changing Steps- Prompt
Corrected at inspection: No. Correction date: 2023-07-10. Correction verified: 2023-07-10.
Two children were reported to be sent home in soiled clothing after having a toileting accident.
2023-06-05 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2023-07-10. Correction verified: 2023-07-17.
Caregivers have been using yelling as a form of discipline.
2023-03-31 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-05-24. Correction verified: 2023-06-06.
After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.
2023-03-31 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-05-24. Correction verified: 2023-06-06.
After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.
2023-03-31 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2023-05-24. Correction verified: 2023-06-06.
After interviews, three individuals confirmed caregivers using personal devices while caring for children.
2023-03-16 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2023-04-26. Correction verified: 2023-05-10.
A caregiver was heard yelling at children.
2023-03-16 · 746.1003(2) · Medium
Director Responsibilities - Employees Comply with Standards
Corrected at inspection: No. Correction date: 2023-04-26. Correction verified: 2023-05-10.
After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.
2023-03-16 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-04-26. Correction verified: 2023-05-10.
A caregiver used corporal punishment with a child.
2022-06-17 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2022-07-18. Correction verified: 2022-07-22.
There was not an electronic child safety alarm that was installed in the bus used to transport children.
2022-06-17 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: Yes. Correction date: 2022-06-17. Correction verified: Not recorded.
There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.
2022-06-17 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-22.
There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.
2022-06-17 · 746.5307(b) · Medium High
Fire Extinguishers Serviced
Corrected at inspection: No. Correction date: 2022-07-01. Correction verified: 2022-07-22.
There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.
2022-06-17 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-07-22.
There was a thermometer that was missing from the first aid kit located on the bus used to transport children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=96638
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.