Hearth Record

Nana’s Little Stars Childcare

A child care center in Lawton, Oklahoma 73505

4645 W. Gore Boulevard, Lawton, Oklahoma 73505. (580) 699-5437.

Oklahoma’s own record, on childcarefind.okdhs.org

Watch and the shortlist are kept with a free account, on every device. Your watch list. Oklahoma’s own record is on childcarefind.okdhs.org.

The short answer

The last 24 months 32 deficiencies in 7 months of the last 36. Last cited Jun 2026. Every month

Each figure’s source sits beside it, in its section below.

What these words mean6
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
The state’s most serious level
Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
Quality rating
Many states rate child care in a quality rating system that goes past the licensing rules, such as Texas Rising Star or Kentucky All STARS. Taking part is often voluntary, so a program with no rating hasn’t been rated low. Source: Each state’s quality rating system.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

20 monitoring visits on record, the latest on Sep 11, 2026.

32 non-compliances found in the last three years, 3 of them in complaints.

Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

When those deficiencies happened

32 deficiencies in 7 months of the last 36. Last cited Jun 2026. The last 3 years, to Nov 5, 2026.

32 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in its source’s words

Grouped by visit, newest first, with the level its source gave it.

Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

Jun 11, 2026: periodic visit1 deficiency
  • “Licensing observed one staff member’s ELCCT training was due 4/29/2026.”

May 11, 2026: follow Up visit1 deficiency
  • “Licensing observed three emergency exit doors locked. One door was in a one-year-old classroom, one door was in the infant classroom, and one door was in the back hallway near the three’s and four-year-old classroom.”

May 5, 2026: complaint visit8 deficiencies
  • “Licensing observed 5 exit doors locked and needing a key to be unlocked from the inside. One door is in the classroom, one door is in the classroom, and one door is in the classroom.”

  • “Licensing observed 5 staff members counted in staff to child ratios without criminal history reviews. One of the staff members was in a classroom alone.”

  • “Licensing observed locks on all of the gates on the fence around the playground.”

  • “Licensing observed one swing set not secured into the ground. Licensing was able to lift the swing set out of the ground on all four sides.”

  • “Licensing observed personnel without a criminal history review request submitted to OBI, counted and required for ratios in the 2-year-old classroom.”

  • “Licensing observed that the fire inspection was last conducted on 3/14/2024.”

  • “Licensing observed the central detection system was last inspected on 4/21/2025.”

  • “Licensing received personnel information forms during the visit for personnel who have been employed for more than two weeks.”

May 4, 2026: substantiated complaint2 deficiencies
  • demonstrate prudent and responsible behavior reasonably ensuring children’s health and safety;

    The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

    Rule 340:110-3-284(c)(2)(C). From a complaint.

  • Supervision. Supervision is the function of observing, overseeing, and guiding a child or group of children, including an awareness of, and responsibility for, the ongoing activity of each child, and being near enough to intervene when needed. The program is required to maintain supervision at all times.

    The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

    Rule 340:110-3-287(a). From a complaint.

May 4, 2026: complaint investigation1 deficiency
  • an incident exposing children to an imminent risk of harm, such as a child leaving the facility without personnel’s knowledge or being left alone on- or off-site or in a vehicle;

    The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

    Rule 340:110-3-280(a)(1)(K). From a complaint.

Sep 25, 2025: periodic visit1 deficiency
  • “One child record had a compliance file notification dated 3/4/2024. Two child records did not have a compliance file notification.”

May 22, 2025: periodic visit4 deficiencies
  • “Licensing observed no parent permission slip for diaper cream medication for all kids with diaper creams in their cubbies. There was one infant, seven in the classroom with the two year olds.”

  • “Licensing observed one child record that did not have current shot records on file.EG”

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

Jan 21, 2025: periodic visit4 deficiencies
  • “One staff employed more than 90 days did not have current CPR/first aid. DW”

  • “Three children with diaper cream did not have a parent permission slip”

  • “Three children’s records checked did not have an updated compliance file. One showed 2022.”

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

Sep 12, 2024: periodic visit4 deficiencies
  • “Child records do not have current compliance file notifications signed by the parent. Last date on the files is 9/2022.”

  • “Diaper creams in every classroom did not have a parent permission on file.”

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

Jan 30, 2024: periodic visit6 deficiencies
  • “No equipment inventory conducted.”

  • “One staff JB did not obtain professional development clock hours for a current pdl.”

  • “One staff caring for infants did not obtain formal safe sleep training.”

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

  • The inspectors’ words aren’t shown here yet: this record is being refreshed. The official record has them.

All 20 visits on record
Visits on record
DateVisitWhat the record says
Sep 11, 2026Periodic visit (Full)36 of 36 areas in compliance
Aug 18, 2026Periodic visit (Full)36 of 36 areas in compliance
Jul 23, 2026Periodic visit (Full)36 of 36 areas in compliance
Jun 11, 2026Periodic visit (Full)35 of 36 areas in compliance
May 11, 2026Follow Up visit (Partial)4 of 5 areas in compliance
May 6, 2026Follow Up visit (Partial)4 of 4 areas in compliance
May 5, 2026Complaint visit (Full)28 of 36 areas in compliance
Jan 23, 2026Periodic visit (Full)36 of 36 areas in compliance
Dec 23, 2025Complaint visit (Partial)5 of 5 areas in compliance
Sep 25, 2025Periodic visit (Full)38 of 39 areas in compliance
Jun 20, 2025Follow Up visit (Partial)4 of 4 areas in compliance
Jun 5, 2025Complaint visit (Partial)4 of 4 areas in compliance
May 22, 2025Periodic visit (Full)32 of 36 areas in compliance
Jan 21, 2025Periodic visit (Full)33 of 37 areas in compliance
Sep 12, 2024Periodic visit (Full)35 of 39 areas in compliance
Aug 15, 2024Periodic visit (Partial)39 of 39 areas in compliance
Jul 25, 2024STARS visit (Partial)39 of 39 areas in compliance
May 30, 2024Periodic visit (Full)39 of 39 areas in compliance
Feb 13, 2024Complaint visit (Partial)39 of 39 areas in compliance
Jan 30, 2024Periodic visit (Full)36 of 42 areas in compliance

Is it licensed?

  • Child Care Center.
  • Accepts child care subsidy.
  • Ages accepted: Infants (0-11 months), Toddlers (12-23 months; 1yr.), Preschool (24-48 months; 2-4 yrs.).
  • Capacity: 90 children.
Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

Has Oklahoma acted against it?

  • Oklahoma’s page shows no revocation notice, denial notice or emergency order.
  • 1 complaint on Oklahoma’s page, the first received on May 4, 2026. Oklahoma shows only substantiated complaints online.
Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

Who does the caring?

  • Oklahoma’s locator doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Oklahoma’s locator doesn’t list owners.

How is it rated?

  • Stars, Oklahoma’s quality rating: 2 Star Level Program.
Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 41 child care providers in Lawton, the middle value for non-compliances cited in the last three years was 4; this one had 32.
Source:

Oklahoma Human Services, Oklahoma Child Care Locator. Checked Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Oklahoma’s statements of what a monitoring visit found don’t cite the rule that wasn’t met.
  • Oklahoma shows monitoring visits from the past three years only.
  • Oklahoma shows only substantiated complaints online. Its page also shows the plan to correct each one, which isn’t repeated here.
  • Oklahoma’s locator doesn’t say whether a provider holds a licence or a permit, or since when.
  • Oklahoma’s locator doesn’t name the county a provider is in.
  • Oklahoma’s locator doesn’t publish staffing levels or owners for individual providers.

Sources

  • Oklahoma Human Services, Oklahoma Child Care Locator.

    Checked Nov 5, 2026. Updated daily. Public domain, by OKDHS’s Copyright and Ownership statement (oklahoma.gov/okdhs/notices/copyright.html): “all information on the Oklahoma Department of Human Services (OKDHS) Web site is in the public domain, and may be reproduced, published or otherwise used without the permission of OKDHS”.

If you believe something here is wrong, a correction starts with the agency whose record this copies: Oklahoma Human Services. Oklahoma’s own record is on childcarefind.okdhs.org. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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