Paula Hofen

A registered child care home in Waco, Texas 76707

3612 Lasker Ave, Waco, Texas 76707. (254) 723-4394.

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The short answer

Record last released by Texas HHSC on Oct 30, 2026.

6 deficiencies cited in the last three years Middle in McLennan County: 6
1 rated High by Texas, its most serious level (needs attention)
4 inspections on record
Not rated Texas Rising Star rating

The last 24 months 6 deficiencies in 2 months of the last 36. Last cited Sep 2025. Most serious: High. Every month

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

What these words mean5

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.
Texas’s risk levels: Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
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?

6 deficiencies cited in the last three years

The middle of the 132 child care providers in McLennan County had 6.

4 inspections on record. The latest, on Sep 15, 2025: no violation found.

Rated High by Texas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age, at the inspection on Sep 11, 2025

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Oct 30, 2026. Updated daily.

When those deficiencies happened

6 deficiencies in 2 months of the last 36. Last cited Sep 2025. Most serious: High. The last 3 years, to Oct 30, 2026.

6 deficiencies by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023											Nov	Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct

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

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

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Texas HHSC, deficiencies (non-compliance data). Released Oct 30, 2026. Updated daily.

Sep 11, 2025: inspection1 deficiency

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A 5 month old infant was observed asleep in their crib with a blanket and two small toys present in the crib. This was corrected at inspection when the caregiver removed the blankets and toys.”

Rule 747.2315(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2025. Correction verified: Sep 15, 2025.

Jan 23, 2025: inspection5 deficiencies

Pediatric First-Aid and Pediatric CPR Training -skill based and hands on

“The Provider did not have current CPR/First Aid Certification. The Provider’s CPR/First Aid expired on 8/25/2024.”

Rule 747.1313(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2025. Correction verified: Feb 6, 2025.
Primary Caregiver Annual Training -30 Hours Required

“The Provider had completed 3 out of 30 required hours of annual training.”

Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2025. Correction verified: Feb 20, 2025.
Written Feeding Instructions - Review and Update Every 30 Days

“There were 2 infants that did not have current infant feeding instructions on file. One’s infant feeding form was last updated in 8/2024 and the other infant’s form was last updated on 9/16/24.”

Rule 747.2321(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2025. Correction verified: Feb 3, 2025.
Written Operational Policies - Promotion of Physical Activity

“The operational policy was observed to not have the following, required sections, included: *Promotion of Active Play *Infant Safe Sleep *Parent Rights”

Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2025. Correction verified: Feb 6, 2025.
Required Immunizations Records, Exceptions, and Exemptions Current

“There were 2 children in care that did not have immunization records on file for review.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2025. Correction verified: Feb 3, 2025.

1 deficiency older than three years

Jan 5, 2023: inspection1 deficiency

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“One riding toy was observed to be in disrepair exposing springs, posing a pinching hazard. The homeowner will remove the equipment before children are allowed access to the area.”

Rule 747.4401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 5, 2023.

All 4 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Sep 15, 2025	Inspection	No violation found
Sep 11, 2025	Inspection	1 deficiency cited
Jan 23, 2025	Inspection	5 deficiencies cited
Jan 5, 2023	Inspection	1 deficiency cited

Is it licensed?

Registered Child-Care Home, permit issued Jun 25, 1990.
Licensed for ages: Infant, Toddler, Pre-Kindergarten.
Capacity: 12 children.

Texas HHSC, child care operations. Released Oct 30, 2026. Updated daily.

Has Texas acted against it?

No corrective or adverse action by Texas on record.
0 reports to the state on record; Texas doesn’t publish whether they were .

Texas HHSC, child care operations and inspections and investigations. Released Oct 30, 2026. Updated daily.

Who does the caring?

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

Who owns it?

Texas’s open data doesn’t list owners.

How is it rated?

Not rated in Texas Rising Star.

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Oct 30, 2026. Updated daily.

How does it compare nearby?

Among 132 child care providers in McLennan County, the middle value for deficiencies cited in the last three years was 6; this one had 6.

Texas HHSC, deficiencies (non-compliance data). Released Oct 30, 2026. Updated daily.

11 of the 132 in McLennan County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Paula Hofen This child care provider	6
Horn’s Academy Child Care Center	14
Dewey Community Center	6
Lenora Rosecrants	20
Brianna Lashae Tyrone	12
Miss Tt’s Childcare	6
Soco Child Care Center	5
Provident Heights YMCA of Central Texas	0
West Avenue YMCA of Central Texas	0
Country Child Care	0
Little Rockets	2
Waco Child Development Center	14

What the record doesn’t say

Texas doesn’t publish whether a complaint was substantiated.
Texas rates some paperwork slips as High risk, so read what was actually cited.
Texas doesn’t publish staffing levels or owners for individual providers.

Sources

Texas Health and Human Services Commission, Child care operations (bc5r-88dy).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Workforce Commission, Subsidy providers and Texas Rising Star.

Released Oct 30, 2026 and checked Oct 30, 2026. Updated daily. No licence stated.

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Oct 30, 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.