Hearth Record

Ms. Sandy’s Home Childcare

A licensed child care home in Conroe, Texas 77304

9526 Chasewood Blvd, Conroe, Texas 77304. (281) 787-1542.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 8 deficiencies in 2 months of the last 36. Last cited Jan 2026. Most serious: Medium 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?

8 deficiencies cited in the last three years

The middle of the 232 child care providers in Montgomery County had 3.

7 inspections on record. The latest, on Jan 22, 2026: no violation found.

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

8 deficiencies in 2 months of the last 36. Last cited Jan 2026. Most serious: Medium High. The last 3 years, to Nov 5, 2026.

8 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 Texas’s words

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

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Jan 20, 2026: inspection4 deficiencies
  • Sanitation of Building, Grounds and Equipment

    “It was observed there were multiple holes in the fence in the ourdoor play area that need fixed.”

    Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2026. Correction verified: Feb 9, 2026.

  • Primary Caregiver Annual Training -30 Hours Required

    “The primary caregiver is missing 10 clock hours for the last complete training year (10/26/24-10/26/25).”

    Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2026. Correction verified: Jan 21, 2026.

  • Records Maintained and Made Available - Infant Feeding Instructions

    “There was not documentation of written feeding instructions for two infants in care that require them.”

    Rule 747.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2026. Correction verified: Jan 21, 2026.

  • Records Maintained and Made Available - Safety Drills Documentation

    “There was not documentation available for safety drills and checking the detectors.”

    Rule 747.801(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2026. Correction verified: Jan 21, 2026.

Jan 12, 2026: report to the state1 deficiency
  • Child/Caregiver Ratio - Licensed Child Care Home

    “The primary caregiver was out of ratio during the investigation inspection as she was alone caring for two infants and eight children between 18 months old and 3 years old for a total of 10 children which was over by 3 children based on the ages of children she had in care. The primary caregiver acknowledged knowing she was out of ratio due to losing a staff member and not having any other help available at this time.”

    Rule 747.1801. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2026. Correction verified: Jan 22, 2026.

Feb 28, 2025: inspection3 deficiencies
  • Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

    “There was no documentation that the assistant caregiver has current and compliant first aid and CPR.”

    Rule 747.1313(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 4, 2025.

  • Child/Caregiver Ratio - Licensed Child Care Home

    “The operation was out of ratio and had more kids than they should have had based on the ages of the children in care. There were eleven children in care with one caregiver. There were three infants, seven children between 18 months and three years old, and one child 4 years old and up.”

    Rule 747.1801. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Mar 7, 2025.

  • Written Operational Policies - Parent Rights

    “The operational policies do not include the required Parent Rights.”

    Rule 747.501(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 4, 2025.

3 deficiencies older than three years
Jun 17, 2022: inspection3 deficiencies
  • Health Statement on File

    “2 of 4 children’s files evaluated did not have documentation of the required health statement in their files.”

    Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2022. Correction verified: Jun 24, 2022.

  • Required Immunizations Records, Exceptions, and Exemptions Current

    “1 in 4 children’s files evaluated did not have the child’s immunization records in it even though the enrollment form stated they were attached.”

    Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 24, 2022.

  • Personnel Records- Meets Requirements

    “2 of 3 staff files evaluated did not have documentation of meeting the educational requirement, the required affidavit, background check letter, and photo ID.”

    Rule 747.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 24, 2022.

All 8 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jan 22, 2026InspectionNo violation found
Jan 20, 2026Inspection4 deficiencies cited
Jan 12, 2026Report to the state1 deficiency cited
Mar 7, 2025InspectionNo violation found
Feb 28, 2025Inspection3 deficiencies cited
May 10, 2024InspectionNo violation found
Jun 2, 2023InspectionNo violation found
Jun 17, 2022Inspection3 deficiencies cited

Is it licensed?

  • Licensed Child-Care Home, permit issued Sep 12, 2018.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 1 report to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 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.
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 232 child care providers in Montgomery County, the middle value for deficiencies cited in the last three years was 3; this one had 8.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

11 of the 232 in Montgomery County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Saint James Episcopal Day School10
Cindy DavisNot given
The Primrose School of Conroe7
Grandma Hands2
Lisa Marie Hargraves1
Promise Land Day Care Center5
YMCA @ B. B. Rice4
Kids R Here4
Children’s Universe of Lake Conroe6
Ms. Sandy’s Home Childcare This child care provider8
Dawn CerarNot given
Kids R Here Montgomery7

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

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.

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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