Sandra Lievers

A registered child care home in Killeen, Texas 76543

3104 June St, Killeen, Texas 76543. (254) 251-1548.

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The short answer

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

10 deficiencies cited in the last three years Middle in Bell County: 2
2 rated High by Texas, its most serious level (needs attention)
4 inspections on record
3-Star Texas Rising Star rating

The last 24 months 10 deficiencies in 2 months of the last 36. Last cited Oct 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?

10 deficiencies cited in the last three years

The middle of the 237 child care providers in Bell County had 2.

4 inspections on record. The latest, on Oct 23, 2026: outcome pending.

Rated High by Texas: Protective Barriers Around Porches or Platforms, at the inspection on Oct 29, 2025

Rated High by Texas: AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605, at the inspection on Jan 25, 2024

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

When those deficiencies happened

10 deficiencies in 2 months of the last 36. Last cited Oct 2025. Most serious: High. The last 3 years, to Nov 5, 2026.

10 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												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	Nov

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 Nov 5, 2026. Updated daily.

Oct 29, 2025: inspection6 deficiencies

Protective Barriers Around Porches or Platforms

“The porch in the outside area does not contain a protective barrier.”

Rule 747.4401(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 7, 2025.
Safety - Areas Free From Hazards

“Ant hills were observed in the back yard in the areas children have access to.”

Rule 747.3501. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 4, 2025.
Fire Drill Monthly - Exit in 3 Minutes

“The fire drills conducted did not meet the required exit time.”

Rule 747.5005(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 7, 2025.
Written Activity Plan - Develop and Follow

“The operation did not have a written activity plan.”

Rule 747.2102(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 7, 2025.
Written Operational Policies - Emergencies

“The operation did not have written operational policies.”

Rule 747.501(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Jan 28, 2026.
Children’s Records - Admission Information

“One of the children enrolled did not have an admission form.”

Rule 747.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 7, 2025.

Jan 25, 2024: inspection4 deficiencies

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“The homeowners son was present at the home without an active background check.”

Rule 745.621(a)(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2024. Correction verified: Jan 26, 2024.
Fire Drill Monthly - Exit in 3 Minutes

“A fire drill has not been conducted since June of 2023.”

Rule 747.5005(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2024. Correction verified: Mar 25, 2024.
Required Admission Information - Name and Birthdate

“Two of the children enrolled at the operation did not have admission information.”

Rule 747.605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2024. Correction verified: Mar 6, 2024.
Primary Caregiver Annual Training -30 Hours Required

“The caregiver did not obtain 30 annual training hours.”

Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2024. Correction verified: Apr 22, 2024.

4 deficiencies older than three years

Jan 11, 2022: inspection4 deficiencies

Smoke Detectors Testing

“During the monitoring inspection it was found that the operation had not documented that they had checked their smoke detectors since 09/2021. These must be checked to ensure working order monthly and the check must be documented.”

Rule 747.5115. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2022.
Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR

“During the inspection it was found that the primary caregiver’s CPR and First Aid certification had expired 07/2021.”

Rule 747.1007(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 31, 2022.
Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible

“During the walk through of the inspection cleaning supplies were observed to be stored underneath an unlocked bathroom sink. This was corrected at inspection when it was moved up on a high bathroom shelf.”

Rule 747.3203(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2022.
Diaper Changing Equipment - No Play or Eating Surfaces Used

“During the montoring inspection it was observed that the operation uses a ottomon to change diapers.”

Rule 747.3303(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Jan 19, 2022.

All 4 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Oct 23, 2026	Inspection	Outcome pending
Oct 29, 2025	Inspection	6 deficiencies cited
Jan 25, 2024	Inspection	4 deficiencies cited
Jan 11, 2022	Inspection	4 deficiencies cited

Is it licensed?

Registered Child-Care Home, permit issued Nov 5, 2018.
Accepts state child care subsidies.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 6 children.

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.
0 reports to the state on record; Texas doesn’t publish whether they were .

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?

Texas Rising Star: 3-Star (the middle of three levels).

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

How does it compare nearby?

Among 237 child care providers in Bell County, the middle value for deficiencies cited in the last three years was 2; this one had 10.

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

11 of the 237 in Bell County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
God’s Promise	6
Huggable Home Preschool	3
Alcira Fontenot	7
Haybranch Elementary YMCA	1
Kingdoms Treasure’s Learning Center	1
Peebles Elementary YMCA	0
Sandra Lievers This child care provider	10
Brookhaven Elementary YMCA	1
First Start Childcare Learning Center LLC	8
Delorse Hudson	Not given
Marlboro Heights Head Start	3
Georgellen Cay Crum	Not given

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 Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Workforce Commission, Subsidy providers and Texas Rising Star.

Released Nov 5, 2026 and checked Nov 5, 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 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.