Hearth Record

Ashwinee Ramkissoon

A registered child care home in Frisco, Texas 75035

13121 Ambrose Dr, Frisco, Texas 75035. (214) 756-0887.

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 5 deficiencies in 1 month of the last 36. Last cited May 2026. 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?

5 deficiencies cited in the last three years

The middle of the 647 child care providers in Collin County had 2.

19 inspections on record. The latest, on May 22, 2026: no violation found.

Rated High by Texas: Required Admission Information - Emergency Medical Authorization, at the inspection on May 12, 2026

Source:

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

When those deficiencies happened

5 deficiencies in 1 month of the last 36. Last cited May 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

5 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.

May 12, 2026: inspection5 deficiencies

  • Required Admission Information - Emergency Medical Authorization

    “4 child files were reviewed today. 1 child needs emergency care authorization for admission form.”

    Rule 747.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2026. Correction verified: May 22, 2026.

  • Nutrition and Food Service - Follow Meal Patterns

    “Lunch served today didn’t follow the required meal pattern.”

    Rule 747.3101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2026. Correction verified: May 22, 2026.

  • Required Admission Information - Emergency Contact

    “4 child files were reviewed. 1 child needs an address for listed emergency contact.”

    Rule 747.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2026. Correction verified: May 22, 2026.

  • Primary Caregiver Annual Training - Required Special Topics without specific hours

    “Building and physical premises safety is needed for required annual trainings.”

    Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2026. Correction verified: May 22, 2026.

  • Required Admission Information - Physician Information

    “4 child files were reviewed. 1 child needs physician or emergency facility information for admission form.”

    Rule 747.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2026. Correction verified: May 22, 2026.

10 deficiencies older than three years
Jun 14, 2023: inspection2 deficiencies

  • Required Admission Information - Emergency Medical Authorization

    “Out of 4 children files reviewed, 3 of them did not have medical authorization filled out.”

    Rule 747.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jun 23, 2023.

  • Required Health Statement

    “Out of the 4 files reviewed, 2 were missing health statements signed by parents.”

    Rule 747.611(a). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jun 23, 2023.

Aug 15, 2022: inspection1 deficiency

  • Screen Time Activities - Not Used for Under Two

    “The TV was observed on in the classroom with children under 2 years old present.”

    Rule 747.2105(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2022. Correction verified: Aug 23, 2022.

Jul 11, 2022: inspection1 deficiency

  • Children’s Records - Enrollment Agreement

    “The provider had 3 grandchildren that are counted in ratio. However she did not have enrollment files on the 3 children.”

    Rule 747.603(a)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2022. Correction verified: Jul 22, 2022.

Apr 18, 2022: inspection2 deficiencies

  • Required Immunizations

    “Out of the four files reviewed, 2 (Arjun & Zoey) were found to not have immuniztion records on file.”

    Rule 747.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2022. Correction verified: Apr 26, 2022.

  • Written Operational Policies - Promotion of Physical Activity

    “Written operational policies were missing the promotion of physical activities.”

    Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: Apr 26, 2022.

Mar 9, 2022: inspection1 deficiency

  • Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR

    “The CPR certification is overdue.”

    Rule 747.1303(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 24, 2022.

Nov 12, 2021: inspection3 deficiencies

  • Child/ Caregiver Ratio - Registered Child Care Home

    “The operation was 2 children over ratio for an RCCH. Children were Adiyogi B. (5/20/17, 4yrs), George H. (5/18/21, 5mo), Cove T. (4/22/20, 18mo), Crew T. (6/23/21, 4mo), Riya D. (10/23/18, 3yrs), Ryan A. (1/9/20, 22mo), Inaya A. (3/24/18, 3.5yrs), Rhett R. (9/3/19, 2yrs).”

    Rule 747.1701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 22, 2021.

  • Safety - Electrical Outlets Covered

    “There was an outlet uncovered in the children’s playroom that was accessible. Caregiver corrected this during the inspection.”

    Rule 747.3501(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 12, 2021.

  • Sign-in and Sign-out Logs Maintained

    “There was no sign in/out logs kept on file at the operation.”

    Rule 747.635(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2021. Correction verified: Nov 15, 2021.

All 20 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 22, 2026InspectionNo violation found
May 12, 2026Inspection5 deficiencies cited
Jun 6, 2024InspectionNo violation found
Jan 23, 2024InspectionNo violation found
Jan 22, 2024Report to the stateNo violation found
Jun 14, 2023Inspection2 deficiencies cited
Dec 27, 2022InspectionNo violation found
Nov 29, 2022InspectionNo violation found
Oct 13, 2022InspectionNo violation found
Sep 15, 2022InspectionNo violation found
Aug 23, 2022InspectionNo violation found
Aug 15, 2022Inspection1 deficiency cited
Jul 22, 2022InspectionNo violation found
Jul 11, 2022Inspection1 deficiency cited
Jun 27, 2022InspectionNo violation found
May 19, 2022InspectionNo violation found
Apr 18, 2022Inspection2 deficiencies cited
Mar 9, 2022Inspection1 deficiency cited
Nov 22, 2021InspectionNo violation found
Nov 12, 2021Inspection3 deficiencies cited

Is it licensed?

  • Registered Child-Care Home, permit issued Apr 15, 2021.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 12 children.
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 647 child care providers in Collin County, the middle value for deficiencies cited in the last three years was 2; this one had 5.
Source:

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

12 of the 647 in Collin County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Ashwinee Ramkissoon This child care provider5
Childrens Lighthouse of Panther Creek25
Alphabest @ Mcspedden- Frisco1
Aspiring Minds Montessori6
Schoolhouse 2260
Cristinas Day Care0
YMCA @ Norris Elementary11
Primrose School of Frisco at Independence6
Bibha Rani Sarma2
Addy’s Bilingual Childcare0
Alpha Montessori House4
Amazing Childrens Montessori2
Bright Star Montessori6

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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