Handprints Child Care 11 LLC

A licensed child care center in Cleburne, Texas 76033

1004 Spell Ave, Cleburne, Texas 76033. (817) 645-4220.

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The short answer

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

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

The last 24 months 19 deficiencies in 7 months of the last 36. Last cited Jul 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?

19 deficiencies cited in the last three years

The middle of the 55 child care providers in Johnson County had 2.

23 inspections on record. The latest, on Aug 19, 2026: no violation found.

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Jul 14, 2026

Rated High by Texas: Infant May Not Sleep in a Restrictive Device, at the inspection on Dec 16, 2025

Rated High by Texas: AP Background check results - Must receive notification prior to allowing subject to be present at your operation, at the inspection on Feb 10, 2025

1 more rated High; all are listed below.

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

When those deficiencies happened

19 deficiencies in 7 months of the last 36. Last cited Jul 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

19 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.

Jul 16, 2026: inspection2 deficiencies

Requirements for Feeding Infants - Label Bottles/Cups

“Two infant bottles were observed at time of investigation inspection not labeled with first name and last initial. This was corrected at time of inspection when bottles were labeled by caregiver.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 16, 2026.
Adequate Lighting During Naptime

“During nap time a classroom was observed without adequate lighting. This was corrected when the daycare added a lamp at time of inspection.”

Rule 746.2911. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 16, 2026.

Jul 14, 2026: report to the state1 deficiency

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Two children within the age range of ages served by the operation were unsupervised at the front lobby for approximately 3 or more minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2026. Correction verified: Aug 19, 2026.

Jan 8, 2026: report to the state2 deficiencies

Nutrition and Food Service - Follow Meal Patterns

“Based on the information obtained, it was determined that required meal patterns have not been met consistently, beginning end of 2025 into 2026.”

Rule 746.3301(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2026. Correction verified: Jan 22, 2026.
Nutrition and Food Service - Second Serving

“Based on the information obtained, it was determined that second servings of required meal components have not been available consistently, beginning end of 2025 into 2026.”

Rule 746.3301(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2026. Correction verified: Jan 22, 2026.

Dec 22, 2025: inspection1 deficiency

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“A caregiver did not have proof of 24 hours of annual training on file.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Dec 30, 2025.

Dec 16, 2025: inspection3 deficiencies

Infant May Not Sleep in a Restrictive Device

“An infant was observed sleeping in a restrictive device. The caregiver stated that the infant had been asleep for approximately 30 minutes. The caregiver proceeded to remove the infant from the restrictive device once notified of the deficiency.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 22, 2025.
Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation

“Testing of the downstairs and upstairs carbon monoxide detectors were not documented. The detectors were tested during inspection and were working.”

Rule 746.5537(a)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 16, 2025.
First Aid Kit Incomplete - Thermometer, preferably non-glass

“The vehicle used for transportation on the day of inspection did not have a working thermometer.”

Rule 746.4003(a)(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 22, 2025.

Jun 30, 2025: inspection1 deficiency

Requirement of Gas Leak Inspection

“The 2 year gas leak inspection is past due. The last inspection was on 3/6/2023.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 24, 2025.

Feb 20, 2025: inspection1 deficiency

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“One caregiver who transports children did not have current transportation training. This was corrected with the caregiver completing the training during the inspection.”

Rule 746.1316(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 20, 2025.

Feb 10, 2025: inspection1 deficiency

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“One employee had access to children in care prior to the operation receiving a background check result of eligible, eligible with conditions, or provisionally eligible. The employee was excluded from being present at the time of inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 10, 2025.

Feb 6, 2025: inspection1 deficiency

Annual Sanitation Inspection

“The annual health inspection was past due.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2025. Correction verified: Feb 20, 2025.

Jan 30, 2025: report to the state1 deficiency

Prohibited Punishments - Grabbing and Pulling

“It was determined that there was sufficient evidence that a caregiver grabbed and pulled a child by the arm and shirt to redirect the child when not following the caregiver’s directions.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2025. Correction verified: Feb 20, 2025.

Apr 23, 2024: inspection2 deficiencies

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“2 caregivers did not have all required 24 hours of annual training for their last complete training period.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2024. Correction verified: May 10, 2024.
Required Admission Information - Emergency Contact

“Two children’s records were missing full emergency contact information.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: May 6, 2024.

Apr 17, 2024: inspection3 deficiencies

Sheltering Drill For Severe Weather-Four times a calendar year

“The operation needed one more severe weather drill for 2023.”

Rule 746.5205(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: May 6, 2024.
Sheltering Drills for Lock-Down-4 times in a calendar year

“The operation needed 3 more lock-down drills for 2023.”

Rule 746.5205(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: May 6, 2024.
Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“Carbon monoxide detectors were not documented as tested from January through March of 2024. The detectors was tested during the inspection and working properly.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 17, 2024.

20 deficiencies older than three years

Apr 10, 2023: inspection1 deficiency

Children’s Records - Immunizations

“Two children’s immunization records were not current.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: Apr 24, 2023.

Nov 4, 2022: report to the state1 deficiency

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“The operation’s driver did not use good judgment while transporting children, as the driver failed to yield the right of way to another car. The act resulted in a two-vehicle collision between the operation’s bus and the other car. The operation’s driver was issued a citation.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 22, 2022.

Aug 22, 2022: inspection4 deficiencies

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Two caregivers did not have pediatric first aid training on file.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 6, 2022.
Each Caregiver and the Director Must Have Current Training in pediatric CPR

“Two caregivers did not have pediatric CPR training on file.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 6, 2022.
Fire Drill Monthly - Exit in 3 Minutes

“Fire drills between January and August 2022 did not meet the required evacuation time of 3 minutes. The recorded evacuation times were between 3.5 minutes to 4.5 minutes.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Aug 31, 2022.
Children’s Records - Health Statement

“Two children did not have a health statement on file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Aug 31, 2022.

Jul 18, 2022: inspection1 deficiency

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“An infant under 12 months old was observed swaddled while asleep in their crib.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Jul 27, 2022.

Jul 14, 2022: report to the state1 deficiency

Discipline - Positive Methods of Discipline and Guidance

“It was determined that a caregiver did not redirect a child using positive methods of redirection, such as with appropriate verbal redirection.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 10, 2022.

Mar 10, 2022: inspection4 deficiencies

Training Requirements for Employees and Caregivers - Pre-service Training

“Out of ten files reviewed, four staff members did not have Pre-Service training available for review at the time of inspection.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 16, 2022.
Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child had a formed signed by a doctor stating a food allergies, but there was no food allergy plan available for review at the time of inspection.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 16, 2022.
Documented Annual Training- Required Content

“Out of ten staff files reviewed, nine staff did not have the required content annual training available at the time of inspection.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 16, 2022.
Children’s Records - Immunizations

“Out of ten files reviewed, two children were not current on their immunizations.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 16, 2022.

Feb 25, 2022: inspection8 deficiencies

Training Requirements for Employees and Caregivers - Pre-service Training

“Out of ten files reviewed, four staff members did not have Pre-Service training available for review at the time of inspection.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.
Garbage Inaccessible to Children; Maintained in Sanitary Manner

“A garbage can in a restroom had no lid and a used diaper in the garbage can that was accessible to children.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2022. Correction verified: Mar 10, 2022.
Safety - Play Materials and Equipment Safe

“There were broken materials on the playground, and a fence panel that was missing and broken.”

Rule 746.3701(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.
Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child had a formed signed by a doctor stating a food allergies, but there was no food allergy plan available for review at the time of inspection.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.
Required Postings-Child’s Food Allergies

“One children with a documented food allergy was not listed on the food allergy posting on the wall at the time of inspection.”

Rule 746.401(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2022. Correction verified: Mar 10, 2022.
Documented Annual Training- Required Content

“Out of ten staff files reviewed, nine staff did not have the required content annual training available at the time of inspection.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.
Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“A monthly checklist was not available for review at the time of inspection.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.
Children’s Records - Immunizations

“Out of ten files reviewed, two children were not current on their immunizations.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.

All 31 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Aug 19, 2026	Inspection	No violation found
Jul 29, 2026	Inspection	No violation found
Jul 16, 2026	Inspection	2 deficiencies cited
Jul 14, 2026	Report to the state	1 deficiency cited
Jan 22, 2026	Inspection	No violation found
Jan 13, 2026	Inspection	No violation found
Jan 8, 2026	Report to the state	2 deficiencies cited
Dec 22, 2025	Inspection	1 deficiency cited
Dec 16, 2025	Inspection	3 deficiencies cited
Jun 30, 2025	Inspection	1 deficiency cited
Jun 27, 2025	Report to the state	No violation found
Mar 25, 2025	Inspection	No violation found
Mar 24, 2025	Report to the state	No violation found
Feb 20, 2025	Inspection	1 deficiency cited
Feb 10, 2025	Inspection	1 deficiency cited
Feb 6, 2025	Inspection	1 deficiency cited
Jan 30, 2025	Report to the state	1 deficiency cited
Apr 23, 2024	Inspection	2 deficiencies cited
Apr 17, 2024	Inspection	3 deficiencies cited
May 24, 2023	Inspection	No violation found
Apr 10, 2023	Inspection	1 deficiency cited
Nov 22, 2022	Inspection	No violation found
Nov 4, 2022	Report to the state	1 deficiency cited
Aug 22, 2022	Inspection	4 deficiencies cited
Aug 10, 2022	Inspection	No violation found
Aug 3, 2022	Report to the state	No violation found
Jul 27, 2022	Inspection	No violation found
Jul 18, 2022	Inspection	1 deficiency cited
Jul 14, 2022	Report to the state	1 deficiency cited
Mar 10, 2022	Inspection	4 deficiencies cited
Feb 25, 2022	Inspection	8 deficiencies cited

Is it licensed?

Licensed Center, permit issued Mar 19, 2021.
Accepts state child care subsidies.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 319 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.
8 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 55 child care providers in Johnson County, the middle value for deficiencies cited in the last three years was 2; this one had 19.

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

11 of the 55 in Johnson County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Little Tyke - Cleburne	3
Punkin Patch Day Care	7
Bambino City Montessori Academy, LLC	2
Mrs Jenniffer’s Childcare	2
Next Generation School	3
Handprints Child Care 11 LLC This child care provider	19
Bright Beginnings Learning Center	1
Jackie Ream	Not given
Yvonna Derington	3
Stepping Stones Learning Academy	2
Mamo?s Magical Monkey?s	0
Bisd School for Early Learning	3

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.