Almost Grandma’s Childcare LLC
A licensed child care center in Van Alstyne, Texas 75495
1015 Spence Road, Van Alstyne, Texas 75495. (903) 482-4103.
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The short answer
Record last released by Texas HHSC on Oct 30, 2026.
- 3 deficiencies cited in the last three years Middle in Grayson County: 2
- 2 rated High by Texas, its most serious level (needs attention)
- 14 inspections on record
- Not rated Texas Rising Star rating
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?
3 deficiencies cited in the last three years
The middle of the 57 child care providers in Grayson County had 2.
14 inspections on record. The latest, on Dec 30, 2025: no violation found.
Rated High by Texas: Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children, at the inspection on Nov 13, 2025
Rated High by Texas: Prohibited Punishments - Grabbing and Pulling, at the report to the state on Sep 17, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Oct 30, 2026. Updated daily.
When those deficiencies happened
3 deficiencies in 3 months of the last 36. Last cited Nov 2025. Most serious: High. The last 3 years, to Oct 30, 2026.
| 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.
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.
Nov 13, 2025: inspection1 deficiency
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Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
“Cleaning supplies were accesible to children in a three year old classroom. The Director relocated the cleaning supplies to a place children cannot reach.”
Mar 26, 2025: report to the state1 deficiency
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Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver
“The operation allowed a 17-year old caregiver to supervise children in care at the operation without another fully qualified caregiver present at all times.”
Sep 17, 2024: report to the state1 deficiency
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Prohibited Punishments - Grabbing and Pulling
“Based on interviews with a victim and the parent, the operation was found not to be in compliance with the standard evaluated. A staff member did not discipline a child appropriately.”
2 deficiencies older than three years
Sep 28, 2023: inspection2 deficiencies
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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 were left unsupervised in a bathroom that was in an unoccupied classroom.”
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Child/ Caregiver Ratio - 13 or More Children
“In one classroom, there were 14 children with one caregiver; the specified age for the classroom was 2 years old.”
All 18 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Dec 30, 2025 | Inspection | No violation found |
| Nov 13, 2025 | Inspection | 1 deficiency cited |
| Nov 11, 2025 | Report to the state | No violation found |
| Jul 23, 2025 | Inspection | No violation found |
| Jul 22, 2025 | Report to the state | No violation found |
| Jun 30, 2025 | Inspection | No violation found |
| Mar 27, 2025 | Inspection | No violation found |
| Mar 26, 2025 | Report to the state | 1 deficiency cited |
| Jan 16, 2025 | Inspection | No violation found |
| Oct 7, 2024 | Inspection | No violation found |
| Sep 19, 2024 | Inspection | No violation found |
| Sep 17, 2024 | Report to the state | 1 deficiency cited |
| Jul 23, 2024 | Inspection | No violation found |
| Dec 14, 2023 | Inspection | No violation found |
| Oct 26, 2023 | Inspection | No violation found |
| Oct 9, 2023 | Inspection | No violation found |
| Sep 28, 2023 | Inspection | 2 deficiencies cited |
| Jul 28, 2023 | Inspection | No violation found |
Is it licensed?
- Licensed Center, permit issued Jan 4, 2024.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 85 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.
- 4 reports to the state on record; Texas doesn’t publish whether they were A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency..
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 57 child care providers in Grayson County, the middle value for deficiencies cited in the last three years was 2; this one had 3.
Texas HHSC, deficiencies (non-compliance data). Released Oct 30, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Almost Grandma’s Childcare LLC This child care provider | 3 |
| Lorrie Leach | Not given |
| Almost Grandmas Childcare LLC | 0 |
| Wee School | 2 |
| Belden Street Montessori School | 0 |
| Childrens Tree Learning Center | 0 |
| Deannes Home Daycare | 3 |
| Tioga Early Childhood Development Center | 2 |
| University of Gymnastics | 2 |
| Jeanne Sloan | 0 |
| Cathryn Schmidt | 0 |
| Tuck Street Early Education Center | 34 |
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).
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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).
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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).
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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
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Replies
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Paid listing
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