Twila Wade

A registered child care home in Little Elm, Texas 75068

2221 Castle Creek Dr, Little Elm, Texas 75068. (972) 346-2312.

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The short answer

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

5 deficiencies cited in the last three years Middle in Denton County: 3
1 rated High by Texas, its most serious level (needs attention)
4 inspections on record
Not rated Texas Rising Star rating

The last 24 months 5 deficiencies in 2 months of the last 36. Last cited Jan 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?

5 deficiencies cited in the last three years

The middle of the 490 child care providers in Denton County had 3.

4 inspections on record. The latest, on Jan 15, 2025: 4 deficiencies cited.

Rated High by Texas: AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter, at the inspection on Mar 4, 2024

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

When those deficiencies happened

5 deficiencies in 2 months of the last 36. Last cited Jan 2025. 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.
	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.

Jan 15, 2025: inspection4 deficiencies

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with food allergies lacked a food allergy plan.”

Rule 747.3619. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2025. Correction verified: Jan 30, 2025.
Primary Caregiver Annual Training - Required Special Topics without specific hours

“The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2025. Correction verified: Jan 17, 2025.
Children’s Products- Annual Certification

“Form 2885, pertaining to Children’s Product Certification, has not been revised since 02/03/2023.”

Rule 747.3935(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2025. Correction verified: Jan 30, 2025.
Written Operational Policies - Parent Rights

“The operational policies lacked details regarding “parents’ rights”.”

Rule 747.501(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2025. Correction verified: Jan 30, 2025.

Mar 4, 2024: inspection1 deficiency

AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

“The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.”

Rule 745.635(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2024. Correction verified: Mar 5, 2024.

12 deficiencies older than three years

Feb 16, 2023: inspection5 deficiencies

Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children

“A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.”

Rule 747.3505(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 21, 2023.
Emergency Preparedness Plan - Communication Procedures

The inspectors’ words, 110 words
“The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released”

Rule 747.5003(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 21, 2023.
Primary Caregiver Annual Training - Required Special Topics without specific hours

“The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 23, 2023.
Children’s Records - Health Statement

“3 out of 4 child files reviewed did not contain current health statements from the child’s physician after being enrolled for 12 months.”

Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 24, 2023.
Required Immunizations Records, Exceptions, and Exemptions Current

“One child did not have updated immunization available during the inspection.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 21, 2023.

Feb 3, 2023: inspection7 deficiencies

Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children

“A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.”

Rule 747.3505(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2023. Correction verified: Feb 16, 2023.
Emergency Preparedness Plan - Communication Procedures

The inspectors’ words, 110 words
“The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released”

Rule 747.5003(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Feb 16, 2023.
Primary Caregiver Annual Training - Required Special Topics without specific hours

“The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 16, 2023.
Household Members Qualifications - Orientation

“A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.”

Rule 747.1401(a)(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2023.
Screen Time Activities - Not Used for Under Two

“Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2023.
Children’s Records - Health Statement

“4 out of 4 child files reviewed did not contain current health statements from the child’s physician after being enrolled for 12 months.”

Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 16, 2023.
Required Immunizations Records, Exceptions, and Exemptions Current

“One child did not have updated immunization available during the inspection.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 16, 2023.

All 4 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Jan 15, 2025	Inspection	4 deficiencies cited
Mar 4, 2024	Inspection	1 deficiency cited
Feb 16, 2023	Inspection	5 deficiencies cited
Feb 3, 2023	Inspection	7 deficiencies cited

Is it licensed?

Registered Child-Care Home, permit issued Nov 15, 1996.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 12 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?

Not rated in Texas Rising Star.

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

How does it compare nearby?

Among 490 child care providers in Denton County, the middle value for deficiencies cited in the last three years was 3; this one had 5.

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

12 of the 490 in Denton County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Twila Wade This child care provider	5
Robins Nest Montessori School	1
Arise & Shine Childcare	0
Leisd Childcare Programs @ Herschel Zellars Center	2
Brandy Hoyt	13
Chetna Thanki	Not given
Kiddie Academy of Little Elm	24
Alphabest @ Miller ? Frisco	32
Crossridge Preschool Academy	6
Yesenia Martinez	Not given
The Montessori Learning House Bilingual School	7
The Children’s Lighthouse of Oak Point	2
Happy Kids Montessori Childcare	7

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.