Hearth Record

Maria Nancy Patricio Avila

A registered child care home in Clarksville, Texas 75426

909 W Washington St, Clarksville, Texas 75426. (903) 905-2299.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Oct 24, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited May 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?

  • 3 inspections on record, the latest on May 11, 2026.
  • 3 deficiencies cited in the last three years, 1 of them rated High by Texas.

Rated High by Texas: Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules, at the inspection on May 1, 2025

Source:

Texas HHSC, inspections and investigations and deficiencies (non-compliance data). Released Oct 24, 2026. Updated daily.

When those deficiencies happened

3 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: High. The last 3 years, to Oct 24, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

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 Oct 24, 2026. Updated daily.

May 1, 2025: inspection3 deficiencies

  • Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

    “The operation had a crib that was hand built/made and does not meet the applicable federal rules at Title 16, Code of Federal Regulations, Parts 1219 or 1220.”

    Rule 747.2309(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2025. Correction verified: May 13, 2025.

  • Animals at Center - Statement of Health from Veterinarian

    “The operation did not have a statement of health from a local veterinarian on file for the dog at the home.”

    Rule 747.3703(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2025. Correction verified: May 5, 2025.

  • Personnel Records for Household Members - Orientation

    “One household member did not have documentation verifying orientation to the child-care home was completed.”

    Rule 747.905(2). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2025. Correction verified: May 5, 2025.

All 3 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 11, 2026InspectionNo violation found
May 13, 2025InspectionNo violation found
May 1, 2025Inspection3 deficiencies cited

Is it licensed?

  • Registered Child-Care Home, permit issued May 30, 2025.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 12 children.
Source:

Texas HHSC, child care operations. Released Oct 24, 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 .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Oct 24, 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 star-rated in Texas Rising Star (TWC’s code: ELD).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Oct 24, 2026. Updated daily.

How does it compare nearby?

  • There aren’t enough providers in this county to compare.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Oct 24, 2026. Updated daily.

2 compared
PlaceDeficiencies, 3 years
Donna DilbeckNot given
Maria Nancy Patricio Avila This child care provider3

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 Oct 24, 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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