Hearth Record

Talitha Koum Nurture Center

A licensed child care center in Waco, Texas 76710

5801 Bishop Dr, Waco, Texas 76710. (254) 753-1144.

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 14 deficiencies in 4 months of the last 36. Last cited Jun 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?

14 deficiencies cited in the last three years

The middle of the 132 child care providers in McLennan County had 6.

6 inspections on record. The latest, on Jun 25, 2026: 4 deficiencies cited.

Rated High by Texas: Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation, at the report to the state on Mar 5, 2026

Rated High by Texas: Policies Comply with Rules, at the inspection on Aug 6, 2025

Source:

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

When those deficiencies happened

14 deficiencies in 4 months of the last 36. Last cited Jun 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

14 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.

Jun 25, 2026: inspection4 deficiencies

  • Inspect Fire Extinguishers Monthly

    “The fire extinguishers had not been checked in May. This was corrected during the inspection when the fire extinguishers were checked by the director.”

    Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 25, 2026.

  • Fire Extinguishers Serviced

    “One of the operation’s fire extinguishers was under-pressurized.”

    Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2026. Correction verified: Jul 22, 2026.

  • Children’s Records Maintained

    “One child was missing a health statement and parent phone number, and two children needed updated immunization records.”

    Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Jul 22, 2026.

  • Required Personnel Records

    “One staff member did not have proof of education on file, and two staff members did not have statements that they received the center policies and attended orientation with an overview of the operation’s abuse and neglect policies.”

    Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2026. Correction verified: Jul 13, 2026.

Mar 26, 2026: inspection2 deficiencies

  • Naptime Child/Caregiver Ratio - Additional Employee Required

    “There was no additional employee available during naptime. This was corrected during the inspection when an additional caregiver returned from lunch break.”

    Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2026. Correction verified: Apr 8, 2026.

  • Children’s Records Maintained

    “Out of four children’s records reviewed, three were missing an admission date, one was missing healthcare information and an authorization for emergency medical treatment, one was missing a health statement, and all of them were missing immunization records.”

    Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2026. Correction verified: May 4, 2026.

Mar 5, 2026: report to the state1 deficiency

  • Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

    “During the DFPS investigation, there was sufficient evidence found to determine that concerns of abuse were brought to an employee’s attention on 3/2/26, and the employee did not make a report to DFPS until 3/6/26.”

    Rule 746.1201(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 6, 2026. Correction verified: Apr 8, 2026.

Jan 8, 2026: inspection4 deficiencies

  • Fire Drill Monthly - Exit in 3 Minutes

    “The operation had not completed a fire drill yet.”

    Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2026. Correction verified: Jan 9, 2026.

  • Emergency Evacuation and Relocation Diagram - Posted in Each Room

    “Two of the classrooms did not have an evacuation diagram posted in them.”

    Rule 746.5207(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2026. Correction verified: Jan 9, 2026.

  • Inspect Fire Extinguishers Monthly

    “The operation’s fire extinguishers had not been checked. This was corrected during the inspection when the fire extinguishers were checked and their needles were in the green.”

    Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 8, 2026.

  • Posting Requirements - Daily menu, including all snacks and meals served by the child care center

    “The operation’s menu was not posted. This was corrected during the inspection when a weekly menu was posted.”

    Rule 746.401(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 8, 2026.

Aug 6, 2025: inspection3 deficiencies

  • Policies Comply with Rules

    “The parent handbook was missing several of the required policies and procedures.”

    Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2025. Correction verified: Sep 8, 2025.

  • Safety - Areas Free From Hazards

    “The fence on the largest playground had two gaps at the bottom that were large enough for a small child to get stuck in. The wire at the bottom of the infant playground fencing had come loose in one section. There were also live ant hills on the infant playground.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2025. Correction verified: Sep 5, 2025.

  • Children’s Products- Review list and Remove unsafe products

    “The director had not reviewed the CPSC recall list.”

    Rule 746.4135(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2025. Correction verified: Aug 29, 2025.

All 7 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jun 25, 2026Inspection4 deficiencies cited
Apr 8, 2026InspectionNo violation found
Mar 26, 2026Inspection2 deficiencies cited
Mar 5, 2026Report to the state1 deficiency cited
Jan 8, 2026Inspection4 deficiencies cited
Jan 5, 2026InspectionNo violation found
Aug 6, 2025Inspection3 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Aug 24, 2026.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 43 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?

  • Texas Rising Star: 4-Star (the highest of three levels).
Source:

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

How does it compare nearby?

  • Among 132 child care providers in McLennan County, the middle value for deficiencies cited in the last three years was 6; this one had 14.
Source:

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

11 of the 132 in McLennan County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Turtle Creek Kids2
Kingdom Kids Day Care & Academy18
Elvia Turrubiartes12
Infants 1236
Lake Air YMCA of Central Texas1
Eoac New Road Head Start/Early Head Start17
Hillcrest YMCA of Central Texas6
Mountainview YMCA of Central Texas1
Parkdale YMCA of Central Texas5
Crestview YMCA of Central Texas1
Talitha Koum Nurture Center This child care provider14
Little Christian Academy III8

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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