Little Stars Learning Center

Director Responsibilities - Operate in Compliance

“There are concerns the director is not running the operation per the minimu standards.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During inspection, several small toys were noted in each classroom that posed a choking hazard.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During inspection, small toys that posed a choking hazard were observed in the toddler room.”

Rule 746.2501(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

Director present-Minimum 75%

“During inspection, it was noted the director routinely is present at the operation for less than 30 hours a week.”

Rule 746.1011(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

Diaper Changing Steps- Prompt

“During inspection, two children in the toddler room were sat at the lunch table and not promptly changed.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

Required Records Maintained and Made Available - Employees’ Attendance

“During inspection, it was noted a caregiver clocked in one time on September 10, 2026 and did not clock back out. Despite being at the operation on a regular basis, there is no time or attendance records for this employee”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 9, 2026.

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

“At the time of inspection, information was obtained that a caregiver did not ensure the door to the lobby was closed and did not ensure the classroom caregiver was aware the child was present, resulting in the child leaving the center, walking through the parking lot and toward the roadway.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2026. Correction verified: Oct 27, 2026.

Responsibilities of Caregivers - Know children responsible for

“At the time of inspection, a caregiver did not ensure that the caregiver in charge of the classroom was in charge of a child who had just arrived. The transfer of caregiver responsibilities was not complete, resulting in a child leaving the operation unsupervised.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2026. Correction verified: Oct 27, 2026.

Parental Communication - Situation that Placed a Child at Risk

“A child eloped from the operation at 8:47am. The parent was not notified of the incident until 2:00pm.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2026. Correction verified: Oct 27, 2026.

Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During inspection, several small dinosaur toys were observed on the floor of the infant room. The items were accesible to the children being cared for. The children were 15 months - 2 years of age.”

Rule 746.2501(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 9, 2026.

Infant Care Area Furnishings and Equipment - Adult-sized Chair

“At the time of inspection, no adult chairs or rockers were located in the classroom. No cribs were located in the classroom. No child sized chairs were located in the classroom.”

Rule 746.2405(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

Employee Handwashing After Diapering a Child

“During inspection, a caregiver was observed not washing her hands after diapering. The same caregiver was observed attempting to change another child’s diapers without changing gloves used to diaper the prevoious child or washing their hands between diaper changes. .”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 9, 2026.

Children Handwashing After Toileting or Diapering

“At the time of inspection, caregiver was observed completing a diaper change and not washing the child’s hands. Caregiver had to be reminded to complete this task.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 9, 2026.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver was observed not sanitizing the changing table. The caregiver finished changing one child, did not sanitize the changing table before going to get another child to change in the same space.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 9, 2026.

Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

“During inspection, minimal toys and activities were observed. All toys and activities had been removed from the classroom area used in the morning.”

Rule 746.2605(1)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

Responsibilities of Employees and Caregivers -Relate to Children

“A child with special needs was described as “unrelenting” with “unmanageable behaviors.” Concerns were expressed caregivers did not exhibit patience with the child. Caregivers were did not relate to this child with acceptance or patience.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2026. Correction verified: Oct 27, 2026.

Provide care consistent with child’s habits, interests, strengths, special needs, including any special supervision needs

“Caregivers removed all the toys out of a classroom after a child with special needs was throwing them. Caregivers were unable to provide the supervision or care that was consistent with the child’s individual needs.”

Rule 746.1203(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2026. Correction verified: Oct 27, 2026.

Planned activities designed to meet special care needs-Care in a natural environment

“During the investigation, it was learned all the toys and activities had been removed from a classroom where children were being cared for after a child with special needs was throwing them. The child with special needs is non-verbal and communicates via iPad. This device was removed. During interviews, staff were unable to state what adaptations had been made to accommodate care of the child with special needs in a natural environment that was not punitive in nature.”

Rule 746.2202(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2026. Correction verified: Oct 27, 2026.

Required Equipment in Vehicles - Fire Extinguisher

“During inspection, the fire extinguisher was not secured in the van.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2026. Correction verified: Sep 1, 2026.

Electronic Child Safety Alarm - Driver or designated employee conduct walk-through and visual check of vehicle

“Driver must complete a walk through of van after unloading to ensure there are no chidlren present.”

Rule 746.5625(d)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2026. Correction verified: Aug 24, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“A caregiver was providing unsupervised care for children during nap time and did not have CPR or First Aid Certification.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 3, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“During inspection, 4 caregivers still needed to obtain hands on CPR training.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 3, 2026.

Safety Requirements for Cribs - Snug Fitting Sheets

“During inspection, two chidlren were sleeping in cribs without sheets on the matresses.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2026. Correction verified: Aug 24, 2026.

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

“Children went into restroom without visual supervision being present.”

Rule 746.1205(a)(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 21, 2026.

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

“A caregiver was not providing visual awareness of the child leaving the classroom causing the child to run out the front door of the operation.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2026. Correction verified: Aug 18, 2026.

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

“It was determined that a caregiver did not practice good judgement in their interaction with children.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jul 9, 2026.

Children’s Records Maintained

“Children files were not maintained due to recent and transferred enrollments.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jul 28, 2026.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Classrooms were missing emergency evaucation and relocation diagram.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 5, 2026.

Maintenance of Building, Grounds and Equipment

“A step outside of the school age building has an exposed nail and broken wood.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Dec 3, 2025.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“The wooden play structure has nails sticking up, damaged wood, and peeling paint.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Dec 3, 2025.