Teresa M Ramirez
A registered child care home in Killeen, Texas 76549
2008 Agate Dr, Killeen, Texas 76549. (254) 501-3775.
Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.
The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 1 deficiency cited in the last three years Middle in Bell County: 2
- 1 rated High by Texas, its most serious level (needs attention)
- 6 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?
1 deficiency cited in the last three years
The middle of the 237 child care providers in Bell County had 2.
6 inspections on record. The latest, on Mar 13, 2026: no violation found.
Rated High by Texas: Prohibited Equipment - Trampolines, at the inspection on Apr 3, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Apr 2024. Most serious: High. The last 3 years, to Nov 5, 2026.
| 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.
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.
Apr 3, 2024: inspection1 deficiency
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Prohibited Equipment - Trampolines
“Kids trampoline is 5 feet across with exposed springs. It is 12’ high. Director stated that she will have it gone by tomorrow.”
7 deficiencies older than three years
May 23, 2022: inspection7 deficiencies
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Basic Requirements for Infants - Free from Choking Objects
“An infant aged child was observed wearing an amber necklace. The provider immediately removed the necklace from the child.”
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Smoke-Detection System
“Two rooms, used by children in care, were found to not have smoke detectors installed in them.”
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Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
“It was found the Pediatric CPR training was completed online.”
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Caregiver Handwashing Before Eating or Handling Food
“Provider was observed handlings toys, holding children, then going to the kitchen to prepare food without washing their hands.”
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Safety - Areas Free From Hazards
The inspectors’ words, 187 words
“A set of knives, two bottles of cleaning supplies were found in the kitchen cabinets accessible to children in care.These were removed and stored in an area out of reach of the children in care. The cat food and water bowl was on the dining room floor accessible to the children in care. These were removed and stored in an area out of reach of the children in care. Toothpaste tube was on the bathroom counter and shampoo bottles were on the bathtub in the bathroom used by children in care. These were removed and stored out of reach of the children in care. The yard was found to have the following items not fenced or out of reach of the children in care: 2 push lawn mowers, a riding lawn mower, equipment supplies, rakes, shovels, hoe, debris stored on backside of shed, on the side of the shed, and inside a black short trailer, fire starter liquid was on BBQ pit shelf, shed door had staples protruding from where some frames have come off, and a camper on the ground with items on top of it.”
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Screen Time Activities - Not Used for Under Two
“A child in care, under, the age of two years old, was watching television. The caregiver immediately turned the television off.”
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Storage for Individual Belongings
“Nap mats, used by children in care, were found to be stored in the closet floor.”
All 6 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Mar 13, 2026 | Inspection | No violation found |
| Nov 25, 2025 | Inspection | No violation found |
| Apr 3, 2024 | Inspection | 1 deficiency cited |
| Jun 8, 2022 | Inspection | No violation found |
| May 26, 2022 | Inspection | No violation found |
| May 23, 2022 | Inspection | 7 deficiencies cited |
Is it licensed?
- Registered Child-Care Home, permit issued Jun 18, 1998.
- 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 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 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 237 child care providers in Bell County, the middle value for deficiencies cited in the last three years was 2; this one had 1.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Teresa M Ramirez This child care provider | 1 |
| Maria Burgos | 4 |
| Tiny Troops Learning Center | 4 |
| A Heart for the Children | 0 |
| Theresas Creative Minds | 6 |
| Carmen Y Benitez Rivera | 2 |
| Just for Tots #4 | 28 |
| Asymca @ Dr. Joseph A. Fowler | 8 |
| 2y Smart Kids Care, LLC | 33 |
| Doris West | 4 |
| Anita Delores Smith | 1 |
| Sandra Lee Powell | 9 |
| Pershing Park YMCA | 0 |
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
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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).
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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).
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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).
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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
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Paid listing
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