All My Children

Required Admission Information - Release Information

“During the inspection, one out of the eight children’s files was missing contact information for the authorized pick up persons.”

Rule 746.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 2, 2026. Correction verified: Jan 2, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“During the inspection, four out of the seven staff files reviewed were missing training hours from the last full year of employment.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2026. Correction verified: Jan 21, 2026.

Director Annual Training 30 Hours Required

“During the inspection, the director’s file was missing annual training hours in required topics.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2026. Correction verified: Jan 9, 2026.

Required Personnel Records - signed dated statement that employee received operational policies

“During the inspection, seven out of the eight staff did not have Center Policy acknowledgments available for review.”

Rule 746.901(7)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2026. Correction verified: Jan 6, 2026.

Basic Requirements for Infants - Never Unsupervised

“During the inspection, the infants were left unsupervised when the caregiver left the classroom to answer the front door, then proceeded to another classroom to talk with another caregiver.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 14, 2025.

Naptime Child/Caregiver Ratio - Additional Employee Required

“During the inspection, there were two caregivers present for the two classrooms. One of the caregivers had to leave their classroom and children unattended to unlock the front door.”

Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 14, 2025.

Prohibited Punishments - No Harsh, Cruel or Unusual

“During the investigation, it was found that caregivers utilize a highchair to restrain children in care.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2025. Correction verified: Oct 27, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver stated that she had eleven children in care. She actually had twelve in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Aug 1, 2025.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“During the inspection, it was observed that two trashcans accessible to children in restrooms did not have lids.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2025. Correction verified: Jul 18, 2025.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The changing table pad in the infant room had a cloth covering, which was not able to sanitize in between diaper changes. NOTE: This was corrected at inspection when the cloth cover was removed.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 1, 2025.

Safety - Areas Free From Hazards

“During the playground inspections, the chain link fence was found to have protruding pieces on the bottom, causing a safety hazard. There was a battery found in a playhouse. A tarp was on the ground of the playground, posing a potential suffocation or entanglement risk. The bushes from the neighboring house are overgrown through the fence into the playground. These plants have sharp, thorny leaves. There are places on both playgrounds where the weeds are overgrown.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Jul 18, 2025.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“During the playground inspection, a slide was observed on the asphalt playground, with no loose fill material.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2025. Correction verified: Jul 18, 2025.

Immunization Records, Exceptions, and Exemptions Current

“One out of four children’s files did not have up to date immunization records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Jul 25, 2025.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“Floor cleaner was observed accessible to children as it was located in an unlocked cabinet under the sink in the children restroom. Note: Corrected at inspection when the cleaner was moved and placed on a high shelf out of reach.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2024. Correction verified: Jul 17, 2024.

Report Number of Employees

“The operation has not reported the number of employees that left their employment in 2023”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 19, 2024.