Bettys Learning Center
A licensed child care home in Winona, Texas 75792
21647 F M 2767, Winona, Texas 75792. (903) 566-6045.
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The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 1 deficiency cited in the last three years Middle in Smith County: 2
- 1 rated High by Texas, its most serious level (needs attention)
- 5 inspections on record
- 4-Star 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 83 child care providers in Smith County had 2.
5 inspections on record. The latest, on Sep 3, 2026: no violation found.
Rated High by Texas: Written Operational Policies - Unassigned Epinephrine Auto-Injectors, at the inspection on Aug 19, 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 Aug 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.
Aug 19, 2024: inspection1 deficiency
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Written Operational Policies - Unassigned Epinephrine Auto-Injectors
“At the inspection, the operational policy did not include information related to an unassigned epinephrine auto-injector.”
10 deficiencies older than three years
Sep 19, 2023: inspection3 deficiencies
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Written Operational Policies - Emergencies
“At the inspection, the operational policy reviewed did not include information for the procedure of handling medical emergencies.”
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Children’s Records - Immunizations
“At the inspection, two out of five children’s records reviewed did not have updated immunizations records in the file.”
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Personnel Records- Training Hours
“At the inspection, the primary caregiver did not have record of completing the required annual training hours for the training year. The primary caregiver needs 19 hours of annual training.”
Sep 30, 2022: inspection7 deficiencies
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Written Operational Policies - Safe Sleep for Infants
“At the inspection, the operational policy did not have information regarding safe sleep for infants.”
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Animals - Notify Parents in Writing
“At the inspection, the operation has several kittens present outside and has not given written notification to parents.”
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Written Operational Policies - Release of Children
“At the inspection, the operational policy did not include information related to the procedure of the release of children.”
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Written Operational Policies - Promotion of Physical Activity
“At the inspection, the operational policy did not include all the information needed for the promotion of indoor and outdoor physical activity.”
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Children’s Records - Health Statement
“At the inspection, 1 out 6 children’s records reviewed did not have a healthcare provider statement.”
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Children’s Records - Immunizations
“At the inspection, 4 out of 6 childrens records reviewed did not have an updated immunization record in the file.”
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Required Personnel Records- Licensed Homes - signed dated statement that caregiver attended child maltreatment training
“The permit holder did not have verification of having attended the child maltreatment training that is required.”
All 5 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Sep 3, 2026 | Inspection | No violation found |
| Sep 18, 2025 | Inspection | No violation found |
| Aug 19, 2024 | Inspection | 1 deficiency cited |
| Sep 19, 2023 | Inspection | 3 deficiencies cited |
| Sep 30, 2022 | Inspection | 7 deficiencies cited |
Is it licensed?
- Licensed Child-Care Home, permit issued Oct 6, 2003.
- Accepts state child care subsidies.
- 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?
- Texas Rising Star: 4-Star (the highest of three levels).
Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.
How does it compare nearby?
- Among 83 child care providers in Smith 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 |
|---|---|
| Bettys Learning Center This child care provider | 1 |
| Little Peoples School | 3 |
| Kids Kaleidoscope | 0 |
| Grace Community of Tyler Early Education Center | 8 |
| Stephanie Stapleton | Not given |
| North Tyler Day Nursery | 9 |
| St. Mary’s Early Childhood Learning Center | 0 |
| Maria Araiza | Not given |
| Reach High Early Learning Center | 4 |
| Browning Learning Academy | 1 |
| Elisabeth Skipper | 0 |
| Tyler Christian Preschool | 4 |
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
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Replies
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Paid listing
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