Hearth Record

Care 4 Tots Learning Center, LLC

A licensed child care center in Harker Heights, Texas 76548

1196a S Amy Ln, Harker Heights, Texas 76548. (254) 699-8697.

Texas’s own record, on its child care search

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.

The last 24 months 2 deficiencies in 2 months of the last 36. Last cited Aug 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?

2 deficiencies cited in the last three years

The middle of the 237 child care providers in Bell County had 2.

12 inspections on record. The latest, on Aug 20, 2026: 1 deficiency cited.

Rated High by Texas: AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions, at the inspection on Aug 20, 2026

Source:

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

When those deficiencies happened

2 deficiencies in 2 months of the last 36. Last cited Aug 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

2 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.

Aug 20, 2026: inspection1 deficiency
  • AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

    “Two caregivers that had provisional background checks were together in a classroom, not following the conditions placed on their background checks. This was corrected when an eligible caregiver came into the classroom with them.”

    Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2026. Correction verified: Sep 15, 2026.

Jun 25, 2024: inspection1 deficiency
  • Employee Handwashing After Handling or Cleaning Bodily Fluids

    “During the inspection it was observed that a child’s nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it.”

    Rule 746.3415(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 25, 2024.

8 deficiencies older than three years
Sep 1, 2023: inspection1 deficiency
  • Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

    “During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots.”

    Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 1, 2023.

Jul 19, 2023: inspection1 deficiency
  • Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

    “While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours.”

    Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2023. Correction verified: Aug 7, 2023.

Jan 23, 2023: inspection1 deficiency
  • Screen Time Activities - Not Used for Under Two

    “During the inspection it was observed that children under the age of two were having screen time.”

    Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2023. Correction verified: Feb 6, 2023.

Jan 13, 2023: report to the state1 deficiency
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours.”

    Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2023. Correction verified: Feb 6, 2023.

Sep 20, 2022: inspection3 deficiencies
  • Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

    “During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly.”

    Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2022. Correction verified: Oct 3, 2022.

  • First Aid Kit - Available in Each Building, on Field Trips, during Transportation

    “During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors.”

    Rule 746.4001. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Sep 22, 2022.

  • Documentation of Drills

    “During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately.”

    Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2022. Correction verified: Sep 27, 2022.

Feb 25, 2022: inspection1 deficiency
  • Children Handwashing After Toileting or Diapering

    “During the monitoring inspection it was observed that a child’s diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms.”

    Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 25, 2022.

All 18 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 20, 2026Inspection1 deficiency cited
Aug 18, 2026Report to the stateNo violation found
May 7, 2026InspectionNo violation found
Jun 6, 2025InspectionNo violation found
Jul 31, 2024InspectionNo violation found
Jul 29, 2024Report to the stateNo violation found
Jun 25, 2024Inspection1 deficiency cited
Sep 1, 2023Inspection1 deficiency cited
Aug 29, 2023Report to the stateNo violation found
Jul 30, 2023Report to the stateNo violation found
Jul 19, 2023Inspection1 deficiency cited
Feb 6, 2023InspectionNo violation found
Jan 23, 2023Inspection1 deficiency cited
Jan 13, 2023Report to the state1 deficiency cited
Sep 20, 2022Inspection3 deficiencies cited
Mar 31, 2022InspectionNo violation found
Mar 23, 2022Report to the stateNo violation found
Feb 25, 2022Inspection1 deficiency cited

Is it licensed?

  • Licensed Center, permit issued Jun 14, 2006.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 155 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.
  • 6 reports 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: 3-Star (the middle 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 237 child care providers in Bell County, the middle value for deficiencies cited in the last three years was 2; this one had 2.
Source:

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

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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