Hearth Record

Tiny Toes Academy

A licensed child care center in Fresno, Texas 77545

1743 Trammel Fresno Rd, Fresno, Texas 77545. (281) 431-0555.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Jun 2024. 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?

3 deficiencies cited in the last three years

The middle of the 477 child care providers in Fort Bend County had 4.

10 inspections on record. The latest, on May 12, 2026: no violation found.

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the report to the state on Jun 7, 2024

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Jun 7, 2024

Rated High by Texas: Report Situation Placing Children at Risk, at the report to the state on Jun 7, 2024

Source:

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

When those deficiencies happened

3 deficiencies in 1 month of the last 36. Last cited Jun 2024. Most serious: High. The last 3 years, to Nov 5, 2026.

3 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.

Jun 7, 2024: report to the state3 deficiencies
  • Responsibilities of Caregivers - Know number of children responsible for

    “Based on the information received during the investigation there is sufficient evidence to support that caregiver(s) did not know the number of children they were responsible for.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2024. Correction verified: Jul 25, 2024.

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

    “Based on the information received during the investigation there is sufficient evidence to support that caregiver(s) did not adequately supervise a child in care.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2024. Correction verified: Jul 25, 2024.

  • Report Situation Placing Children at Risk

    “Based on the information received during the investigation there is sufficient evidence to support the operation did not report an incident to CCR as required per minimum standards.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2024. Correction verified: Jul 25, 2024.

2 deficiencies older than three years
Jul 21, 2022: inspection2 deficiencies
  • Floors, ceilings and Walls in Good Repair and Clean

    “Paint is chipping on the walls in the pre-school group classroom. The toilet seat in one of the restrooms has come off the hinges. There is a hole in the ceiling in one of the classrooms psoing a safety hazard”

    Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Aug 2, 2022.

  • Children Handwashing After Toileting or Diapering

    “An infant had their diaper changed and was given to another caregiver in the room before washing their hands. Note: We discussed importance of washing hands immediately after diaper changing procedures and the caregiver washed the child’s hands during the inspection.”

    Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 21, 2022.

All 14 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 12, 2026InspectionNo violation found
Apr 27, 2026Report to the stateNo violation found
Apr 27, 2026InspectionNo violation found
Apr 6, 2026InspectionNo violation found
Apr 3, 2026Report to the stateNo violation found
Jun 10, 2025InspectionNo violation found
Jul 25, 2024InspectionNo violation found
Jun 12, 2024InspectionNo violation found
Jun 10, 2024InspectionNo violation found
Jun 7, 2024Report to the state3 deficiencies cited
Feb 29, 2024InspectionNo violation found
Jul 11, 2023InspectionNo violation found
Dec 12, 2022Report to the stateNo violation found
Jul 21, 2022Inspection2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Jun 9, 2009.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 126 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.
  • 4 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: 4-Star (the highest 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 477 child care providers in Fort Bend County, the middle value for deficiencies cited in the last three years was 4; this one had 3.
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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