Tiny Tots Childcare
A licensed child care center in Emory, Texas 75440
299 Lake Fork Dr Ste 2, Emory, Texas 75440. (903) 473-0280.
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The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 17 deficiencies cited in the last three years Middle in Rains County: 5
- 5 rated High by Texas, its most serious level (needs attention)
- 19 inspections on record
- 2-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?
17 deficiencies cited in the last three years
The middle of the 3 child care providers in Rains County had 5.
19 inspections on record. The latest, on Aug 3, 2026: no violation found.
Rated High by Texas: Written Operational Policies - Unassigned Epinephrine Auto-Injectors, at the inspection on Jul 22, 2025
Rated High by Texas: Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System, at the inspection on Jul 22, 2025
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 9, 2024
2 more rated High; all are listed below.
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
17 deficiencies in 5 months of the last 36. Last cited Jul 2025. 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.
Jul 22, 2025: inspection6 deficiencies
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Written Operational Policies - Unassigned Epinephrine Auto-Injectors
“At the inspection, the operational policy did not include information related to having an unassigned epipen available for emergency situations.”
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Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“At the inspection, the operation did not have a working carbon monoxide detection system.”
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Maintenance of Building, Grounds and Equipment
“At the inspection, the grass on the playground was knee high and needs to be mowed.”
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Required Admission Information - Emergency Contact
“At the inspection, 2 out of 3 children’s records reviewed did not have the address for the emergency contact in the file.”
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Children’s Records - Health Statement
“At the inspection, 3 out of 3 children’s records reviewed did not include a health care provider statement.”
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Required Personnel Records -Training Hours
“At the inspection, two out of four training records reviewed did not complete their hours within the training year. Two caregivers need 9 hours of annual training.”
Mar 5, 2025: report to the state1 deficiency
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Floors, ceilings and Walls in Good Repair and Clean
“This standard was evaluated as part of the investigation and found to be deficient. The children in the infant classroom were moved into another room in January after a frozen pipe busted in the classroom. The classroom was not tested for mold until 2 months later and the result was positive.”
Sep 26, 2024: report to the state1 deficiency
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Report of Criminal Complaint Against Employees
“This standard was evaluated as part of the investigation and found to be deficient. The operation did not notify Child Care Regulation about an arrest of one of the caregivers employed at the center.”
Aug 9, 2024: inspection6 deficiencies
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AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
“At the inspection, two caregivers violated the conditions set by CBCU by being left alone with a group of children in care at the operation.”
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Written Operational Policies - Unassigned Epinephrine Auto-Injectors
“At the inspection, the operational policy did not include information regarding having an unassigned epinephrine auto injector at the operation.”
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Infant Care Area - Separate from Older Children
“At the inspection, two infants age 7 months and 15 months were present on the playground with the older children through age 7 years old.”
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Documented Annual Training Area - 24 Hours Required
“At the inspection, 2 out of 2 personnel training records reviewed did not meet the required 24 hours of annual training. One caregiver needs 14 hours of training and the other caregiver needs 11 hours of annual training for the 2023 training year.”
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Director Annual Training 30 Hours Required
“At the inspection, the director has recorded 9 hours of annual training and needs 21 hours of training to complete the 2023 training year.”
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Written Operational Policies - Support inclusive services
“At the inspection, the operational policy did not include information supporting inclusive services for children with special needs.”
Mar 26, 2024: report to the state3 deficiencies
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Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“At the investigation inspection, it was determined the fire inspection expired as of 2/24/23.”
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Child/Caregiver Ratio - 18 Months Difference in Age
“This standard was evaluated as part of the investigation and found to be deficient. The children present were combined in a classroom together ages 7 months to 5 years old.”
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Fenced Outdoor Activity Space
“This standard was evaluated as part of the investigation and found to be deficient. A caregiver allowed children age 3 & 4 years old to play in the front parking area of the operation and not be fenced or in an enclosed outdoor activity space.”
28 deficiencies older than three years
Nov 2, 2023: inspection1 deficiency
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Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
“11/2/23- At the follow-up inspection, one caregiver needs 5 hours of training to complete the training year. At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.”
Sep 26, 2023: inspection9 deficiencies
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Written Operational Policies - Unassigned Epinephrine Auto-Injectors
“At the inspection, the operational policy did not include information related to maintaining and administering unassigned ephinephrine injectors for use during an emergency.”
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Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
“At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.”
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Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
“At the inspection, the director did not meet the 30 hours of required annual training for the training year and needs 12 hours of training.”
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Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline
“At the inspection, the operational policy did not include information related to accessing the HHSC website.”
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Written Operational Policies - Preventing and Responding to Abuse and Neglect
“At the inspection, the operational policy did not include information related to preventing and respnding to abuse and neglect of children.”
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Written Operational Policies - Support inclusive services
“At the inspection, the operational poilcy did not include information related to services for children with special needs.”
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Provide Parents With Copy of Policies
“At the inspection, 2 out of 4 children’s records reviewed did not include information of receiving the operational policy.”
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Documentation of Drills
“At the inspection, the practice drills documentation was incomplete for half of the 2023 year.”
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Children’s Records - Health Statement
“At the inspection, 3 out of the 4 children’s records reviewed did not include a health care provider statement.”
Jan 19, 2023: report to the state2 deficiencies
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Basic Requirements for Infants - Never Unsupervised
“This standard was evaluated as part of the investigation and found to be deficient. It was determined the caregiver was taking infant children to the playground one at a time, leaving the room with one infant and leaving the other infants unsupervised in the classroom.”
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Infant Daily Report - Share with Parent
“This standard was evaluated as part of an investigation and found to be deficient. The infant caregiver is not sharing a daily report with parents of infant children every day of the week.”
Oct 12, 2022: inspection6 deficiencies
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Training Requirements for Directors 30- Annual Training
“At the inspection, the director needs 22 hours of training for the prior training year.”
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Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
“At the inspection, the director and the two caregivers did not have current first aid training.”
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Each Caregiver and the Director Must Have Current Training in pediatric CPR
“At the inspection, the director and the caregivers present did not have current CPR training.”
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Pre-service Training- Developmental Stages
“At the inspection, one caregiver that started in May 2022 did not have proof of having completed pre-service training.”
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Documented Annual Training Area - 24 Hours Required
“At the inspection, one caregiver needs to complete 24 hours of annual training.”
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Written Operational Policies - Promotion of Physical Activity
“At the inspection, the operational policy did not include the information related to the promotion of indoor/outdoor physical activity.”
Aug 8, 2022: report to the state1 deficiency
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Report Outbreak of Communicable Illness
“This standard was evaluated as part of an investigation and found deficient. The operation failed to self-report a positive case of Covid within the required 48 hours. The operation was informed by a teacher that was positive on 8/4/22 and did not report until 8/10/22.”
Dec 9, 2021: inspection1 deficiency
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Director Annual Training 30 Hours Required
“At the inspection, the director did not have annual training hours for the year 2020-2021.”
Nov 17, 2021: inspection8 deficiencies
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AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
“At the inspection, a bottle was present in the crib of a 10 month old sleeping infant. The operation corrected at inspection.”
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Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“The fire inspection for the operation has expired and is dated 7/27/2020.”
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Required Admission Information - Emergency Medical Authorization
“3 out of 4 childrens records reviewed at the inspection did not include the emergency care authorization information.”
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Discipline - Positive Methods of Discipline and Guidance
“At the inspection, the caregiver was not expressing positive language or encouraging good behavior with children playing in centers and at clean up time.”
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Required Admission Information - Emergency Contact
“3 out of 4 childrens records reviewed did not have the information required for emergency contacts.”
-
Director Annual Training 30 Hours Required
“At the inspection, the director did not have annual training hours for the year 2020-2021.”
-
Written Operational Policies - Promotion of Physical Activity
“At the inspection, the operational policy did not include the indoor/outdoor physical activity information.”
-
Children’s Records - Immunizations
“1 out of 4 children’s records reviewed at the inspection did not include a current immunization.”
All 27 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Aug 3, 2026 | Inspection | No violation found |
| Jul 31, 2026 | Report to the state | No violation found |
| Jun 25, 2026 | Inspection | No violation found |
| Aug 8, 2025 | Inspection | No violation found |
| Jul 22, 2025 | Inspection | 6 deficiencies cited |
| Jun 5, 2025 | Inspection | No violation found |
| Jun 4, 2025 | Report to the state | No violation found |
| Apr 10, 2025 | Inspection | No violation found |
| Mar 7, 2025 | Inspection | No violation found |
| Mar 5, 2025 | Report to the state | 1 deficiency cited |
| Nov 14, 2024 | Inspection | No violation found |
| Sep 30, 2024 | Inspection | No violation found |
| Sep 26, 2024 | Report to the state | 1 deficiency cited |
| Aug 9, 2024 | Inspection | 6 deficiencies cited |
| Aug 7, 2024 | Report to the state | No violation found |
| May 7, 2024 | Inspection | No violation found |
| Mar 27, 2024 | Inspection | No violation found |
| Mar 26, 2024 | Report to the state | 3 deficiencies cited |
| Nov 2, 2023 | Inspection | 1 deficiency cited |
| Sep 26, 2023 | Inspection | 9 deficiencies cited |
| Feb 23, 2023 | Inspection | No violation found |
| Jan 23, 2023 | Inspection | No violation found |
| Jan 19, 2023 | Report to the state | 2 deficiencies cited |
| Oct 12, 2022 | Inspection | 6 deficiencies cited |
| Aug 8, 2022 | Report to the state | 1 deficiency cited |
| Dec 9, 2021 | Inspection | 1 deficiency cited |
| Nov 17, 2021 | Inspection | 8 deficiencies cited |
Is it licensed?
- Licensed Center, permit issued Mar 29, 2011.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 37 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.
- 8 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: 2-Star (the first of three levels).
Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.
How does it compare nearby?
- Among 3 child care providers in Rains County, the middle value for deficiencies cited in the last three years was 5; this one had 17.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Monkeyville Childcare | 5 |
| Lake Fork Preschool | 2 |
| Tiny Tots Childcare This child care provider | 17 |
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
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.