Hearth Record

Missy’s Child Care

A licensed child care home in Fredericksburg, Texas 78624

401 W Nimitz St, Fredericksburg, Texas 78624. (830) 997-9734.

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 2 deficiencies in 2 months of the last 36. Last cited May 2025. Most serious: Medium 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 10 child care providers in Gillespie County had 5.5.

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

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 May 2025. Most serious: Medium 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.

May 20, 2025: inspection1 deficiency
  • Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

    “First aid and CPR training expired on 11/24 for the primary caregiver.”

    Rule 747.1313(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2025. Correction verified: Jun 11, 2025.

Jun 11, 2024: inspection1 deficiency
  • Infant Care Area Furnishings and Equipment - Use of Safety Straps

    “One out of two high chairs used was missing safety straps.”

    Rule 747.2307. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2024. Correction verified: Jul 12, 2024.

11 deficiencies older than three years
Jun 12, 2023: inspection1 deficiency
  • Primary Caregiver Annual Training - Required Special Topics without specific hours

    “Provider had not completed any training hours in the topic areas of: emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations; administering medication; preventing and responding to emergencies due to food or an allergic reaction; building and physical premises safety; and handling, storing, and disposing of hazardous materials.”

    Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 10, 2023.

Nov 8, 2022: inspection6 deficiencies
  • Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

    “The provider did not have a current first aid certificate on file. It expired 2/22.”

    Rule 747.1313(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 15, 2022.

  • Pediatric First-Aid and Pediatric CPR Training -skill based and hands on

    “The provider did not have a current CPR certificate on file. It expired 2/22.”

    Rule 747.1313(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 15, 2022.

  • Child/Caregiver Ratio - Licensed Child Care Home

    “The provider had 10 children present, ages 15 mos, 19 mos, 21 mos, 23 mos, 2 yr, 3 yr, 3 yr, 3 yr, 4 yr and 4 yr. The provider was over ratio by one child. NOTE: A 2 yr old child was sent home during the inspection.”

    Rule 747.1801. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2022. Correction verified: Dec 6, 2022.

  • AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment

    “3 out of 10 child files reviewed did not contain documentation that parents were notified the provider does not carry liability insurance.”

    Rule 747.213(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2022. Correction verified: Nov 9, 2022.

  • Required Immunizations Records, Exceptions, and Exemptions Current

    “2 out of 10 child records reviewed were missing current vaccination records.”

    Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 15, 2022.

  • Definition of Use Zone

    “The Fisher Price climber did not have a 6 ft use zone around the climber. There were metal push trucks and a Little Tykes rocker adjacent to the unit. The unit was also 3 1/2 ft from the fence. NOTE: The unit was moved to proved the required use zone distance during the inspection.”

    Rule 747.4601. Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 8, 2022.

Dec 7, 2021: inspection4 deficiencies
  • AP Parent Notification of Liability Insurance - Permitted Before April 25, 2021 & No Insurance Must Notify Parent in Writing by May 25, 2021

    “The provider does not currently carry liability insurance and has failed to report to the parents of each child in care that the operation does not maintain the required liability insurance coverage.”

    Rule 747.213(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 10, 2021.

  • Primary Caregiver Annual Training -30 Hours Required

    “Provider completed 4 out of 30 annual training hours for the anniversary year 2/2020-1/2021.”

    Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2021. Correction verified: Dec 20, 2021.

  • First Aid Kit - Complete Kit

    “The operation’s first aid kit was missing a guide to first aid book.”

    Rule 747.3803(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2021. Correction verified: Dec 20, 2021.

  • Written Operational Policies - Promotion of Physical Activity

    “The provider’s operational policies were reviewed and did not include information regarding the promotion of active play.”

    Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2021. Correction verified: Dec 22, 2021.

All 7 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 12, 2026InspectionNo violation found
May 20, 2025Inspection1 deficiency cited
Jun 11, 2024Inspection1 deficiency cited
Jun 12, 2023Inspection1 deficiency cited
Dec 6, 2022InspectionNo violation found
Nov 8, 2022Inspection6 deficiencies cited
Dec 7, 2021Inspection4 deficiencies cited

Is it licensed?

  • Licensed Child-Care Home, permit issued Feb 27, 2012.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
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.
  • 0 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?

  • Not rated in Texas Rising Star.
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 10 child care providers in Gillespie County, the middle value for deficiencies cited in the last three years was 5.5; 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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