Little Hugs Childcare LLC DBA Milestones

A licensed child care center in Cedar Park, Texas 78613

2015 Little Elm Trl Ste 100, Cedar Park, Texas 78613. (737) 268-1916.

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.

33 deficiencies cited in the last three years Middle in Williamson County: 3
5 rated High by Texas, its most serious level (needs attention)
14 inspections on record
2-Star Texas Rising Star rating

The last 24 months 32 deficiencies in 7 months of the last 36. Last cited Oct 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?

33 deficiencies cited in the last three years

The middle of the 467 child care providers in Williamson County had 3.

14 inspections on record. The latest, on Oct 13, 2026: 2 deficiencies cited.

Rated High by Texas: AP Initial background checks submitted - At the time you hire someone, at the inspection on Sep 23, 2026

Rated High by Texas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age, at the inspection on May 18, 2026

Rated High by Texas: Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months, at the inspection on May 18, 2026

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

32 deficiencies in 7 months of the last 36. Last cited Oct 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

32 deficiencies by month over the last 3 years. Each cell is one month.
	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.

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

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.

Oct 13, 2026: assessment2 deficiencies

Children’s Records Maintained

“One child did not have a health statement. Two children did not have Parent’s Rights Form 2987.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2026. Correction verified: Oct 28, 2026.
Required Records Maintained and Made Available - Personnel and Training Records

“One caregiver did not have annual training for the previous or current training year.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2026. Correction verified: Oct 28, 2026.

Sep 23, 2026: inspection5 deficiencies

AP Initial background checks submitted - At the time you hire someone

“A caregiver was present and had access to children before the operation submitted a background check for them. This was corrected when the caregiver left the operation during the inspection.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2026. Correction verified: Sep 25, 2026.
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“One caregiver did not have current training in pediatric first aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 13, 2026.
Each Caregiver and the Director Must Have Current Training in pediatric CPR

“One caregiver did not have current training in pediatric CPR.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 13, 2026.
Children’s Records Maintained

“One child did not have a health statement. Three children did not have Parent’s Rights Form 2987.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 13, 2026.
Required Records Maintained and Made Available - Personnel and Training Records

“One caregiver did not have annual training for the previous or current training year.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 13, 2026.

Jun 30, 2026: assessment2 deficiencies

Written Operational Policies - Parent Rights

“The operational policies did not include the parent’s rights information.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jun 30, 2026.
Required Records Maintained and Made Available - Personnel and Training Records

“The following records were not available for review. One staff member was missing proof of orientation, diploma, and notarized affidavit.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jul 2, 2026.

May 18, 2026: inspection8 deficiencies

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A 6 month old was sleeping in a crib with a toy in the crib. This was corrected when the toys was removed from the crib.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2026. Correction verified: Jun 3, 2026.
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation does not have a current fire inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: May 21, 2026.
Annual Sanitation Inspection

“The operation does not have a current sanitation inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: May 29, 2026.
Sign-in and Sign-out Tracking System

“The operation does not currently have system to sign children in and out.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2026. Correction verified: May 19, 2026.
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“Four infants do not have infant feeding instructions.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2026. Correction verified: May 19, 2026.
Written Operational Policies - Parent Rights

“The operational policies did not include the parent’s rights information.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 30, 2026.
Children’s Records Maintained

“Four children did not have current immunization records. Two children did not have health statements. One child was missing emergency contact and authorized pick up information.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 23, 2026.
Required Records Maintained and Made Available - Personnel and Training Records

“The following records were not available for review. Two staff members were missing proof of orientation, diplomas, and notarized affidavits.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 30, 2026.

Dec 5, 2025: inspection3 deficiencies

Child/Caregiver Ratio - 18 Months Difference in Age

“There was a 14 month old in a group where the oldest child was 4 years old. This was corrected when the 14 month old was moved to the infant classroom.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2025. Correction verified: Dec 16, 2025.
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2025. Correction verified: Dec 11, 2025.
Required Records Maintained and Made Available - Playground Maintenance Records

“The operation did not have a playground maintenance checklist available for review.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2025. Correction verified: Dec 11, 2025.

Nov 18, 2025: inspection7 deficiencies

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“One infant was sleeping in a crib with a bib on placing the child at risk of strangulation. This was corrected when the bib was removed from the infant.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2025. Correction verified: Dec 5, 2025.
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Two caregivers did not have current training in pediatric first aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2025. Correction verified: Dec 19, 2025.
Each Caregiver and the Director Must Have Current Training in pediatric CPR

“Two caregivers did not have current training in pediatric CPR.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2025. Correction verified: Dec 19, 2025.
Immunization Records, Exceptions, and Exemptions Current

“One child did not have immunization records available for review.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 5, 2025.
Documented Annual Training- Required Content

“Three caregivers did not have training in medication administration, food allergies, hazardous materials, or SIDS and shaken baby syndrome.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 5, 2025.
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The operation did not have safety documentation for emergency drills, fire extinguishers, and smoke detectors available for review.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 5, 2025.
Required Records Maintained and Made Available - Playground Maintenance Records

“The operation did not have a playground maintenance checklist available for review.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 5, 2025.

Dec 13, 2024: inspection5 deficiencies

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation does not have a current fire inspection on file.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2025. Correction verified: Jan 2, 2025.
Annual Sanitation Inspection

“The operation does not have a current sanitation inspection on file.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2025. Correction verified: Jan 6, 2025.
Documented Annual Training- Required Content

“Three caregivers do not have annual training in communicable diseases, and one caregiver does not have training in hazardous materials.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2025. Correction verified: Jan 2, 2025.
Written Feeding Instructions - Review and Update Every 30 Days

“Three infants do not have updated feeding instructions.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2025. Correction verified: Jan 8, 2025.
Required Personnel Records - Required Affidavit (Form 2912)

“Two staff hired after 9/1/2023 do not have the preemployment affidavit.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Dec 17, 2024.

Nov 30, 2023: inspection1 deficiency

Screen Time Activities - Not Used for Under Two

“A caregiver was using screen time activities with children under the age of 2 years. This was corrected during the inspection when the caregiver turned the screen off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2023.

7 deficiencies older than three years

Mar 15, 2023: inspection4 deficiencies

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“One caregiver was present without an active background check status. This was corrected at inspection when the director had the caregiver leave.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2023. Correction verified: Mar 23, 2023.
Annual Sanitation Inspection

“There was not a current sanitation inspection. The last sanitation inspection was completed on 12/8/21.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 3, 2023.
Required Records Maintained and Made Available - Children’s Records

“Out of 6 children records reviewed, 2 were missing a health statement signed by a doctor and 2 were missing hearing and vision test results required after children turn 4 years old.”

Rule 746.801(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2023. Correction verified: Mar 27, 2023.
Required Personnel Records

“Out of 6 employee records reviewed, 2 were missing the following: - documentation showing the date of the first day on the job - a notarized Licensing Affidavit for Applicants for Employment form - a statement signed and dated by the employee showing they have received a copyof the child-care center’s operational and personnel policies - a statement signed and dated by the employee verifying the date the employee attended training during orientation”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 19, 2023.

Apr 27, 2022: inspection2 deficiencies

Documented Annual Training- Required Content

“Out of six personnel records reviewed, the following was observed: Five records were missing Building and Physical Premises Safety training; Three records were missing Using/Handling/Disposing of Hazardous Materials training; Two records were missing training on Responding to Food Allergies; and, One record was missing current SIDS/Shaken Baby Syndrome Training”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: Jun 3, 2022.
Director Annual Training - Additional required topics

“The Director was missing the required Building and Physical and Premises Safety training.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: Jun 3, 2022.

Dec 1, 2021: report to the state1 deficiency

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“It was found during an investigation that good judgment was not used when ankle weights were used on an infant’s ankles without parental or physician consent.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Feb 4, 2022.

All 19 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Oct 13, 2026	Assessment	2 deficiencies cited
Sep 23, 2026	Inspection	5 deficiencies cited
Jun 30, 2026	Assessment	2 deficiencies cited
Jun 3, 2026	Inspection	No violation found
May 18, 2026	Inspection	8 deficiencies cited
Dec 16, 2025	Inspection	No violation found
Dec 5, 2025	Inspection	3 deficiencies cited
Nov 18, 2025	Inspection	7 deficiencies cited
Mar 28, 2025	Inspection	No violation found
Dec 19, 2024	Inspection	No violation found
Dec 18, 2024	Report to the state	No violation found
Dec 13, 2024	Inspection	5 deficiencies cited
Jan 24, 2024	Inspection	No violation found
Nov 30, 2023	Inspection	1 deficiency cited
Nov 28, 2023	Report to the state	No violation found
Mar 15, 2023	Inspection	4 deficiencies cited
Apr 27, 2022	Inspection	2 deficiencies cited
Dec 10, 2021	Inspection	No violation found
Dec 1, 2021	Report to the state	1 deficiency cited

Is it licensed?

Licensed Center, permit issued Aug 8, 2013.
Accepts state child care subsidies.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 63 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.
3 reports to the state on record; Texas doesn’t publish whether they were .

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 467 child care providers in Williamson County, the middle value for deficiencies cited in the last three years was 3; this one had 33.

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

12 of the 467 in Williamson County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Little Hugs Childcare LLC DBA Milestones This child care provider	33
Twin Lakes Child Development Center	0
Mery Oviedo	7
Northwest Spanish School	6
Ms Luci’s Preschool	2
Cadence Academy	13
Gracy Sequiera	Not given
Rajasree Erukulla	Not given
Delia Welch	2
Carpe Diem Cedar Park (Es Austin Opco LLC)	16
Star Montessori School	14
La Petite Academy Cypress Creek	33
La Casita Preschool	19

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

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).
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).
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).
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.