Texas Health and Human Services Child Care Regulation
County:
Bell
Capacity:
155
License effective:
June 14, 2006
Hours:
05:30 AM-06:00 PM
Days:
Mon,Tue,Wed,Thu,Fri
Phone:
2546998697
Email:
Not listed
Website:
Not listed
Inspection snapshot
Questions worth asking
The records include recorded violations parents may want to understand before enrolling. These are conversation starters, not a pass-or-fail judgment.
Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.
Summary
This summary covers 22 available inspections for Care 4 Tots Learning Center, LLC from August 18, 2021 through August 20, 2026.
10 inspections recorded violations, with 13 recorded violations in total.
The most recent higher-concern violation was on June 25, 2024 and involved facility condition.
That higher-concern topic showed up in two inspections.
Five later inspections, from July 29, 2024 through August 20, 2026, showed no recorded violations, but the records do not say whether they were formal follow-ups.
At a glance
Total inspections
22
2 in last 12 months
Recorded violations
13
0 in last 12 months
Higher-concern violations
11
0 in last 12 months
Repeated topics
0
Last 36 months
Local comparison
22 total inspections vs 10.5 local median in 76548
Compared to 16 local facilities
Recorded violations per inspection
This provider
0.59
Local median
0.59
0.59This provider
0.59Local median
Inspections with higher-concern violations
This provider
41%
Local median
23%
41%This provider
23%Local median
Inspections with recorded violations
This provider
45%
Local median
31%
45%This provider
31%Local median
Repeated topics
This provider
0
Local average
0.44
0This provider
0.44Local average
Repeated topics
Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.
No repeated topics found
The available reports do not show the same violation topic appearing in more than one inspection during the last 36 months. Review the inspection history below for any one-time violations or report details.
Inspection history
Available inspection history. Select a violation topic for more info.
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(5)(A) - 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.
Correction deadline
August 2, 2023
Correction status
Correction evaluated August 7, 2023
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
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.
Correction deadline
January 23, 2023
Correction status
Correction evaluated February 6, 2023
More details
Official Texas risk level
Medium High
Report section
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
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.
Correction deadline
September 23, 2022
Correction status
Correction evaluated September 22, 2022
More details
Official Texas risk level
Medium High
Report section
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
Official code
746.4001
Higher concern: Equipment or readiness
Report finding
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.
Correction deadline
September 27, 2022
Correction status
Correction evaluated October 3, 2022
More details
Official Texas risk level
High
Report section
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Official code
746.5625(b)
Medium concern: Recordkeeping
Report finding
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately.
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3417(3) - Children Handwashing After Toileting or Diapering
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training.
Correction status
Correction evaluated October 25, 2021
More details
Official Texas risk level
Medium High
Report section
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
It was found that a child in care was injured and the parents of the child were not notified of the injury.
Correction deadline
September 14, 2021
Correction status
Correction evaluated September 15, 2021
More details
Official Texas risk level
Medium High
Report section
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Official code
746.307(b)(1)
Higher concern: Supervision
Report finding
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured.
Correction deadline
September 14, 2021
Correction status
Correction evaluated September 15, 2021
More details
Official Texas risk level
Medium High
Report section
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver