Itty Bitty Tots In Training
Does Itty Bitty Tots In Training have a state child-care violation history?
Texas HHSC records list 103 child-care citations for Itty Bitty Tots In Training in HOUSTON, TX. The state assigns each cited standard a risk level; for this facility, 33 are recorded at the High level and 44 at Medium High, with the remainder at Medium, Medium Low, or Low. Each entry below reproduces the standard Texas cited and the state's own description of what was found.
These are licensing-record findings, not a judgment about any child or family. The dates shown are the dates Texas recorded a correction as verified — they are not inspection dates, and the record may lag the state's current file. This page reflects the published record as of its last update and is not a complete history; the authoritative source is Texas HHSC.
Texas HHSC recorded 33 High-risk citations at this facility.
Risk levels below are Texas HHSC's own labels, shown verbatim.
- High
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a updated fire inspection, the last fire inspection was on 4/10/2024.
- High
745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
A caregiver inside the operation did not open the door for CCR to conduct an inspection. As a result, CCR had to wait until a parent picked up a child in order for the caregiver to open the door.
- High
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a updated fire inspection, the last fire inspection was on 4/10/2024.
Show 100 earlier citations
- High
745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
During the departure, a caregiver inside the operation did not open the door for CCR to conduct an inspection. As a result, CCR had to call the director in order for the caregiver to open the door.
- High
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
During the inspection, a caregiver was in the office assisting CCR with documentation, which made it possible for the caregiver to supervise the children in the multi-play area.
- High
745.8411(a) - Responsibilities - Not interfere with an inspection or investigation
During the follow-up inspection, the director reported that the operation was closed to prevent CCR from entering the building while children were in care.
- High
745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
During departure, a caregiver inside the operation did not open the door for CCR to conduct an inspection. Correction: The director arrived at the operation to let CCR into the building.
- High
745.621(a)(5) - AP Initial background checks submitted - At the time a non-client resident 14 or older moves into your home or operation
A 15-year-old child was observed during naptime at the operation without a background check.
- High
HRC42.054 - Required Fees
The operation has a pending fee that have not been paid in three months.
- High
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During the walkthrough of the multi-play area, I observed several bottles of cleaning products in an unlocked sink cabinet accessible to children.
- High
HRC42.054 - Required Fees
The operation has a background check fee that have not been paid in a months. Correction: The director paid the fee during the inspection.
- High
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
Based on the information found during the investigation, there was sufficient evidence to support that a caregiver and the director popping the children when attempting to redirect them as a form of guidance.
- High
746.305(a)(6) - Report Situation Placing Children at Risk
An incident in which a child was placed at risk for injury was not reported to CCR as required.
- High
HRC42.054 - Required Fees
The operation has a pending fee that have not been paid in eight months. Correction: The owner paid the fee during the inspection.
- High
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
The Director was observed coming out of the kitchen which left the group of children she was caring for unsupervised during naptime.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During the follw up inspection, a two year old child was observed sleep on a cot in the classroom alone while the other children were in a different room. The caregiver walked to the front lobby area of the center and was caring for the mixed age group of childrenn while leaving the 2 year old alone.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During the follow up inspection, the caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver was observed in the kitchen preparing lunch.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Based on the evidence obtained during the investigation, there is suifficent information to suggest that supervision is not being properly maintained. There were instances where there is one caregiver providing care to all groups at the center.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
The caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver would also go in the infant room to assist with the infants leaving the other children alone.
- High
746.2426 - Infant May Not Sleep in a Restrictive Device
A 6 month old was observed sleeping in a bouncer.
- High
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver in the mixed age room, did not know how many children she was caring for. The caregiver could not locate the list of the children she was responsible for. The caregiver also miscounted how many children was in her care.
- High
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
There were 4 infants, aged 6-12 months old, left alone in the classroom with the doors closed, while the only caregiver available was caring for the other children.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
A six month old was left alone laying in the crib which was placed in the toddler room while the caregiver watched the toddlers in a separate room during snacktime.
- High
746.1003(1) - Director Responsibilities - Operate in Compliance
During the previous inspectionsm there have been some repeat citations and violations with minimum standards.
- High
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
During the follow up inspection, there was a 6 month old infant laying in the crib with a blanket.
- High
746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
A 6 month old was laying in a crib with a clip on pacifier with dangling beads on it.
- High
746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
An 8 month old was observed laying in a criib with a hanging pacifier. The pacifier was snapped and hanging from the infants shirt.
- High
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was in the presence of children prior to having a completed inital background check. This was corrected when she left the center.
- High
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
The caregiver in the infant room repeatedly walked out of the infant room to other areas of the daycare, leaving 4 infants alone in the classroom without proper supervision.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During the follow-up inspection, a three year old was left alone in the infant classroom roaming by himself. A two year old was left in the front office sitting on the floor alone.
- High
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
The caregiver in the mixed age group class left the children unattended for 10 minutes while looking for files in the operation's office.
- High
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
The caregivers in the infant room and mixed group did not know how many children they were caring for.
- High
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
The caregiver in the infant room repeatedly walked out of the infant room to other area of the daycare, leaving 4 infants alone in the classroom without proper supervision.
- Medium High
746.3407 - Maintenance of Building, Grounds and Equipment
During the inspection, CCR observed no running water in the operation building. CCR also observed that the toilet handle broken
- Medium High
746.3427 - Pest Extermination
During the inspection, CCR observed multiple gnats and flies throughout the operation building.
- Medium High
746.1311(d) - Director Annual Training - Caring for children under 24 months
The director training certificate for caring for children under 24 months is missing.
- Medium High
746.1311(d) - Director Annual Training - Caring for children under 24 months
The director training certificate for caring for children under 24 months is missing.
- Medium High
746.201(9) - Complying with Laws and Rules
During the inspection, CCR received inaccurate sign-in and sign-out sheet documentation from the directors/owner, and a caregiver.
- Medium High
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
A caregiver was performing clerical duties while assisting CCR, which took their full attention away from the children.
- Medium High
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
During the walk-through, CCR observed a four-year-old child in the infant room with a three-month-old infant during naptime.
- Medium High
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
The operation was out of ratio; a 4-month-old infant was in a mixed-age group, with the oldest child being 13-years-old. Corrected: A caregiver arrived at the operation and removed the infant from the older children to take the infant in the infant's room.
- Medium High
746.2909(3) - Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
During naptime the operation was found to not have adequate space for caregivers to walk between nap time mats.
- Medium High
746.3701 - Safety - Areas Free From Hazards
Multiple places in the fence of the outdoor space were broken, bent or severly damaged, exposing children to nails that could impale and holes that could be a cut, pinch or entrapment hazard.
- Medium High
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Full garbage bags were seen in plain view near the front door leading to the outdoor space and accessible to children. NOTE: The deficiency was corrected with a caregiver placing the full garbage bags in the trash bin outside the facility.
- Medium High
746.4305 - Fenced Outdoor Activity Space
There are broken planks within the fenced in space that increase risk to children.
- Medium High
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
The infant caregiver with a hire date of 4/26/22 was observed caring for infants alone without current First Aid training.
- Medium High
746.1301(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Three staff members did not have all the required trainings for their orientation training.
- Medium High
746.605(6) - Required Admission Information - Emergency Contact
Two of the 6 children records did not have an address for the emergency contact. This was corrected at the inspection when the owner called the parent and was able to get the address for both students.
- Medium High
746.201(4) - Designating Director
A director still has not been designated.
- Medium High
746.201(4) - Designating Director
A director has not been designated since February 2022.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the follow up inspection, there was a 16 month old in the same class with a 4 year old.
- Medium High
746.201(9) - Complying with Laws and Rules
During the follow up inspection, there were several repeated citations, in which the permit holder has not mitigated the risk to the children.
- Medium High
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
During the follow up, the person in charge was unable to locate the file to provde the food allergy information.
- Medium High
746.2401(3) - Basic Requirements for Infants - Holding and Comforting
During the follow up inspection, there were 5 infants laying in the cribs screaming annd crying. The infants did not receive any comfort and remained in the crib crying and fussing during the entire inspection.
- Medium High
746.1601 - Child/ Caregiver Ratio - 13 or More Children
There were 5 infants with one caregiver in the infant room. The specified age was 11 months old.
- Medium High
746.201(9) - Complying with Laws and Rules
During the follow up inspection, the caregivers were overwhelmed and there was chaos at the operation. There have been several repeated citations, in which the permit holder has not mitigated the risk to the children.
- Medium High
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the information obtained during the inspection, it was observed that the infant classroom was out of ratio. There were 5 infants with one caregiver.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
Based on the information obtained during the inspection, the caregiver stated the infants are with the other caregiver prior to her arriving to work. There is only one additional caregiver and all children are placed in the same room until the other caregiver arrives.
- Medium High
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Based on the information obtained, the permit holder was unable to provide the information regarding a food allergy.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the follow up inspection, a 15 month old and a 17 month old was in the same room eating snack with a group of 8 older children. The oldest child in the same room with the infants was a 4 year old.
- Medium High
746.201(9) - Complying with Laws and Rules
During the follow up inspection, there was a repeated citation in which there have been several discussions about. The permit holder has not maintained compliance with minimum standards.
- Medium High
746.201(9) - Complying with Laws and Rules
During the follow up inspections, the permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.
- Medium High
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
The caregiver in the infant room did not know the correct ages of the infants. The caregiver had to ask another caregiverr for their ages.
- Medium High
746.201(9) - Complying with Laws and Rules
The permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.
- Medium High
746.1601 - Child/ Caregiver Ratio - 13 or More Children
I observed the director caring for 26 children aged 6 months through 7 years old. The children were split up in three classrooms: 4 infants, 9 (2-7 year olds), and 13 toddlers were taking a nap.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the follow up inspection, an 8 month old, was in the same classroom as a 7 year old.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.
- Medium High
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
During the followup inspection, there is still a sewer cover in the middle of the playground exposed to the children.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.
- Medium High
746.605(13) - Required Admission Information - Special Needs Statement
The admisison showing the child's special care needs was not available for review.
- Medium High
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
The caregiver in the infant room did not have a list of the infants and did not know their ages.
- Medium High
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.
- Medium High
746.5103 - Documentation of Fire Inspection
During the follow-up inspection, the fire inspection report was not available for review.
- Medium High
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A 6 month old infant was in the same classroom with an 11 year old child.
- Medium High
746.5103 - Documentation of Fire Inspection
The fire inspection report was not available for review.
- Medium High
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
The caregiver in the infant room did not have a list of the infants and did not know their ages.
- Medium High
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.
- Medium
746.1311(e) - Director Annual Training - Additional required topics
The director is missing training on the following topics: Emergency preparedness, Preventing and responding to emergencies due to food or allergies, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
- Medium
746.1309(a) - Documented Annual Training Area - 24 Hours Required
The lead caregiver completed six hours of training for the annual training period from 3/26/2024 to 3/26/2025 and needs to complete a total of 18 hours of training.
- Medium
746.1311(e) - Director Annual Training - Additional required topics
The director is missing training on the following topics: Emergency preparedness, Preventing and responding to emergencies due to food or allergies, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials.
- Medium
746.1309(a) - Documented Annual Training Area - 24 Hours Required
The lead caregiver completed six hours of training for the annual training period from 3/26/2024 to 3/26/2025 and needs to complete a total of 18 hours of training.
- Medium
745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operation have not validated the people since 04/02/2025.
- Medium
746.603(a)(4) - Children's Records - Immunizations
Four children's files were evaluated, and two of the files were missing immunization records.
- Medium
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
CCR observed the children's cot has wear and tear, and is no longer waterproof.
- Medium
745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operation have not validated the people since Dec 2024. Correction: The director validated the people list during the inspection.
- Medium
746.901 - Required Personnel Records
A caregiver is missing the following documents in their file: the hire date, the Affidavit, the Pre-Employment Affidavit, and the Operational Policies.
- Medium
746.1309(e) - Documented Annual Training- Required Content
The flow caregiver is missing training topics on administering medication and understanding building. The infant caregiver is missing training topics on Preventing and controlling the spread of communicable diseases, Administering medication, food, or an allergic reaction and Understanding building and physical premises safety. The owner/caregiver is missing training on Preventing and controlling the spread of communicable diseases and allergic reactions.
- Medium
746.1309(b) - Documented Annual Training - 6 Hours of annual training required
The flow caregiver is missing four hours, and the following training hours can be covered under the topics of Guidance and discipline, age-appropriate curriculum, or Teacher-child interaction. The infant caregiver is missing two hours, and the following training hours can be covered under the topic of Age-appropriate curriculum or Teacher-child interaction.
- Medium
746.601(c) - Provide Access to Children's Records - Licensing
CCR requested to review six children's files, but the files were unavailable during the inspection.
- Medium
746.601(c) - Provide Access to Children's Records - Licensing
CCR requested to review six children's files, but the files were unavailable during the inspection.
- Medium
746.4003(b) - First Aid Kit - Supplies Not Expired
The first aid kit contains three ointments and antiseptic solution that have expired.
- Medium
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
The director attendance records were not available.
- Medium
745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operation have not validated the people since Dec 2023 . Correction: The owner validated the people list during the inspection.
- Medium
746.603(a)(4) - Children's Records - Immunizations
Two children did not either an immunization or immunization waiver on file at the operation.
- Medium
746.603(a)(4) - Children's Records - Immunizations
Operation did not provide proof of corrections with children's immunization record and updated immunization waiver by 8/21/24.
- Medium
746.603(a)(4) - Children's Records - Immunizations
Four children's records were reviewed. One child's immunization is missing two doses of the PCV13 vaccine. They should have four doses based on their current age.
- Medium
746.307(c) - Parental Notification of Less Serious Injuries
Based on a DFPS investigation, the operation failed to notify a parent of a less serious injury sustained while a child was in care.
- Medium
746.4003(a) - First Aid Kit - Incomplete Kit
Scissors and tweezers were missing from the first aid kit. NOTE: The deficiency was corrected at inspection.
- Medium
746.1109(b)(1) - Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group
A 17 year old child who has not graduated high school was left alone to care for the infants.
- Medium
746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
During the follow-up inspection, the proof of liability insurance was not available for review.
- Medium
746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The proof of liability insurance was not available for review.
- Medium Low
746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
During the follow up inspection, the operational policies were not available for review. The person in charge did not know where the documents were located.
- Medium Low
746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Based on the information obtained during the investigation, the operational policy was not available to determine if the information to allow parents was included. The parent stated she was not allowed to tour the center after she admitted her child.
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Compiled from public Texas Health and Human Services Commission (HHSC) Child-Care Licensing records. To flag a discrepancy, write to records@daycaredossier.com.