Doris Gardner Ratliff Ctr For Child Development

Inspection history

A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.

Below is every visit in the state's files from January 18, 2022 to October 28, 2026, newest first: 10 visits and 30 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.

1. October 28, 2026 · Inspection · Findings pending

2. December 3, 2025 · Inspection · No citations

3. November 19, 2025 · Inspection · 1 citation

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

     Risk level: High · Correct-by date in the state file: November 19, 2025 · Correction verified: December 3, 2025 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     An individual who is apart of maintenance was observed in a toddler classroom having a conversation with another caregiver while children were present. The individual does not have an active background check in the system. This was corrected during the inspection when I observed the individual leave.

4. November 12, 2025 · Inspection · 4 citations

   • 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device

     Risk level: High · Correct-by date in the state file: November 12, 2025 · Correction verified: November 19, 2025 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     A six month infant was observed sleeping in a swing for over ten minutes. This was corrected during the inspection when I informed the two caregivers to remove the child from the swing and place the child in the crib

   • 746.603(a)(2) - Children's Records - Admission Information

     Risk level: Medium · Correct-by date in the state file: November 19, 2025 · Correction verified: November 19, 2025 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     one out of six children did not have an admission form available for review

   • 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

     Risk level: Medium High · Correct-by date in the state file: November 19, 2025 · Correction verified: November 19, 2025 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     One out of ten caregiver did not have a high school diploma or equivalent on file

   • 746.603(a)(3) - Children's Records - Health Statement

     Risk level: Medium · Correct-by date in the state file: November 19, 2025 · Correction verified: November 19, 2025 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     One out of six children did not have a health statement available for review

5. December 17, 2024 · Inspection · 3 citations

   • 746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times

     Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Children were observed watching mickey mouse during snack time This was corrected during the inspection when I observed the caregiver turn off the tablet and closed it.

   • 746.2207(a) - Screen Time Activities - Not Used for Under Two

     Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Children under the age of two were observed watching mickey mouse on a tablet while eating snack. This was corrected during the inspection when I observed the caregiver turing the tablet off and closing it.

   • 746.5405 - Documentation of Gas Leak Inspection

     Risk level: Medium High · Correct-by date in the state file: January 2, 2025 · Correction verified: January 6, 2025 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     The gas leak test report is not available for review

6. December 6, 2024 · Inspection · 7 citations

   • 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

     Risk level: High · Correct-by date in the state file: December 6, 2024 · Correction verified: December 17, 2024 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     While in the crib, a five month old infant was observed sleeping with a blanket. This was corrected during the inspection when I observed the caregiver remove the blanket.

   • 746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

     Risk level: High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     The playground structure had grey nail bolts sticking out of the black barrier. This was corrected during the inspection when I observed maintenance hammering the bolts back into place.

   • 746.1309(e) - Documented Annual Training- Required Content

     Risk level: Medium · Correct-by date in the state file: December 20, 2024 · Correction verified: December 12, 2024 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Six out of Six caregivers are missing the required health and safety Audit trainings. (1) Emergency preparedness (2) Preventing and responding to emergencies due to food or an allergic reaction; (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (4) Handling, storing, and disposing of hazardous materials i).

   • 746.3401(a) - Annual Sanitation Inspection

     Risk level: Medium High · Correct-by date in the state file: December 27, 2024 · Correction verified: December 6, 2024 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     The health inspection report was not available for review.

   • 746.5103 - Documentation of Fire Inspection

     Risk level: Medium High · Correct-by date in the state file: February 4, 2025 · Correction verified: February 6, 2025 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     The fire inspection report was not available for review.

   • 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

     Risk level: Medium High · Correct-by date in the state file: December 20, 2024 · Correction verified: December 12, 2024 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.

   • 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR

     Risk level: Medium High · Correct-by date in the state file: December 20, 2024 · Correction verified: December 12, 2024 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.

7. December 27, 2023 · Inspection · 1 citation

   • 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

     Risk level: High · Correct-by date in the state file: January 5, 2024 · Correction verified: January 4, 2024 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     The infant safe sleep policy was not written in the operational policies.

8. January 20, 2023 · Inspection · 1 citation

   • 746.605(12) - Required Admission Information - Emergency Medical Authorization

     Risk level: High · Correct-by date in the state file: January 27, 2023 · Correction verified: January 23, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     1 child's file still does not contain the complete emergenct contact information.

9. January 6, 2023 · Inspection · 11 citations

   • 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over

     Risk level: Medium High · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     A television was not mounted or anchored during the inspection.

   • 746.605(12) - Required Admission Information - Emergency Medical Authorization

     Risk level: High · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     2 out of 5 children's records evaluated did not contain the authorization for emergency medical treatment.

   • 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

     Risk level: High · Correct-by date in the state file: January 25, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     An annual fire inspection has not been conducted within the past 12 months.

   • 746.4135(b) - Children's Products- Annual Certification

     Risk level: Medium · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     The annual children's product certification expired last month and has not been completed.

   • 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

     Risk level: Medium · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     The feeding instructions for 3 infants have not been updated within the last 30 days.

   • 746.2426 - Infant May Not Sleep in a Restrictive Device

     Risk level: High · Correct-by date in the state file: January 6, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     During the inspection infants were observed sleeping in baby swings. Note: The caregivers removed the infants from the swing to their crib.

   • 746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity

     Risk level: Medium · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Documentation showing the promotion of physical activities was missing from the operational policies and the following information must be included: (A) The benefits of physical activity and outdoor play (B) The duration of physical activity at your operation, both indoor and outdoor (C) The type of physical activity (structured and unstructured) that children may engage in at your operatio (D) Each setting in which your physical activity program will take place (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

   • 746.801(6) - Required Records Maintained and Made Available - Liability Insurance

     Risk level: Medium · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Documentation of current liability insurance was not available during the inspection.

   • 746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink

     Risk level: Medium High · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     Bottles, spoons and bowls were observed on the hand washing sink in the infant room.

   • 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

     Risk level: High · Correct-by date in the state file: January 6, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     A 6 week old infant was observed in a crib with blankets and a boppy pillow during the inspection. Note: It was discussed with the provider that infants under 12 months must not have anything in their cribs but the tight fitting sheet due to the risk of SIDS. The provider removed the items from the crib during the inspection.

   • 746.603(a)(4) - Children's Records - Immunizations

     Risk level: Medium · Correct-by date in the state file: January 13, 2023 · Correction verified: January 20, 2023 · Inspector gave guidance (technical assistance): No

     Inspector's notes (as published)

     1 out of 5 children's records evaluated did not contain documentation of immunizations.

10. January 18, 2022 · Inspection · 2 citations

    • 746.603(a)(3) - Children's Records - Health Statement

      Risk level: Medium · Correct-by date in the state file: January 28, 2022 · Correction verified: January 20, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Health statement was missing on one out of four files checked.

    • 746.5401 - Requirement of Gas Leak Inspection

      Risk level: Medium High · Correct-by date in the state file: January 28, 2022 · Correction verified: January 21, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Current gas inspection was not available duirng inspection.

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Sources

• HHSC CCL Daycare and Residential Operations Data: program details.
• HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
• HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.

All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.