Licensed Child Care Center · Houston, TX 77099
Between Nov 15, 2021 (the first state visit on record) and Oct 20, 2026, the state cited America's Choice Child Care for 49 deficiencies — the Texas HHSC term for rule violations — over 23 routine inspections and 5 other visits (investigations or paperwork reviews); 13 were under rules the state weights High. The rule cited most often here is 746.603 (4 times, most recently Jun 17, 2025).
The state lists America's Choice Child Care as serving infant, toddler, pre-kindergarten, and school-age children, open 06:00 AM to 06:30 PM (Mon, Tue, Wed, Thu, Fri). Programs on file: School Age Care, Before School Care, Meals Provided, After School Care, Snacks Provided, Drop-In Care, Part Time Care, Transportation to/from School, Field Trips. Program type: Child Care Program.
Of the 49 violations at America's Choice Child Care, 13 fall under rules Texas weights High and 20 under Medium High; the state sets each rule’s weight by the risk a violation poses to children. How weights work
| Weight | Violations | Share |
|---|---|---|
| High | 13 | 27% |
| Medium High | 20 | 41% |
| Medium | 15 | 31% |
| Medium Low | 0 | 0% |
| Low | 1 | 2% |
America's Choice Child Care had 49 violations since Nov 15, 2021, a shorter record than most, more than the five-year median of 11 across Houston’s 923 licensed child care centers, and 1.8 per routine inspection against a median of 1.0 — a count of state records, not a rating.
10 rules were cited more than once at America's Choice Child Care since Nov 15, 2021.
| Rule | Times | What the rule covers |
|---|---|---|
| 746.603 Medium | 4 | The center must keep a record for each enrolled child, including the enrollment agreement, admission information, a health statement from a health-care professional, and immunization records, plus items such as sign-in and sign-out records and medication records when they apply. These records must be kept at the center, available during operating hours, generally until three months after the child's last day. Official rule text Most recent: Jun 17, 2025 · first: Nov 15, 2021 |
| 746.631 Medium High | 4 | The center must have a system that tracks each child's arrival and departure every day, with the child's name, the date and times, and the initials or unique code of the employee or parent. All caregivers must be able to use it to see which children are in care during their shift, at caregiver changes, and during an evacuation. Official rule text Most recent: Jun 23, 2023 · first: Oct 12, 2022 |
| 746.1203 High | 4 | Caregivers must know and follow the state minimum standards and supervise children at all times. They must not be pulled away by tasks unrelated to caring for children, such as paperwork, janitorial work, or personal use of phones and other devices, and must pass along each child's information and parent instructions to the next shift. Official rule text · rule revised March 2023 Most recent: Jan 3, 2023 · first: Oct 12, 2022 |
| 746.1315 Medium High | 3 | Each caregiver and the center director must hold a current certificate in pediatric first aid (including rescue breathing and choking) and in pediatric CPR. A new caregiver may work with children before getting the CPR certificate, but at least one employee or caregiver with a current pediatric CPR certificate must be on the premises whenever children are in care. Official rule text Most recent: Jun 17, 2024 · first: Nov 15, 2021 |
| 746.4501 Medium | 2 | The rule requires tables and chairs used by children to be "safe," easy to clean, and the right height and size for each age group. If the manufacturer requires straps on a chair, they must be fastened whenever a child uses it. Official rule text Most recent: Feb 25, 2025 · first: Dec 15, 2022 |
| 746.3301 Medium High | 2 | The center must serve children who eat table food regular meals and morning and afternoon snacks that follow the USDA Child and Adult Care Food Program meal patterns, and a child may not go more than three hours without being offered food unless asleep. Drinking water must always be available, sugary drinks are only for special occasions unless the program allows them, food may not be used as a reward, and a child may not be served any food listed on their food allergy emergency plan. Official rule text Most recent: Jun 17, 2024 · first: Jun 17, 2024 |
| 746.1301 Medium High | 2 | New employees must complete orientation within seven days and before being alone with children, and caregivers must complete 24 hours of pre-service training (8 hours before being counted in the ratio and 16 more within 90 days) unless exempt. Caregivers and the director must complete pediatric first aid within 90 days and before being alone with children, and pediatric CPR within 90 days, keep both current, complete annual training every 12 months (24 hours for caregivers, 30 for the director), and take extra yearly training if they transport children under nine or take children to a pool. Official rule text (single-rule page) · rule revised September 2024 Most recent: May 23, 2022 · first: May 23, 2022 |
| 746.5307 Medium High | 2 | The director or a designee must inspect the fire extinguishers every month and record the date and the employee's name. Extinguishers must be serviced as the manufacturer or the fire marshal requires. Official rule text Most recent: May 23, 2022 · first: May 23, 2022 |
| 746.901 Medium | 2 | The center must keep a file at the center for each employee, caregiver, substitute, and volunteer, available during operating hours. It must include items such as start and end dates, proof of age and education qualifications, the required state affidavit forms (Forms 2985 and 2912), training records, proof that background checks were requested, and a copy of a photo ID. Official rule text · rule revised August 2024 Most recent: May 23, 2022 · first: Nov 15, 2021 |
| 746.2409 Medium High | 2 | Each crib must have a firm, flat mattress made for that crib model that fits snugly with no added padding, snug-fitting sheets, secure hardware, slats no more than 2 3/8 inches apart, documentation that it meets federal crib standards, and a label with the infant's name (or a number with an assignment map). Cribs must be sanitized before another infant uses them, and an infant may never be left in a crib with the drop gate down. Official rule text Most recent: Feb 25, 2022 · first: Nov 15, 2021 |
| Year | Routine inspections | All state visits | Violations |
|---|---|---|---|
| 2021 (from Nov 15) | 1 | 1 | 6 |
| 2022 | 6 | 8 | 25 |
| 2023 | 8 | 9 | 7 |
| 2024 | 4 | 4 | 8 |
| 2025 | 2 | 3 | 3 |
| 2026 | 2 | 3 | 0 |
28 visits on record since Nov 15, 2021, newest first, including visits that found nothing.
| Date | Type | Rules checked | Violations |
|---|---|---|---|
| Jun 25, 2026 | Inspection | 54 | None |
| May 28, 2026 | Inspection | 30 | None |
| May 27, 2026 | Investigation (self-report) | 2 | None |
| Nov 20, 2025 | Investigation (report) | 1 | None |
| Jun 17, 2025 | Inspection | 447 | 2 |
| Feb 25, 2025 | Inspection | 257 | 1 |
| Oct 15, 2024 | Inspection | 184 | None |
| Jul 15, 2024 | Inspection | 3 | None |
| Jun 17, 2024 | Inspection | 364 | 5 |
| Feb 26, 2024 | Inspection | 107 | 3 |
| Oct 31, 2023 | Inspection | 423 | None |
| Aug 10, 2023 | Inspection | 2 | None |
| Date | Type | Rules checked | Violations |
|---|---|---|---|
| Jul 31, 2023 | Investigation (report) | 4 | None |
| Jul 25, 2023 | Inspection | 1 | 1 |
| Jul 6, 2023 | Inspection | 1 | None |
| Jun 23, 2023 | Inspection | 779 | 4 |
| Feb 9, 2023 | Inspection | 1 | 1 |
| Jan 17, 2023 | Inspection | 1 | None |
| Jan 3, 2023 | Inspection | 1 | 1 |
| Dec 22, 2022 | Inspection | 4 | 2 |
| Dec 15, 2022 | Inspection | 452 | 5 |
| Oct 12, 2022 | Investigation (report) | 7 | 7 |
| Jun 9, 2022 | Inspection | 4 | None |
| May 23, 2022 | Inspection | 711 | 8 |
| Apr 28, 2022 | Investigation (report) | 3 | 1 |
| Apr 18, 2022 | Inspection | 191 | None |
| Feb 25, 2022 | Inspection | 284 | 2 |
| Nov 15, 2021 | Inspection | 1184 | 6 |
9 rules cited at America's Choice Child Care changed after some of these citations (marked “rule revised”), so the wording that applied at the time may differ from our plain-English explanation.
Medium · Jun 17, 2025 · Inspection
Records were evaluated for ten children enrolled and the following was determined: The admission date is needed for one child. School information is needed for two children enrolled. An updated immunization record is needed for one child enrolled.
Plain-English explanation above
Medium · Jun 17, 2025 · Inspection
I observed one unlabeled cup in the classroom. Note: This was corrected during inspection.
In plain English: Toddler areas must have age-appropriate seats, tables, and nap equipment, enough popular toys that toddlers are not forced to compete for them, and low shelves or containers they can reach on their own. Bottles and training cups must be labeled or assigned to each toddler and cleaned and sanitized between uses, and toddlers may never sleep or walk around with them. Official rule text
Medium · Feb 25, 2025 · Inspection
During today's inspection I observed an eighteen month old child seated in a high chair eating a snack. The safety straps were not fastened. Note: This was corrected during inspection.
Plain-English explanation above
Medium High · Jun 17, 2024 · Inspection
Two staff members completed online only pediatric CPR training.
Plain-English explanation above
Medium · Jun 17, 2024 · Inspection
A maintenance/safety checklist was not completed for the month of May. Note: During this inspection the operation completed a checklist for the month of June.
In plain English: The director or a designee must check the active play space and equipment every day before play and do a fuller check at least monthly using a written checklist. Hazards or defects found must be removed or repaired promptly, children must be kept off the equipment until then, and inspection and repair records must be kept for at least three months. Official rule text
Medium High · Jun 17, 2024 · Inspection
A supply of drinking water was not available to children in care during breakfast time. Note: This was corrected during inspection.
Plain-English explanation above
Medium High · Jun 17, 2024 · Inspection
Additional loose fill surfacing is needed on the outdoor play area.
In plain English: Loose-fill surfacing under play equipment must be kept at least six inches deep when the highest play surface is five feet or lower, and at least nine inches deep when it is higher. It may not be laid over concrete or asphalt or used indoors, and equipment posts must be marked to show the required depth. Official rule text
Medium High · Jun 17, 2024 · Inspection
During breakfast, the children in care were served one french toast stick with syrup and a cup of milk.
Plain-English explanation above
Medium High · Feb 26, 2024 · Inspection
The fastener to the middle seat on the first row of the transportation vehicle would not fasten during this inspection.
In plain English: The state does not regulate which type of vehicle a center uses to transport children, but it sorts vehicles into general purpose vehicles, small school buses, and large school buses for its other transportation rules. Every vehicle must be kept in "safe operating condition" at all times, in the rule's words. Official rule text
Low · Feb 26, 2024 · Inspection
Transportation training provided to staff who transport children did not meet training criteria as the operation received an administrative penalty in the two years prior to othe training.
Official text of rule 746.1317
Medium · Feb 26, 2024 · Inspection
The number/child assignment chart in the toddler classroom was reviewed and showed all children present were not included on the chart. Note: This was corrected during inspection.
In plain English: Each walking child through age four must have an individual waterproof or washable cot, bed, or mat to sleep or rest on, provided by the center or the parent. Each must be labeled with the child's name (or a number with an assignment map), and floor mats must be marked so the sleeping side can be told apart from the floor side. Official rule text
High · Jul 25, 2023 · Inspection
A caregiver responsible for a group of children ages 5-9 years old was unaware of the number of children responsible for. The caregiver stated 15, however 16 were present.
In plain English: Each caregiver must know which children they are responsible for, how many there are, and each child's name and age. The caregiver must stay close enough to see or hear what each child is doing, as the situation calls for, and be able to step in when needed. Official rule text
Medium High · Jun 23, 2023 · Inspection
During this inspection the classroom sign in and out logs were reviewed. The toddler sign in and out log showed ten children signed in however nine were present. Note: This was corrected during inspection.
Plain-English explanation above
High · Jun 23, 2023 · Inspection
A caregiver with a provisional background checks was observed in caring for a group of 8 children ages 4-7 years old. The group did not have another caregiver present.
In plain English: If the state's background check unit finds a person ineligible, the operation must immediately remove that person from the operation and confirm it received the notice. If the person is eligible or provisionally eligible with conditions, the operation must limit the person's duties to follow those conditions. Official rule text
Medium High · Jun 23, 2023 · Inspection
One caregiver was observed with five children ages 5 months, 8 months, 10 months, 13 months, and 13 months. The specified age group is 0-11 children which allows one caregiver to supervise four children. The caregiver was over ratio by one child. Note: An additional caregiver was added to the room during inspection.
In plain English: In centers licensed for 13 or more children, one caregiver may supervise at most 4 infants under 12 months, 5 children 12 to 17 months, 9 children 18 to 23 months, 11 two-year-olds, 15 three-year-olds, 18 four-year-olds, 22 five-year-olds, or 26 children ages 6 to 13. The limit is based on the group's specified age as the rules define it. Official rule text (single-rule page)
Medium · Jun 23, 2023 · Inspection
Records were evaluated for ten children in care and the following was determined: Two children needed a special needs statement. Two children needed an emergency contact other than the parent. One child needed a health statement signed by a physician. One child needed an updated immunization record.
Plain-English explanation above
Medium · Feb 9, 2023 · Inspection
The first aid kit in the transportation van was reviewed and the following items were needed: -Scissors -Thermometer -Cotton Balls Note: This was corrected during inspection.
In plain English: Each first-aid kit must hold a first-aid guide, adhesive tape, antiseptic, adhesive bandages, scissors, sterile gauze pads, a thermometer, tweezers, and waterproof disposable gloves. None of the supplies may be expired. Official rule text · rule revised March 2023
High · Jan 3, 2023 · Inspection
The caregiver in the Pre-K classroom was unaware of the group responsible for. The caregiver stated nine children were present, however ten were counted.
Plain-English explanation above · rule revised March 2023
Medium High · Dec 22, 2022 · Inspection
The classroom sign in and out logs were reviewed and showed six of seven children in the Toddler class were signed in. Note: This was corrected during inspection.
Plain-English explanation above
High · Dec 22, 2022 · Inspection
The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated six children were present, however seven were counted.
Plain-English explanation above · rule revised March 2023
Medium High · Dec 15, 2022 · Inspection
A food allergy emergency plan is needed for one child enrolled.
In plain English: For each child with a food allergy diagnosed by a health-care professional, the center must have a food allergy emergency plan signed and dated by the child's health-care professional and parent. A copy must be kept in the child's file. Official rule text
High · Dec 15, 2022 · Inspection
The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated seven children were present, however eight were counted.
Plain-English explanation above · rule revised March 2023
Medium · Dec 15, 2022 · Inspection
During this inspection I observed a nineteen month old seated in a high chair. The safety straps were not in use.
Plain-English explanation above
High · Dec 15, 2022 · Inspection
An eleven month old was observed laying in a crib with a pacifier attached to the shirt.
In plain English: Infant care must include regular care by the same caregiver when possible, individual attention such as talking, playing, and holding, comforting infants who are upset, and prompt attention to feeding and diapering. The area must be kept free of objects infants or toddlers could choke on, and an infant may never be left unsupervised. Official rule text
Medium High · Dec 15, 2022 · Inspection
The classroom sign in and out logs were reviewed and showed six of eight children in the Toddler class were signed in.
Plain-English explanation above
High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, the operation failed to ensure a child was not neglected when a child was left unsupervised on a transportation van for approximately one hour and fifteen minutes.
In plain English: Every center employee, including staff not counted in the child-to-caregiver ratio, must show competency, good judgment, and self-control around children and treat them with courtesy, respect, and patience. Employees must make sure no child is abused, neglected, or exploited in care, and must report suspected abuse or neglect to the state. Official rule text
High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, it was determined the director failed to maintain supervision when a child was left in a van to the far left of the operation near a main street.
Plain-English explanation above · rule revised March 2023
High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, the vehicle used for transporting children was not equipped with a child safety alarm.
In plain English: A vehicle that seats eight or more, is used to transport children, and was bought or leased on or after December 31, 2013, must have an electronic child alarm that is installed and maintained per the maker's instructions and used on every trip with children. Before turning off the alarm at the rear of the vehicle, the driver or a designated employee must account for every child and walk through the vehicle to check that no child is left inside. Official rule text · rule revised March 2023
Medium High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, a child was not signed in at the operation after being picked up from school.
Plain-English explanation above
High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, the operation failed to report a child was left alone on the transportation van for approximately one hour and fifteen minutes.
In plain English: The center must tell the state licensing office as soon as possible, and within two days, about events such as a child injury that needs medical treatment or hospitalization, an illness that needs hospitalization, a reportable disease, the arrest or criminal charge of a person who needs a background check, or any unusual situation that puts a child at risk, such as a child left in a vehicle or wandering off. A child's death in care must be reported immediately. Official rule text · rule revised March 2023
High · Oct 12, 2022 · Investigation (report)
Based on the information obtained, the center director admitted to not entering the transportation vehicle to account for all children present.
In plain English: Children must be loaded and unloaded at the curb or in a protected parking area or driveway, and a child may not cross a street without an adult. Staff must account for every child getting out before leaving the vehicle unattended, and a child may never be left alone in a vehicle. Official rule text
Medium · Oct 12, 2022 · Investigation (report)
Based on the information obtained, the operation did not provide the parent with an incident report regarding a situation placing a child at risk.
In plain English: The center must fill out the state's Incident/Illness Report form (or one with the same information) when a child has an injury needing medical treatment or hospitalization, an illness needing hospitalization, or an emergency allergic reaction that required a stock epinephrine auto-injector not prescribed to the child. It must also fill one out when a child or employee gets a reportable disease, or when any unusual situation put a child at risk, such as a child left in a vehicle or wandering off. Official rule text · rule revised March 2023
Medium High · May 23, 2022 · Inspection
Documentation reviewed for four of six staff members showed the Pediatric CPR training was completed online.
Plain-English explanation above
Medium High · May 23, 2022 · Inspection
Orientation training is needed for one caregiver who has unsupervised access to a children in care.
Plain-English explanation above · rule revised September 2024
Medium High · May 23, 2022 · Inspection
A staff member counted in the child/caregiver ratio is in need of eight hours of pre-service training. A staff member counted in the child/caregiver ratio is in need of twenty four hours of pre-service training.
Plain-English explanation above · rule revised September 2024
Medium · May 23, 2022 · Inspection
Personnel records were evaluated for six staff members and the following was determined: One caregiver needed documentation showing how they meet the minimum education qualifications. One caregiver needed a notarized affidavit. The director needed a current ID/Driver's License.
Plain-English explanation above · rule revised August 2024
Medium High · May 23, 2022 · Inspection
While inspecting the outdoor play area I observed broken fence pickets, trash/debris, and ant piles. Note: The operation removed the trash from the outdoor play area during inspection.
In plain English: All areas children can reach must be free of hazards. The rule lists examples such as childproof covers on outlets for children under five, heaters and fans mounted out of reach or guarded, poisonous plants kept out of reach, pools, buckets, and other water kept away from children, and TVs anchored so they cannot tip over. Official rule text · rule revised September 2024
Medium High · May 23, 2022 · Inspection
The fire extinguisher in the transportation van is in need of servicing.
Plain-English explanation above
Medium High · May 23, 2022 · Inspection
The operation did not have documentation showing the fire extinguishers are checked monthly.
Plain-English explanation above
Medium · May 23, 2022 · Inspection
Records were evaluated for ten children enrolled and the following was determined: One needed an updated immunization record. Two needed an emergency contact. One needed a health statement.
Plain-English explanation above
High · Apr 28, 2022 · Investigation (report)
During this investigation it was determined that a caregiver used prohibited punishment such as yelling at the children.
In plain English: No child may be treated in a harsh, cruel, or unusual way. Banned methods include physical punishment or threats of it, punishment tied to food, naps, or toilet training, grabbing or pulling a child, yelling at or humiliating a child, and putting a child in a locked or dark room. Official rule text · rule revised March 2023
High · Feb 25, 2022 · Inspection
The last fire inspection was conducted on 02/05/2021.
In plain English: The center must have a fire inspection by a state or local fire marshal before its first permit is issued and at least once every 12 months. Centers in public school buildings run by the local school district are exempt, and if no inspection is available the center must get written proof of that from a fire marshal or county judge. Official rule text
Medium · Feb 25, 2022 · Inspection
One crib used for an infant in care needed a label. Note: This was corrected during the inspection.
Plain-English explanation above
Medium High · Nov 15, 2021 · Inspection
Four cribs needed snug fitting sheets.
Plain-English explanation above
Medium High · Nov 15, 2021 · Inspection
Two toilets and three sinks near the after schooler's classroom needed repair. Four sinks and one toilet near the toddler classroom needed repairs.
In plain English: The center must clean, repair, and maintain its building, grounds, and equipment to protect children's health. This includes sanitizing toys that children put in their mouths, keeping garbage out of children's reach, keeping floors, walls, and ceilings clean and in good repair, and labeling cleaning supplies and storing them away from food and out of children's reach. Official rule text
Medium · Nov 15, 2021 · Inspection
Updated feeding instructions were needed for one infant in care.
In plain English: For an infant who is not yet eating table food, the center must get written feeding instructions signed and dated by a parent or health-care professional, and must follow them. The center must review and update the instructions with the parent every 30 days until the infant can eat table food. Official rule text
Medium · Nov 15, 2021 · Inspection
Six personnel records were evaluated and the following was determined: One needed a copy of a current drivers license One needed a notarized Licensing Affidavit Four needed education qualifications
Plain-English explanation above · rule revised August 2024
Medium · Nov 15, 2021 · Inspection
Records were evaluated for ten children enrolled and the following was determined: Eight needed special needs statement Three needed immunization info Three needed a health statement One needed an emergency contact One needed school information
Plain-English explanation above
Medium High · Nov 15, 2021 · Inspection
One staff member needed Pediatric CPR/First Aid training.
Plain-English explanation above
Based on the kinds of rules cited at America's Choice Child Care:
More in ZIP 77099 and all of Houston.
This page reports the state’s records for America's Choice Child Care; it is not a rating, a recommendation, or a background check, and may not be used for employment, tenant, credit, or insurance decisions.
Explanations follow the current rules (HHSC minimum standards, revised December 2025).