About 1 in 5 infant daycares in Texas and California has been cited for unsafe sleep since 2021
Babies in child care are supposed to sleep on their backs, alone, in a bare crib, never in a bouncer or swing. We counted every safe-sleep citation at licensed centers in Texas and California from state inspection records, updated daily.
Key findings
Texas inspectors cited 1,429 licensed centers 2,150 times under the state’s safe sleeping rules since October 2021, about 21% of centers licensed for infants. 73% of the citations are rated high-risk.
The most common Texas problem is a baby asleep in a bouncer, swing, car seat or other device (661 citations); where inspectors named the device, it was most often a bouncer (206) or a swing (159).
The Texas rate is falling: safe-sleep citations found at inspections fell from 3.1 per 100 inspections of infant centers in 2022 to 1.9 in 2025.
California cited 552 licensed centers 802 times under its infant sleep rules since February 2021, about 22% of licensed infant centers. Most often, sleeping babies weren’t checked every 15 minutes or the checks weren’t logged (409 citations).
The states disagree on swaddling. California bans it in child care and has cited 61 centers under that rule (including 32 citations that mention sleep sacks); Texas allows it with a health care professional’s form and has cited 142 centers for swaddling without one.
In the past 12 months: 400 citations at 345 Texas centers; 174 citations at 136 California centers.
Texas
Since October 2021, Texas inspectors cited 1,429 licensed centers 2,150 times under its seven safe sleeping rules, 73% of them rated high-risk. That is about 21% of the 6,715 centers licensed for infants; 5% were cited in the past 12 months.
| What inspectors cited | Citations | Centers | Rated high-risk | Past 12 months |
|---|---|---|---|---|
| Baby asleep in a bouncer, swing, car seat or other restrictive device | 661 | 585 | 661 | 126 |
| Crib or play yard not up to standard (mattress, sheets, labels, safety rules) | 616 | 503 | 97 | 103 |
| Crib not bare (blankets, pillows, toys), or baby’s head or crib covered | 558 | 504 | 543 | 99 |
| Baby swaddled without a sleep exception form | 147 | 142 | 147 | 40 |
| Baby not placed on the back to sleep, without a sleep exception form | 96 | 91 | 96 | 25 |
| Banned equipment in the infant room (walkers, bean bags, other items) | 72 | 71 | 16 | 7 |
Where inspectors’ notes named the device a sleeping baby was found in, it was most often a bouncer (206), a swing (159), a rocker (33) or a car seat or infant seat (18). 259 of the 661 notes didn’t name it.
Safe-sleep citations found per 100 inspections of centers licensed for infants, by year
The rate fell from 3.1 per 100 inspections of infant centers in 2022 to 1.9 in 2025. Partial years are marked.
Largest counties
| County | Infant centers | Cited | Share cited | Citations | Found per 100 inspections |
|---|---|---|---|---|---|
| Bell County | 108 | 49 | 45% | 79 | 4.7 |
| Hidalgo County | 387 | 112 | 29% | 148 | 3.6 |
| Fort Bend County | 210 | 57 | 27% | 84 | 3.2 |
| Harris County | 1,080 | 261 | 24% | 416 | 3.2 |
| Brazoria County | 116 | 26 | 22% | 38 | 2.3 |
| Williamson County | 181 | 31 | 17% | 55 | 2.3 |
| Collin County | 276 | 58 | 21% | 91 | 2.2 |
| Dallas County | 479 | 89 | 19% | 144 | 2.2 |
| Denton County | 182 | 36 | 20% | 50 | 2.0 |
| Bexar County | 431 | 98 | 23% | 143 | 1.8 |
| Travis County | 277 | 37 | 13% | 55 | 1.7 |
| Montgomery County | 120 | 18 | 15% | 23 | 1.4 |
| El Paso County | 192 | 23 | 12% | 28 | 1.3 |
| Tarrant County | 399 | 59 | 15% | 90 | 1.3 |
| Cameron County | 152 | 18 | 12% | 22 | 1.2 |
Counties with at least 100 centers licensed for infants, highest rate first. The rate counts safe-sleep citations found at inspections per 100 inspections; statewide: 2.4. Every county is in the download below.
California
Since February 2021, California inspectors cited 552 licensed centers 802 times under its infant sleep rules, 18% of them rated Type A. That is about 22% of the 1,979 licensed infant centers; 5% were cited in the past 12 months.
| What inspectors cited | Citations | Centers | Rated Type A | Past 12 months |
|---|---|---|---|---|
| Sleeping babies not watched or checked every 15 minutes, or checks not logged | 409 | 357 | 25 | 75 |
| Crib or sleeping equipment not safe, or loose items in the crib | 208 | 165 | 62 | 55 |
| Back-to-sleep rule or the baby’s sleeping plan (LIC 9227) not followed | 65 | 57 | 15 | 13 |
| Baby swaddled (not allowed in California child care) | 61 | 61 | 18 | 19 |
| Baby left asleep outside a crib | 40 | 38 | 17 | 9 |
| Other infant sleep rules | 14 | 13 | 4 | 3 |
| Baby’s head covered | 5 | 5 | 5 | 0 |
Safe-sleep citations found per 100 inspections of licensed infant centers, by year
The rate fell from 9.4 per 100 inspections of infant centers in 2022 to 6.9 in 2025. Partial years are marked.
Largest counties
| County | Infant centers | Cited | Share cited | Citations | Found per 100 inspections |
|---|---|---|---|---|---|
| San Bernardino County | 83 | 39 | 47% | 59 | 16.6 |
| Riverside County | 73 | 28 | 38% | 47 | 12.7 |
| San Diego County | 198 | 62 | 31% | 88 | 10.7 |
| Santa Clara County | 105 | 26 | 25% | 42 | 10.3 |
| Los Angeles County | 466 | 101 | 22% | 174 | 8.4 |
| Sacramento County | 106 | 20 | 19% | 34 | 5.5 |
| Orange County | 174 | 32 | 18% | 47 | 5.2 |
| Alameda County | 95 | 16 | 17% | 28 | 5.1 |
| Contra Costa County | 79 | 7 | 9% | 12 | 2.3 |
Counties with at least 60 licensed infant centers, highest rate first. The rate counts safe-sleep citations found at inspections per 100 inspections; statewide: 7.6. Every county is in the download below.
Download every county’s numbers (CSV)
What this does and doesn’t show
- Texas: the seven rules Texas itself classifies as safe sleeping standards (26 TAC §746.309(b): §746.2409, 2411, 2415, 2426, 2427, 2428 and 2429), covering cribs and play yards, banned equipment, restrictive devices, sleep position, swaddling and covering a baby’s head. A citation under any of them requires the center to notify every family in writing within five days.
- California: the Title 22 infant sleep rules: §101429(a)(2) (watching sleeping babies and 15-minute checks), §101430(a)(3) (back to sleep, the LIC 9227 sleeping plan, swaddling, covered heads, moving a sleeping baby to a crib) and §101439.1 (cribs and sleeping equipment), including citations where the state’s record shortens the section number, such as 101430(C).
- Counts are citations, not injuries or incidents. A citation means an inspector found a rule broken, most often during a routine inspection; 18% of the Texas citations were corrected during the visit.
- Don’t compare the two states. Their rules differ, and Texas inspects every center at least once a year while California’s minimum is once every three years.
- Counts cover centers licensed today; citations at centers that have since closed aren’t included.
- Rates per 100 inspections count the safe-sleep citations found at routine inspections, divided by the number of inspections. Citations from complaint investigations and other visits are in the totals but not the rates.
- Shares use centers licensed to care for infants (Texas) and licensed infant centers (California). A few other California license types also care for infants; their citations are in the totals but not the shares.
- Device counts come from inspectors’ notes, which don’t always name the device.
- Records counted: Texas from Oct 18, 2021 through Oct 15, 2026; California from Feb 8, 2021 through Oct 9, 2026. Updated daily.
For parents
What the rules require, how they differ between Texas and California, and what to ask before your baby starts: Safe sleep at daycare →. To check one center, open its page: every licensed center has one, listing each citation in the state’s words.
Using these numbers: the figures come from public state inspection records and may be quoted with a link to this page (https://daycarerecord.com/reports/daycare-safe-sleep-violations/). The county table is free to reuse under CC BY 4.0: credit Daycare Record and link to this page. Statewide headline figures are in daycare statistics. Questions or a custom cut of the data: contact us.