Trinity Lutheran Child Development Center

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The last fire inspection was completed 3/3/2025 and was required to be completed annually, or by 3/3/2026.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 10, 2026.

Required Immunizations

“Two children’s files reviewed did not have any immunizations in file for review.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2026. Correction verified: Sep 9, 2026.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“A caregiver’s file was reviewed and CPR training and First Aid training in file was expired as of 6/2026.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Sep 10, 2026.

Children Handwashing After Toileting or Diapering

“A classroom was observed and a child did not have their hands washed after their diaper was changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2025. Correction verified: Oct 21, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy plan for a child in care did not have the required doctor signature.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2025. Correction verified: Nov 3, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, the staff were unaware of the on-going activities and lacked auditory and visual awareness of a child they were responsible for after the rest of the class was taken in from outside. The child was left alone, outside on the playground, for approximately 10-15 minutes. Additionally, the child was discovered by another church staff employee who made the operation aware that the child was missing and was outside unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2025. Correction verified: Jul 1, 2025.

Parental Communication - Situation that Placed a Child at Risk

“Based on evidence obtained, the operation did not notify parents immediately of a situation that placed their child at risk when their child was left outside for approximately 10-15 minutes without a caregiver present. They notified the parents approximately 3 hours after the incident occurred where they should have been notified once the child was safe.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2025. Correction verified: Jul 1, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on evidence obtained a caregiver was unable to see the ongoing activities of children, and a child had minor injuries due to another child.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2025. Correction verified: Feb 27, 2025.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“An infant was observed sleeping with a bib on during an observation conducted by a DFPS investigator.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2025. Correction verified: Feb 27, 2025.

Screen Time Activities - Not Used During Eating or Rest Times

“A group of children were observed participating in screen time during nap/rest time during an observation conducted by a DFPS investigator.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2024. Correction verified: Aug 26, 2024.

Required Admission Information - Emergency Medical Authorization

“Children’s files were reviewed and there were seven children that did not have the emergency medical authorization complete in file. Three children’s files were missing information for the emergency contact listed and one child was missing phone numbers for the people of release provided by the parent. Three children’s files did not have the required parent signature on the child admission form.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 1, 2024.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Two staff did not have orientation in file as required for review.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 1, 2024.

Written Activity Plans

“Three classrooms did not have activity plans available for review at inspection.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 1, 2024.

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

“Based on the evidence obtained during the investigation, an individual has been frequently and regularly present with direct access to children without an eligible background check notification.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2024. Correction verified: Jun 26, 2024.