La Petite Toepperwein

Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation

“The operation did not have the most recent inspection form posted at time of review.”

Rule 746.401(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 10, 2026.

Children’s Records - Health Statement

“There were two files that did not have health care provider statements signed at the time of review.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2026. Correction verified: Sep 24, 2026.

Notification of Additional Services Offered

“The operation did not notify CCR that they were offering transportation services.”

Rule 746.301(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 13, 2026.

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 walk through of the playground, there were three children inside a gate around the wall while the teacher was tending to a child that did not want to leave the playground. *Operation put a carabiner on the gate to not let it open*”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2026. Correction verified: Jun 29, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the number of children in their care after combining classes for nap time.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2026. Correction verified: Apr 8, 2026.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Caregivers did not use good judgment when they did not contact EMS after finding a 3 year old child on the playground with no jacket. The child had been on unattended on the playground for over 2 hours. Temperatures that day ranged from 23 degrees to 34 degrees Fahrenheit”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“This standard was found deficient as part of a DFPS Investigation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“During the investigation process, a caregiver did not know the number of children that were in their care at drop off time.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

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 investigation process, a caregiver did not maintain supervision of a child. The child was able to leave the classroom, go through another classroom, open the door to the playground and enter the playground unattended.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

Policies Comply with Rules

“During the investigation process, a caregiver did not follow the operational procedures for doing hourly name to face checks, did not have the name to face checks verified by another staff member, and did not follow the protocols set in place when the operation is short staffed.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

Parental Communication - Notify Immediately about Allegation of Abuse, Neglect or Exploitation

“The operation did not notify the parents immediately about their child being left on the playground. The parent was notified several hours after the incident occurred.”

Rule 746.307(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

Child/ Caregiver Ratio - 13 or More Children

“During the investigation process, it was determined that the infant classroom was out of ratio when a caregiver left the room leaving one caregiver with five infants under twelve months old.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Mar 27, 2026.

Children Handwashing After Toileting or Diapering

“An infants hands were not washed after their diaper was changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 22, 2026. Correction verified: Feb 5, 2026.

Documented Annual Training- Required Content

“Two caregivers did not have administering medication training at the time of review.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 5, 2026. Correction verified: Jan 27, 2026.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“At time of inspection, the school aged class was observed to have cleaning solutions at childrens reach. THis was corrected at inspection.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2025. Correction verified: Jul 2, 2025.

Director Responsibilities - Employee Assignments

“It is found though investigation evidence a staff was assigned a classroom when they did not have the skills to safely supervise the entire group in care.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2025. Correction verified: May 8, 2025.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose fill under 2 slides is not 6 inches deep during the inspection. note: This was corrected during the inspection when the loose fill was redistributed under the slides.”

Rule 746.4907(d). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 24, 2025.

Cots, Beds, Mats Labeled With Child’s Name

“Nap cots in the PreK room do not have labels on the cots reflecting the current children using the cots during the inspection.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 2, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Based on evidence collected during this investigation, it was determined that the operation staff failed to respond appropriately to a child’s symptoms of illness. The child was seen in the classroom laying on the floor coughing, and observed to be what was described as burning, yet no temperature was taken or first aid given by staff.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 14, 2025.

Child Becomes Ill in Care - Contact Parent

“Based on evidence collected during this investigation, it was determined that the operation failed to ensure that a parent was contacted after discovering a child was displaying multiple symptoms of illness preventing the child from participating comfortably in activates.”

Rule 746.3605(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 14, 2025.

Positive Methods of Discipline and Guidance - Brief Supervised Separation

“During investigation, it was determined based on the video footage a child was separated from the group for more than 2 minutes, approximately 3 minutes, exceeding the one minute per year of the child?s age.”

Rule 746.2803(4)(D). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Mar 24, 2025.

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

“It is found a child was left unsupervised for 7 minutes in a classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 24, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“While reviewing traning records. Two of sixteen employee files did not include verification of Pre Service Training as required.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2024. Correction verified: Sep 25, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“While reviewing the monthly infant feeding schedules, six of eight schedules were not updated within the last thirty days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2024. Correction verified: Sep 25, 2024.

Immunizations-Immunization record must include the child’s name and birth date

“Two of ten children’s files did not include a current immunization record.”

Rule 746.623(1)(A). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2024. Correction verified: Sep 25, 2024.

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

“Per inv#3095466--standdard found deficient. Updating additional inv inspection report of pending standard.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2024. Correction verified: Aug 12, 2024.

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

“During an investigation, it was determined that a caregiver knowingly allowed children to remain outside of visual and auditory awareness while attending to other duties in the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2024. Correction verified: Aug 12, 2024.

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

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Mar 22, 2024.

Parental Communication - Situation that Placed a Child at Risk

“Based on the interviews conducted a parent was not notified immediately when a child was left in a classroom unsupervised. The parent was notified at pick-up.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Mar 22, 2024.

Fire Extinguishers Serviced

“The fire extinguishers in both vans used for transportation have not been serviced in the last year.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 14, 2023.

Children’s Records - Immunizations

“One child’s file reviewed did not contain an immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2023. Correction verified: Dec 14, 2023.