Toepperwein Road Kindercare

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

“A child was left outside for up to three minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 8, 2026. Correction verified: Oct 15, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“In the Pre-K/Multi-age classroom there were 12 children counted and the caregiver stated there were 11 children at first.”

Rule 746.1205(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 27, 2026.

Food Service and Preparation Requirement - No Foods That Present Choking Risk

“A piece of banana that was over two inches long was lying on the floor near the door of the Infant A classroom. It was observed not to be cut into slices, and the caregiver threw the piece of banana in the garbage can.”

Rule 746.3317(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 27, 2026.

Required Admission Information - Emergency Medical Authorization

“Two of the children’s files did not have the emergency medical authorization completed.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 10, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Seven staff were delinquent in training records from the previous calendar year.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2026. Correction verified: Sep 10, 2026.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“One staff member had a First Aid card that expired on 8/15/2026.”

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

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

“One caregiver did not have current CPR training. Her CPR card expired on 8/15/26.”

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

Required Admission Information - Emergency Contact

“In two children’s files there was no addresses provided for the emergency contact person.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 10, 2026.

Immunization Records, Exceptions, and Exemptions Current

“Two children’s files did not have immunization records in them.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2026. Correction verified: Sep 10, 2026.

Daily Menus - May Rotate if Keep Record of Dates Menus Used

“The menus posted were from June 2026. The cook had menus dating from January 2026 to June 2026. There were no menus printed and posted for July and August 2026. The cook was using the week and the day to determine what food was going to be served. Today is Thursday, the items on the menu for today were listed on a Tuesday.”

Rule 746.3313(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 3, 2026. Correction verified: Sep 10, 2026.

Complying with Laws and Rules

“During the investigation, it was determined that the operation failed to comply with minimum standards by not providing immunization records to the health department within the requested time frame.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jul 8, 2026.

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

“An employee in the toddler room was in direct care of children prior to having an eligible background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2026. Correction verified: Apr 21, 2026.

Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)

“One out of ten staff files was missing the pre-affidavit form signed by a caregiver.”

Rule 746.1105(4). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2025. Correction verified: Oct 17, 2025.

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

“The operation’s fire inspection was past due. The last fire inspection was conducted on 3/4/2024 and was due 3/4/2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2025. Correction verified: Mar 27, 2025.

Immunization Records, Exceptions, and Exemptions Current

“Two of ten children’s records reviewed did not have updated immunization records on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Mar 24, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“One of ten caregivers reviewed for CPR training did not have hands on skills training completed for CPR.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 15, 2024.

Immunization Records, Exceptions, and Exemptions Current

“Seven of ten children’s records reviewed did not have updated immunization records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 15, 2024.

Children’s Records - Health Statement

“Two of ten children’s records did not have a health care provider statement on file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 15, 2024.