After 3 After School Programs

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A caregiver was observed supervising the 2nd grade class by herself, even though her background check conditions prohibit her from supervising children alone. Corrected: When the caregiver came into the cafeteria with the other groups of children and caregivers.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 31, 2023.

Training Requirements for Employees - Pediatric First Aid

“One caregiver with the 5th grade class did not have training in pediatric first aid with rescue breathing. The caregiver is within her 90 days of hire but was left alone in the portable buildings.”

Rule 744.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Nov 29, 2023.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

“4 groups of children were left in care of contract/ vendors for enrichment program without caregiver qualifications on record.”

Rule 744.1401(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Mar 1, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“Caregivers for two groups did not know the number of children they were responsible for.”

Rule 744.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 7, 2023.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

“2 groups of children were left in care of contract/ vendors without caregiver qualifications on record.”

Rule 744.1401(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Mar 8, 2023.

Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent

“Three children with food allergy emergency plans with diagnosed food allergies requiring epi-pens were outdated.”

Rule 744.2669. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2023. Correction verified: Feb 14, 2023.

Report Change in Controlling Person

“A person listed as a Controlling Person left the operation in October 2022 and the provider portal account not updated to reflect the change.”

Rule 744.305(a)(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 7, 2023.

Responsibilities of Caregivers- Supervision of Children

“Supervision of a child was not maintained when a child was alone on the playground.”

Rule 744.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 8, 2023.

Report Situation Placing Children at Risk

“The operation failed to make notification to Licensing within 48 hours of the incident.”

Rule 744.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 8, 2023.

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

“They were seven employees that had access to children without having a background check at the operation or any other of the operations locations.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2022. Correction verified: Sep 20, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“Caregiver were unsure of how many children they had, caregiver stated 16 and the caregiver had 17 another caregiver stated they had 15 when I counted they were 14 children. One caregiver was unaware of how many children she had after coming from outside she had to stop and do a name to face check.”

Rule 744.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2022. Correction verified: Sep 19, 2022.

Responsibilities of Caregivers- Supervision of Children

“A child was unattended outside while waiting on their parent to pull up. Other children were able to walk around the halls to the restroom, and to the front area to live for the day with out a caregiver”

Rule 744.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2022. Correction verified: Sep 19, 2022.

Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.

“Two caregiver that were alone with children did not have first aid training.”

Rule 744.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2022. Correction verified: Sep 19, 2022.

Each caregiver, operation director, program director, and site director Pediatric CPR

“Two caregiver that were alone with children did not have CPR training.”

Rule 744.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2022. Correction verified: Sep 19, 2022.

Required Admission Information-Emergency Medical Authorization

“Three children are missing emergency medical information in their files.”

Rule 744.605(12). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 19, 2022.

Required Admission Information-Food Allergy Emergency Plan

“Four children are missing food allergy emergency plan.”

Rule 744.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2022. Correction verified: Sep 19, 2022.

Screen Time Activities - Related to Planned Activities

“The 5th grade group was watching a movie that was not related to the planned activities for the day.”

Rule 744.2007(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2022. Correction verified: Sep 19, 2022.

Required Personnel Records- Orientation Completed

“Three new caregivers were missing orientation training.”

Rule 744.901(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2022. Correction verified: Sep 19, 2022.