Caterpillar Corner

Sanitize Potty-Chairs

“A potty chair in the 2 year old room was not sanitized after use and still contained urine. This was corrected at inspection when the potty chair was removed from the room brining the operation into compliance.”

Rule 746.3407(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 19, 2025.

Employee Handwashing After Diapering a Child

“A caregiver in the infant room did not wash their hands or the infants hands after diapering. This was corrected at inspection when the caregiver washed their hands and the infants hands bringing the operation into compliance.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 19, 2025.

Documented Annual Training- Required Content

“Personnel did not have the required health and safety trainigs.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2025. Correction verified: May 8, 2025.

Maintenance of Building, Grounds and Equipment

“The grass was overgrown in the playground area.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2025. Correction verified: Apr 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

“It was determined throughout the course of the HHS Investigation that a toddler was left alone outside for a 2-minute duration in the enclosed playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 29, 2025.

Parental Communication - Situation that Placed a Child at Risk

“It was determined throughout the course of the HHS Investigation that the parents were not notified for approximately 3 hours and 15 minutes of their child being left alone outside unsupervised.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 29, 2025.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“One personnel file for a current employee was missing proof of orientation. One former employee file was missing proof of orientation.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2025. Correction verified: Mar 25, 2025.

Notification of Planned Closure

“An attempt was made to conduct an unannounced monitoring/Plan of Action inspection. The operation was closed. The permit holder/director failed to notify CCR of the closure for the week of Spring Break.”

Rule 746.301(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2025. Correction verified: Mar 25, 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 was determined throughout the course of the HHS Investigation that two young children in care were unsupervised by the caregivers for less than a 25 second duration. This was self-reported by the operation and confirmed through reviewing surveillance footage.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2024. Correction verified: Dec 19, 2024.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“It was determined throughout the course of the HHS Investigation that an infant in care walked out of the infant classroom and into the operation’s hallway unsupervised. The infant in care was left in the hallway unsupervised for approximately 2 minutes. This was confirmed reviewing surveillance footage.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2024. Correction verified: Dec 19, 2024.

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

“It was determined throughout the course of the HHS Investigation that an 11-month-old child in care was asleep in the crib with a tight-fitting bib secured around the infant’s neck. There was also a pacifier clip and string that was observed around the infant’s neck while the infant was sleeping.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2024. Correction verified: Dec 19, 2024.

Safety Requirements for Cribs - Drop gates, if present fasten securely and cannot be opened by a child

“It was determined throughout the course of the HHS Investigation that a caregiver left the side drop gate down on a crib and walked away from the crib while the infant was awake. This was confirmed through reviewing surveillance footage.”

Rule 746.2409(a)(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2024. Correction verified: Dec 19, 2024.

AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant

“It was determined throughout the course of the HHS Investigation that a caregiver placed an infant in care on their stomach to sleep. Numerous infants were observed sleeping on their stomachs in their cribs. This was confirmed through reviewing surveillance footage.”

Rule 746.2427. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2024. Correction verified: Dec 19, 2024.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“It was determined throughout the course of the HHS Investigation that a caregiver supervising infants in care and counted in child/caregiver ratio was on their personal cell phone. This was confirmed through reviewing surveillance footage.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2024. Correction verified: Dec 19, 2024.

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

“It was determined throughout the course of the HHS Investigation that a prospective caregiver with a “pending” background status had access to children in care without an eligibility notification, placing children in care at risk of harm.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 25, 2024. Correction verified: Nov 25, 2024.

Training requirements for substitutes, volunteers, and contractors-Pre-service training

“A volunteer caring for infants and counted in child/caregiver ratio did not have the required 8 hours of Pre-Service Training.”

Rule 746.1403(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 20, 2024. Correction verified: Nov 13, 2024.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was left alone with 8 children in care, ages 13 months-20 months with a specified age group of 12-17 months and a 1:5 ratio. This was immediately corrected during the inspection when another caregiver arrived from lunch, placing the operation back into compliance.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2024. Correction verified: Nov 13, 2024.

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

“During the unannounced investigation inspection there were two individuals present in the operation without eligible background checks. This was immediately corrected when both individuals left the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2024. Correction verified: Nov 4, 2024.

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

“During the unannounced investigation inspection files were audited. One caregiver working in the classroom did not have the required annual training.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2024. Correction verified: Nov 5, 2024.

Required Records Maintained and Made Available - Personnel and Training Records

“Two volunteers did not have a file of the required paperwork. One caregiver and one operational employee did not have proof of CPR First Aid to review.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2024. Correction verified: Nov 5, 2024.

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

“It was determined throughout the course of the HHS investigation through surveillance footage that multiple caregivers failed to adequately supervise young children in care while they were on their cell phone. The lack of supervision subsequently led to a child in care consuming a mushroom while on the playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 16, 2024.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“It was determined throughout the course of the HHS investigation when reviewing surveillance footage that multiple caregivers were on their cell phones while supervising young children in care on the playground.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 16, 2024.

Safety - Poisonous Plants Inaccessible to Children

“It was determined throughout the course of the HHS investigation toxic mushrooms were located on the playground where young children in care play. The young children in care had access to the toxic mushrooms.”

Rule 746.3701(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 16, 2024.

Maintenance Procedures for Active Play - Inspect Daily

“The caregiver, director, or designee failed to check the outdoor playground area for hazards prior to children in care having access.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 16, 2024.

Immunization Records, Exceptions, and Exemptions Current

“2 of the 8 immunziation records audited did not have a current immunization record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 19, 2024.