Kids Kare Academy

Child/Caregiver Ratio - 18 Months Difference in Age

“A twenty-two-month-old was combined with the infant class where the youngest child was two months old. This was corrected during the inspection when the twenty-two-month-old was moved to another classroom, and the next oldest child in the class was sixteen months old.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2026. Correction verified: Sep 23, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“One caregiver had first aid and CPR training that expired in June 2026.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Jul 22, 2026.

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

“Out of the four staff files reviewed, one caregiver was missing training in emergency planning and communicable diseases and two were missing training in managing food allergies, handling hazardous materials, and building and physical premises safety.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Jul 22, 2026.

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

“The director was missing training in communicable diseases and building and physical premises safety. The director took building and physical premises safety training during the inspection.”

Rule 746.1301(a)(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Jul 17, 2026.

Safety Requirements for Cribs - Snug Fitting Sheets

“The sheets on some of the cribs in the infant room were not snug, and one set of sheets was coming off of the mattress. This was corrected during the inspection when the sheets were replaced with snug-fitting sheets.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2026. Correction verified: Jul 23, 2026.

Inspect Fire Extinguishers Monthly

“The fire extinguishers were last checked in May 2026. This was corrected during the inspection when the director checked the fire extinguishers.”

Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 16, 2026.

Infant Daily Report - Infant’s Mood

“The infant daily report did not have a section for mood to be recorded.”

Rule 746.2431(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 23, 2026. Correction verified: Jul 16, 2026.

Children’s Records - Immunizations

“Out of four children’s files reviewed, one child was missing an affidavit for not getting certain immunizations.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Jul 16, 2026.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“Two slides were on the grass and did not have any loose-fill around or underneath. This was corrected during the inspection when one slide was removed from the playground and the other was moved to the mulch area so it had the proper amount of loose-fill.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 7, 2025.

Fire Drill Monthly - Exit in 3 Minutes

“A fire drill was not conducted in July. This was corrected during the inspection when a fire drill was conducted and the children were able to exit in one minute and fifty seconds.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 7, 2025.

Policies Comply with Rules

“The parent handbook was missing policies for sunscreen, hearing and vision screenings, and some of the parent’s rights.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2024. Correction verified: Oct 21, 2024.

Documented Annual Training- Required Content

“Out of three staff files reviewed, two caregivers were missing several of the required training topics.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2024. Correction verified: Oct 23, 2024.

Daily Menus - Record Comparable Substitutions

“The operation made substitutions for breakfast and lunch, but these substitutions were not recorded. This was corrected at inspection when the director recorded and posted the substitutions that were made.”

Rule 746.3313(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 14, 2023.