Skyrise School of Summerfields

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“At the time of inspection there were no written feeding instructions available for 2 infants in care.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Sep 15, 2023.

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

“This standard was evaluated based on a reported allegation. The evidence shows that the director did not demonstrate self-control in the presence of children. The director engaged in an escalated verbal altercation with a parent in the presence of children.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2023. Correction verified: Jun 22, 2023.

Immunization Records, Exceptions, and Exemptions Current

“10 child files were evaluated. Three children did not have current shot records on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Mar 31, 2023.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“The toddler room was observed during naptime. There was a 16 month old in the classroom. There was a total of 16 children in the classroom. The specified age group was 2 years old. The classroom was over ratio by 5 children. The director added a 2nd caregiver to the room immediately.”

Rule 746.1613(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 12, 2022.

Director Responsibilities - Employee Assignments

“Based on information obtained in regards to a DFPS investigation, it is determined that caregivers are placed in classrooms and do not have the skills, abilities, or training to adequately manage the classroom. This is evidenced by caregivers being overwhelmed.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Aug 1, 2022.

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

“An infant caregiver did not use good judgment when she slapped infants on the hands as a form of discipline. A second caregiver did not demonstrate good judgment when she pulled children by the arm and handled children in a rough manner. This information was obtained through an abuse/neglect (DFPS) investigation.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Aug 1, 2022.

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

“Based on evidence gathered from a DFPS investigation, it is determined that caregivers did not exercise good judgement by failing to report inappropriate discipline and mishandling to children by a co worker. Caregivers stated that they witnessed this concerning mishandling on multiple occasions, and did not report their concerns.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 16, 2022.

Responsibilities of Employees and Caregivers -Relate to Children

“Based on evidence gathered from a DFPS investigation, it is determined that a caregiver became frustrated with classroom conditions which resulted in the caregiver lifting an 18 month old off the ground by one arm causing bruising to the child’s left arm.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 16, 2022.

Prohibited Punishments - Hitting with Hand or Instrument

“This standard was evaluated in regards to a DFPS investigation. An infant caregiver inappropriately disciplines the children by slapping them on the hand.”

Rule 746.2805(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Aug 1, 2022.

Written Activity Plans - Plan Followed by Caregiver

“This standard was evaluated in regards to a DFPS investigation. At least one class at the operation does not have an activity plan that is followed. The children are allowed to “free play” all day.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Aug 1, 2022.

Report Situation Placing Children at Risk

“This standard was evaluated in regards to an investigation and is found to be deficient. The center director failed to report child safety concerns to Licensing after being informed of the allegations.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2022. Correction verified: Jul 7, 2022.

Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us

“The operation’s last health inspection was conducted on 11/5/2020.”

Rule 746.3401(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 18, 2022.

Safety - Areas Free From Hazards

“At time of inspection, two nap mat covers had cracked corners. The corners were plastic and had sharp edges. The cracked plastic also posed a pinching hazard. There were two tricycles on the playground that were broken. One tricycle had a broken pedal and the other had broken plastic pieces with sharp edges. Photos were taken of all equipment. The center director removed all broken equipment during inspection.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 21, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a diagnosed food allergy and a prescribed epi pen, did not have a food allergy emergency plan accessible in his file during inspection.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 5, 2022.

Planned Activities Designed to Meet Individual Needs

“At the time of inspection, there was a 2.5 yr old child in the infant room with an unspecified medical condition. It was explained that the child was non-mobile and required a feeding tube. Caregivers stated that the child participates”

Rule 746.2201(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 3, 2022.

Children’s Records - Specialized Medical Assistance from Health Care Professional

“At the time of inspection, 1 child did not have a copy of healthcare recommendations or orders for specialized medical assistance (g-tube feeding) by a health care professionals. The child did not have a health care statement completed by a physician on file.”

Rule 746.603(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 3, 2022.

Children’s Records - Immunizations

“Ten children’s shot records were evaluated. One child did not have a shot record on file. Five children had out of date shot records on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 5, 2022.

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

“Caregivers did not display the necessary skills when dealing with children with difficult behaviors.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2022. Correction verified: Jan 20, 2022.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“A caregiver strapped a 3 year old child in a stroller as a form of discipline.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2022. Correction verified: Jan 20, 2022.