La Mision Child Care and Kid Kamp

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2023. Correction verified: Oct 3, 2023.

Director Responsibilities - Employees Comply with Standards

“After parent notified the director/owner of the child’s needs, it was not ensured that the caregivers were following infant care instructions.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2023. Correction verified: Oct 3, 2023.

Parent Provided Meals/Snacks - Provide Safe Storage and Service

“The operation failed to safely store the child’s formula by misplacing it.”

Rule 746.3309(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2023. Correction verified: Oct 3, 2023.

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

“A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2023. Correction verified: Aug 22, 2023.

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

“Children are receiving injuries (biting) due to improper supervision.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 3, 2023.

Parental Notification of Less Serious Injuries

“The parent was not notified of the bite the child received while in care.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 3, 2023.

Activities for Infants - Multiple Opportunities to Explore Outside Crib

“Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.”

Rule 746.2417(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Mar 1, 2023.

Required Records Maintained and Made Available - Employees’ Attendance

“The Director does not have proof of attendance records that documents time and hours present at the operation.”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Mar 1, 2023.

Child/ Caregiver Ratio - 13 or More Children

“There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Mar 1, 2023.

Child/Caregiver Ratio - Opening/Closing

“Four infants were being cared for with children over eighteen months old in the first 45 minutes of opening the operation.”

Rule 746.1615. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2023. Correction verified: Mar 1, 2023.

Child/ Caregiver Ratio - 13 or More Children

“There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2023. Correction verified: Jan 6, 2023.

Requirements for Feeding Infants - Label Bottles/Cups

“Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 5, 2023.

Safety - Electrical Outlets Covered

“There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 5, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2022. Correction verified: Jun 7, 2022.

Required Admission Information - Emergency Contact

“Three out of eight children’s records evaluated were missing the required emergency contact information.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2022. Correction verified: Jun 7, 2022.

Children’s Products- Annual Certification

“The operation did not have the required Child Product Safety Commission Form. This was corrected at inspection when the director downloaded the form, signed it, and posted it.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 25, 2022.