Kids and Tots Unlimited Too Learning Center and Day Care

Child Passenger Safety Seat System - Must Use for Each Child in When Transporting and be Properly Installed

“The booster seat was not the appropriate booster seat for the 3 year old child.”

Rule 746.5607(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2023. Correction verified: Nov 6, 2023.

Child Passenger Safety Seat System - Not expired or damaged in accident

“The booster seat that was being used expired in 2021.”

Rule 746.5607(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2023. Correction verified: Nov 6, 2023.

Safety Requirements for Active Play Equipment - Securely Anchored

“The carport used as shading in the play ground had 12 bolts that were protruding. The bolts needed tightening to help prevent trips, cuts, or any other potential injuries from the protruding bolts.”

Rule 746.4601(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2023. Correction verified: May 10, 2023.

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

“One caregiver’s CPR/First Aid certification was expired (03/2023).”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2023. Correction verified: Jun 9, 2023.

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

“One caregiver only had 6 hours of the 24 annual training hours.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2023. Correction verified: May 23, 2023.

Fire Extinguishers Serviced

“Fire extinguishers were last service in 03/2022 and were due for servicing by 03/2023.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2023. Correction verified: May 10, 2023.

Children’s Products- Annual Certification

“The Child Product Form was observed to be expired (2/16/22). This was corrected during inspection by office manager.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2023.

Cots, Beds, Mats Labeled With Child’s Name

“Children’s sleeping cots were not labeled. This was corrected during inspection by caregiver.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2023.

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“The operation did not have an employee list posted. This was corrected during inspection by director.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2023.

Safety - Areas Free From Hazards

“The tricycles in the playground area had broken seats and did not have the rubber stopper on the handles. The two picnic tables in the playground had loose boards and were extremely wobbly.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 16, 2023. Correction verified: Jan 16, 2023.

Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

“Two out of ten children’s records needed the doctor signed health statement.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 19, 2023.

Daily Menus - Record Comparable Substitutions

“The menu posted stated the center was going to serve chicken taco, but they served ground beef with beans. Corrected at inspection: The center updated the menu during the inspection.”

Rule 746.3313(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2022.

Required Admission Information - Emergency Contact

“Four out of ten children’s records reviewed were lacking an address for the emergency contact. Corrected at inspection: The center filled in the emergency contact address during the inspection.”

Rule 746.605(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 16, 2022.

Space Requirements for School-age - Individual Activities

“The school age children were observed napping on the floor with no nap equipment.”

Rule 746.2703(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 18, 2022.

Required Admission Information - Date of Admission

“Three out of ten children’s records were lackin the date of admission. Corrected at inspection: The center filled in the date of admission during the inspection.”

Rule 746.605(3). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 16, 2022.

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

“The center did not inform a parent that their child was left completely unattended in a transportation van.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 28, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“A caregiver was neglectful by failing to ensure all children had exited the transportation van.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 28, 2022.

Safety Precautions for Loading and Unloading Children - Curbside

“A caregiver allowed children to run across a parking lot when they were unloaded from the transportation van.”

Rule 746.5605(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 28, 2022.

AP Safety Precautions for Loading and Unloading Children - No Child Unattended

“A child was left unattended in the transportation van by two separate caregivers.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 28, 2022.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“The center did not fill out an incident report for the child that was left unattended in a transportation van.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 28, 2022.

AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

“A person with an ineligilble status was observed in a classroom caring for children. Corrected at Inspection: Person was sent home.”

Rule 745.635(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 9, 2021.

Required Immunizations

“Two out of ten children’s files were lacking an immunization on file.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2021. Correction verified: Nov 16, 2021.

Required Admission Information - Emergency Contact

“One out of ten children’s files reviewed did not have an emergency contact. Four out of ten children’s files were lacking the address for the emergency contact. Corrected at inspection: The emergency contacts were updated during the inspection.”

Rule 746.605(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 9, 2021.

Required Admission Information - School Information for School-age Child

“One out of ten children’s files reviewed was lacking the school information and three out of ten were lacking the school adress. One file was lacking the school phone number. Corrected at inspection: The children’s files were updated during the inspection.”

Rule 746.605(14). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 9, 2021.

Required Admission Information - Date of Admission

“Three out of ten children’s files were missing the date of admission. Corrected at inspection: The date of admissions were added during the inspection.”

Rule 746.605(3). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 9, 2021.