Cornerstone/The Ranch

Required Admission Information - Emergency Medical Authorization

“6 of the 12 children did not have the emergency care contact information”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 8, 2023.

Sheltering Drills for Lock-Down-4 times in a calendar year

“The operation did not have documentation to show they have been practicing lockdown and severe weather drills”

Rule 746.5205(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 8, 2023.

Required Admission Information - Emergency Contact

“2 of 12 children did not have emergency contact person’s phone number”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 8, 2023.

Director Annual Training 30 Hours Required

“Director unable to show annual training required. The director was 11 hours short for annual training.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Aug 30, 2023.

Children’s Records - Immunizations

“5 of 12 children did not have current immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 8, 2023.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“A caregiver in the school age classroom was observed pushing the hands of two children in care. The caregiver was also observed yelling at children. This was corrected at inspection when the director talked to the caregiver.”

Rule 746.2805(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2023.

Prohibited Equipment for Infants - Baby Walkers

“The infant room was observed to have a baby walker with wheels. This item was removed from the room during the inspection byt the director.”

Rule 746.2415(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2023.

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

“The operation did not have at least 6 inches of loose fill surfacing on the playgrounds around the fall zones.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jun 20, 2023.

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

“This standard was tasked as part of an investigation and was determined to be deficient. A caregiver did not use good judgement when allowing a child to play on a seesaw that was meant to be used by two children. This resulted in an injury to the child that was in care.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2023. Correction verified: Jun 12, 2023.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“This standard was tasked as part of an investigation and was determined to be deficient. The operation did not report a child’s injury that required medical treatment. Operation was made aware that the child was taken to a doctor and dentist. This was corrected at inspection when inspector reviewed standard 746.305 with director.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2023.

Incident/Illness Report Form Shared with Parent

“This standard was tasked as part of an investigation and was determined to be deficient. The incident/illness report form was not shared with the parent.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2023. Correction verified: Jun 5, 2023.

Incident/Illness Report Form Signed

“This standard was tasked as part of an investigation and was determined to be deficient. The operation did not have a signed incident and illness report form available for review. This was corrected at inspection because the child is no longer enrolled at the operation.”

Rule 746.705. Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2023.

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

“A caregiver was observed in a class with school aged children without a current background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2022. Correction verified: Aug 8, 2022.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“3 out of 7 infants were observed in cribs sleeping with bottles or training cups. This was corrected at inspection when the infant caregiver removed all bottles and training cups from the cribs.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 8, 2022.

Documentation of Annual Sanitation Inspection

“There was no health inspection document available for review.”

Rule 746.3403. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2022. Correction verified: Sep 13, 2022.

Requirement of Gas Leak Inspection

“The operation did not have a current gas leak inspection.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2022. Correction verified: Aug 22, 2022.

Director Responsibilities - Operate in Compliance

“Director allowed a caregiver to transport children without a valid drivers license.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.

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

“Caregiver did not use good judgment while transporting children and reporting a serious incident resulting in child injury.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.

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

“Investigation was completed by DFPS and it was determined that a child was neglected by caregiver while being transported.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.

Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child

“Caregiver did not have emergency contacting formation while transporting children.”

Rule 746.5617(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.

Driver Has Current Driver’s License

“Caregiver transporting children without a current drivers license.”

Rule 746.5617(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.

Child/ Caregiver Ratio - 13 or More Children

“During the DFPS investigation Walworth it was observed that one caregiver supervised seventeen two-year olds in outdoor playtime.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 14, 2022.