YMCA Early Learning Center Pre-School

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“In two of the classrooms, there was not a changing mate for diaper changing.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 14, 2026.

Safety - Areas Free From Hazards

“The trash cans in all 5 classroom do not have lids.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2026. Correction verified: Oct 14, 2026.

Cots, Beds, Mats Labeled With Child’s Name

“Assignment cots were not available for review in one of the classrooms during the walkthrough/rest time. **Corrected at inspection when the cots were labeled by number and then a list was provided on which cot belong to which child.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 6, 2026.

Maintenance of Building, Grounds and Equipment

“Based on information gathered, the bathroom had a urine odor.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 28, 2026.

Policies Comply with Rules

“The operation lacked operational polices number 9, 18, and 26.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 9, 2026.

Maximum Group Size 13 or More Children

“Two caregivers had a group of 33 children. The specified age of this group was 3 years old. The maximum group size for two caregivers with the specified age of 3 is 30 children. The caregivers were out of ratio by 3 children.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2026. Correction verified: Apr 7, 2026.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“Disinfecting wipes were accessible to children in the 3 year old classroom. NOTE: This was corrected when the caregivers removed the wipes.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2026. Correction verified: Mar 24, 2026.

Required Immunizations

“One out of six children files lacked current immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 13, 2026.

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

“Two infants did not have infant feeding schedules.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 13, 2026.

Children’s Records - Health Statement

“One out of six children files lacked a required health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2026. Correction verified: Mar 18, 2026.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“Clorox wipes, sanitizer, and deodorizer were accessible to children in the toddler room. Hand sanitizer was accessible to children in the Prek 3 room.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 13, 2026.

Posting Requirements - Activity Plans for each group of children in the child care center

“The infant room and both toddler rooms did not have the activity plans posted.”

Rule 746.401(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Jan 8, 2026.

Cots, Beds, Mats Labeled With Child’s Name

“The children’s cots were not labeled in the infant room and both toddler rooms.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 8, 2026. Correction verified: Jan 8, 2026.

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

“During the course of an investigation, it was determined that a caregiver would repeatedly step out of the classroom leaving a group of children unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 28, 2025.

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

“During the course of an investigation, it was determined that a caregiver placed a two-year-old child in time out for approximately 10 minutes. The child is only allowed to be in time out for two minutes.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 28, 2025.

Prohibited Punishments - Grabbing and Pulling

“During the course of an investigation regarding unexplained bruising to a child’s arms, it was determined that a caregiver grabbed the child while attempting to redirect them, which may have resulted in the injuries.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 28, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“During the course of an investigation, it was determined that the caregiver was on their phone multiple times throughout the day.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 28, 2025.

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

“Four out of seven personnel files lacked the required 24 hours of training.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2025. Correction verified: Mar 28, 2025.

Requirements for Feeding Infants - Label Bottles/Cups

“In the infant room, the bottles and sippy cups were not labeled.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2025. Correction verified: Mar 4, 2025.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose fill around the slide that is outdoors was not the appropriate depth of 6 inches.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2025. Correction verified: Mar 28, 2025.

Immunization Records, Exceptions, and Exemptions Current

“One out of eight children files lacked current immunizations.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment

“One out of seven personnel files lacked training on prevention, recognition, and reporting of child maltreatment.”

Rule 746.1309(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 11, 2025.

Documented Annual Training- Required Content

“Three out of seven personnel files lacked the required 6 topics of training.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 10, 2025.

Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment

“The director did not have training on the prevention, recognition, and reporting of child maltreatment.”

Rule 746.1311(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 11, 2025.

Director Annual Training - Additional required topics

“The director did not complete training in the required 6 topics.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 10, 2025.

Health Statement on File within 1 Week of Admission

“One out of eight children files lacked a physician statement.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Mar 5, 2025.

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

“Children were observed walking to the restroom unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Mar 3, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“During a course of an investigation, it was determined that a caregiver was on the phone while a child was injured.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2025. Correction verified: Apr 2, 2025.

Child/Caregiver Ratio - 18 Months Difference in Age

“A 5 year old child was placed in the infant room. The youngest infant in the classroom was 16 months old. The age gap is more than 18 months difference.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Mar 3, 2025.

Screen Time Activities - Not Used for Under Two

“During the course of an investigation, it was determined that a caregiver allowed children under the age of two to engage in screen time activities.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2025. Correction verified: Apr 2, 2025.

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

“A child was observed in the hallway alone, drinking from the water fountain.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2024. Correction verified: Apr 11, 2024.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation did not have a current fire inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2024. Correction verified: Apr 25, 2024.

Director Annual Training - Caring for children under 24 months

“The director lacked training in recognizing and preventing shaken baby syndrome and abusive head trauma, understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS), understanding early childhood brain development.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2024. Correction verified: Apr 11, 2024.

Food Service and Preparation Requirement - Use Sanitary Holders

“Three classrooms placed snack directly on the table. Note: This was corrected at the inspection.”

Rule 746.3317(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 3, 2024.

Employee Handwashing After Diapering a Child

“Two caregivers were observed not washing their hands after changing children’s diapers.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2024. Correction verified: Apr 11, 2024.

Children Handwashing After Toileting or Diapering

“Children were observed not washing their hands after diapering changing.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2024. Correction verified: Apr 11, 2024.