Little Dreamer’s Daycare Center

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“During inspection, one caregiver was observed not having the necessary educational requirements.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Dec 6, 2022.

Children’s Records Maintained

“During POA inspection, 6 records were reviewed. 4 records were not maintained.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Oct 27, 2022.

Required Personnel Records

“During POA inspection, 6 records were reviewed and not maintained.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Oct 27, 2022.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“Tiesha Carter is a designated perpetrator of neglectful supervision, case #48871715, date 12/4/21, with conditions. One condition is that Tiesha is unable to supervise children alone. On 4/14/22, Tiesha Carter was observed supervising two children alone during transition to a classroom.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2022. Correction verified: Apr 28, 2022.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“During inspection, 2 infant classrooms were observed to have infants in restrictive devices. A second walk through was conducted 30 minutes later and one class had the same 2 infants in the restrictive devices and the second class had the the same children in restrictive devices and one asleep in a restrictive device. This was corrected when the caregivers removed the infants from the devices.”

Rule 746.2417(2)(B). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 14, 2022.

Screen Time Activities - Related to Planned Activities

“During the inspection, a classroom was observed with a child’s television program on that was not related to the daily activity. The caregiver stated she turns it on in the morning to start the day and wait for devotion time.”

Rule 746.2207(c)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2022. Correction verified: Apr 28, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“During inspection, two infant rooms were observed to have infant feeding sheets that had not been updated. This was discussed with the caregivers and the person in charge.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2022. Correction verified: Apr 28, 2022.

Required Postings-Licensing notices with instructions to post

“During inspection it was observed the operation did not have a staff list or licensing inspection posted.”

Rule 746.401(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2022. Correction verified: Apr 28, 2022.

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

“A caregiver had access to children before a background check was conducted.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2022. Correction verified: Feb 8, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“One infant was not strapped in in a high chair table.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2022. Correction verified: Feb 8, 2022.

Documented Annual Training- Required Content

“Of the 5 records reviewed all 5 staff are missing 1,5,6. The operation does not administer medication so #3 is not required.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 8, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Of 5 records reviewed, staff #1, #2, and #3 do not have this training available.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

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

“A swing set is on the playground and required 6 inches of loose fill material is not installed.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Requirement of Gas Leak Inspection

“A current gas leak inspection is not available.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Dec 16, 2021.

Required Admission Information - Emergency Contact

“Four records were reviewed. Child #2 and #4 do not have full info for emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Documented Annual Training - 6 Hours of annual training required

“Five records were reviewed. Staff #1 needs one more hour in one of the required topic areas. Staff #3 needs two hours.”

Rule 746.1309(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

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

“Of 5 records reviewed Staff #1, #2, and #3 are missing this training.”

Rule 746.1309(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Documented Annual Training- Required Content

“Of the 5 records reviewed all 5 staff are missing these required trainings.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Provide Parents With Copy of Policies

“Four records were reviewed. Child #2 and Child #4 do not show the parents received the parent handbook (operational Policies).”

Rule 746.503. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Children’s Records - Health Statement

“Four records were reviewed. Child #2 and #4 do not have a health statement or parent health statement on file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

Required Admission Information - Physician Information

“Four records were reviewed. Child # 2 and #3 need addresses for their healthcare provider.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2022. Correction verified: Jan 21, 2022.

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

“Based on a DFPS investigation, an operation employee did not use good judgment when they exited the vehicle without following transportation protocol. As a result, a child was left unattended on the vehicle for over 20 minutes.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 15, 2021.

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

“This standard was evaluated as part of a DFPS investigation and it was determined that neglectful supervision occurred.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 15, 2021.

Report Situation Placing Children at Risk

“Based on a DFPS investigation, an incident that put a child at risk occurred on 10/20/21 and the operation did not notify licensing per minimum standards.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 15, 2021.

Safety Precautions for Loading and Unloading Children - Account for All Children

“An employee parked and the left the daycare vehicle, without ensuring that each child was accounted for.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 15, 2021.

Electronic Child Safety Alarm - used at all times when transporting a child in care

“Based on a DFPS investigation, it was founded that an employee did not properly utilize the installed electronic child safety alarm. The employee exited the vehicle to turn the alarm off, instead of walking through the vehicle to turn the alarm off.”

Rule 746.5625(c). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 15, 2021.

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

“An incident report was not completed for a situation that placed a child at risk.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2021. Correction verified: Dec 15, 2021.