The Academy in Willow Park

Director Responsibilities - Operate in Compliance

“Director did not ensure that employees complied with the minimum standards, by having dismissal measures in place that were accordance to the minimum standards, as well as failing to report a child was left unsupervised outside with non-staff members.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 17, 2023.

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

“Caregiver did not have visual or auditorial awareness of a child, when child was sent out to non-staff members that were mistaken for parents of the child.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 17, 2023.

Report Situation Placing Children at Risk

“Operation failed to notify CCR of a non-routine situation that placed a child at risk for harm.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 17, 2023.

Release of Children

“Child was not released to a parent or a person designated by the parent.”

Rule 746.4101. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 17, 2023.

Complying with Laws and Rules

“The permit holder has failed to ensure compliance with the minimum standards by failing to report a child was left unsupervised outside with non-staff members after being notified by the parent of their concerns.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2023. Correction verified: May 17, 2023.

Director Responsibilities - Operate in Compliance

“Director failed to operate in compliance of the minimum standards, by allowing caregivers to have outside time in the front of the operation’s parking lot.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 15, 2022.

Fenced Outdoor Activity Space

“Operation did not have a fenced in outdoor activity space in front of the operation.”

Rule 746.4305. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 15, 2022.

Maximum Group Size 13 or More Children

“Infant room had 11 infants and 2 caregiver in the classroom. The specified age of the children in the group was 0-11 months, which only allows a maximum of 10 children, two or more caregivers may supervise.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2022. Correction verified: Nov 5, 2022.

Required Admission Information-Completed Food Allergy Plan

“Operation allowed child to be present at the operation without a completed food allergy emergency plan signed by the heath care professional and parent.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2022. Correction verified: Jul 27, 2022.

Child/Caregiver Ratio - 18 Months Difference in Age

“Operation allowed a 10 year old child to be present around infants in the 12 -18 month old classroom. 10 year old was more than 18 months older than the youngest child in the room.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2022. Correction verified: Jun 6, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“An infant (3m) under the age of 12 months was observed with a burp cloth in the crib placed over the child’s neck.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2022. Correction verified: May 26, 2022.

Director Responsibilities - Employees Comply with Standards

“Director did not ensure that employees complied with the minimum standards in the infant room on multiple occasions.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2022. Correction verified: May 26, 2022.

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

“Caregiver with a provisional eligibility which restricts them from being alone with children, was in violation when they were left alone in a room with 4 infants.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2022. Correction verified: May 17, 2022.

Maximum Group Size 13 or More Children

“Infant classroom with a specified age 12- 18 group was out of group size. It was observed 14 children with 2 caregivers.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2022. Correction verified: May 12, 2022.

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

“Operation allows a person to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility. Caregiver was present with children ages 3-5.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“5 infants under the age of 12 months were observed with blankets in the crib.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Covering Infant’s Head or Crib

“4 infants were observed sleeping with blankets covering their heads.”

Rule 746.2429. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Maximum Group Size 13 or More Children

“The infant classroom exceeded group size. The classroom had 12 infants with 2 caregivers. Of the 12 infants, 8 were 11 months or younger. The specified age of the children in the group was 0-11 which has a maximum group size of 10 infants to 2 caregivers.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Complying with Laws and Rules

“The permit holder has failed to ensure compliance with the minimum standards, as demonstrated by 9 high deficiencies and 7 medium high deficiencies within last 24 months which included several infant safe sleep deficiency.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Arrangement of Napping Equipment - Provides Access to Walkway

“A caregiver was observed with no access to a walkway without having to walk on or over the cots or mats of other children.”

Rule 746.2909(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“Operation has tunnel play structure elevated above ground that required loose-fill.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 4, 2022.

Director Responsibilities - Employees Comply with Standards

“Director did not ensure that employees complied with the minimum standards in the infant room on multiple occasions.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

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

“During a DFPS investigation a caregiver was found Reason to Believe for neglect of a child.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2022. Correction verified: Mar 8, 2022.

Complying with Laws and Rules

“Permit holder failed to comply with law and minimum standards by not having a procedure in place to allow the director to have access to records when the governing body designee is not present at the operation.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Feb 14, 2022.

Parental Communication - Situation that Placed a Child at Risk

“The operation did not notify the parent immediately upon an infant falling off a diaper changing table approximately three to four feet to the ground and onto a hard surface.”

Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2022. Correction verified: Mar 8, 2022.

Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child

“A caregiver did not use safety straps located on the diaper changing table, bent over, and removed her hand from the infant while on the changing table. The infant fell off the table and fell approximately 3 feet to the ground.”

Rule 746.3503(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2022. Correction verified: Mar 14, 2022.

Provide Access to Children’s Records - Licensing

“Operation failed to provide access to children’s record during an investigation conducted by DFPS investigator.”

Rule 746.601(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Feb 14, 2022.