A+ Kidz Care Learning Center 2, LLC

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

“A two month old was observed sleeping with a burp rag in the crib. Note: The burp rag was removed when it was brought to the caregivers attention.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 2, 2023. Correction verified: Nov 7, 2023.

AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

“A two month old, who is unable to roll over was observed sleeping on his stomach. Note: The caregiver rolled the child to his back when it was brought to her attention.”

Rule 746.2427(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 2, 2023. Correction verified: Nov 7, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was briefly observed with eleven children at nap time with a specified age group 12m-17m. Note: This was corrected when a second caregiver entered the room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2023. Correction verified: Nov 2, 2023.

Prohibited Punishments - Grabbing and Pulling

“A caregiver was observed grabbing several children by the arm.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jun 26, 2023.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“Diaper cream and sunscreen were observed in the bathroom and were accessible to the children. Note: This was corrected when the caregiver removed the items.”

Rule 746.3501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jun 26, 2023.

Children’s Products- Annual Certification

“The consumer product safety recall was last certified January 3, 2022.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2023. Correction verified: Jun 26, 2023.

Required Immunizations

“One out of ten children’s files evaluated lacked an updated shot record on file.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 13, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

“Two out of ten personnel files evaluated lacked current first aid/CPR training.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 27, 2023.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“One out of ten personnel files evaluated lacked current SIDS/Shaken Baby training.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 27, 2023.

Positive Methods of Discipline and Guidance - Use Clear, Positive Statements

“Caregivers did not use positive statements when redirecting children from climbing on the tables.”

Rule 746.2803(4)(B). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2023. Correction verified: Feb 27, 2023.

Required Admission Information - Special Needs Statement

“Two out of ten children’s files evaluated lacked a special needs statement.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 27, 2023.

Required Personnel Records - Required Affidavit

“Two caregivers lacked an employee affidavit on file.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 27, 2023.

Responsibilities of Caregivers - Know Children’s Names and Ages

“Based on information gathered through a DFPS investigation, a caregiver did not know the names of the children she was responsible for. A child was crying when two other children were on top of him. The caregiver did not know the names of the children involved and did not check the child for any injuries.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2022. Correction verified: Nov 28, 2022.

Employee Handwashing After Diapering a Child

“One caregiver did not wash their hands after changing a child’s diaper.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2022. Correction verified: Oct 11, 2022.

Children Handwashing After Toileting or Diapering

“One child did not wash their hands after having their diaper changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2022. Correction verified: Oct 11, 2022.

Safety - Areas Free From Hazards

“The caterpillar play structure on the playground was observed to be cracked. Note: This was corrected when a caregiver removed the caterpillar from the playground.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 2, 2022.

Immunization Records, Exceptions, and Exemptions Current

“Two out of ten children’s records evaluated lacked an updated shot record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2022. Correction verified: Aug 4, 2022.

Storage for Individual Belongings

“The infant classroom was not utilizing their individual storage when all backpacks/ diaper bags were stored on the floor, accessible to the children. Note: This was corrected when the caregiver removed the backpacks/ diaper bags from the floor and placed them on hooks.”

Rule 746.4505. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 2, 2022.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on information gathered during a DFPS investigation, a caregiver was observed by other caregivers and admitted to yelling at children.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2022. Correction verified: Aug 2, 2022.

Children Not Required to Sleep - May Not Force Child to Sleep

“Based on information gathered during a DFPS investigation, a caregiver was observed and admitted to draping her leg over children who were laying on their cots to force them to remain still and stop getting up during naptime in order to control their behavior.”

Rule 746.2905(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2022. Correction verified: Aug 2, 2022.