The Apple Tree Daycare, Inc. III

Documented Annual Training-Self-Instructional 80%

“Director completed 30 annual training hours of which 7 hours were self-study training. The self-study trainings are the required annual training topics.”

Rule 746.1309(g). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2026. Correction verified: Mar 9, 2026.

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

“An employee was responsible for supervising a group of children; however, this individual does not fulfill the educational requirements necessary to qualify as a caregiver. Corrected at Inspection: A qualified caregiver was placed in the classroom.”

Rule 746.1107(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 1, 2025.

Required Equipment in Vehicles - Fire Extinguisher

“The fire extinguisher was not secured in one of the transportation vehicles.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Apr 1, 2025.

Director’s Absence - Employees Know Who Is in Charge

“Employees did not know the person in charge in the absence of the director.”

Rule 746.1013(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Apr 1, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“Three caregivers completed Pediatric CPR training online without hands-on skill-based instruction, and practice.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Apr 1, 2025.

Maintenance of Building, Grounds and Equipment

“There were three vents and ceiling fans with dust and debris.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Apr 1, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a diagnosed food allergy did not have a Food Allergy Emergency Plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Apr 1, 2025.

Screen Time Activities - Not Used During Eating or Rest Times

“The group of toddlers were viewing a children’s video while waiting for their meal.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Apr 1, 2025.

Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

“There was a torn mat used by a child during naptime.”

Rule 746.4503(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Apr 1, 2025.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The documentation for the fire drills and sheltering/lockdown drills was not fully completed for 2024. There were several dates missing on the forms.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Apr 1, 2025.

Required Records Maintained and Made Available - Employees’ Attendance

“The director did not have a time sheets.”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Apr 1, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“2 out of 10 employee files reviewed are missing First Aid and CPR Training.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2024. Correction verified: Nov 26, 2024.

Fire Drill Monthly - Exit in 3 Minutes

“Observed documentation of last fire drill conducted on 1-31-24.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2024. Correction verified: Nov 26, 2024.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“Carbon Monoxide Detector had not been tested for the year 2024. *This was corrected at inspection when the Carbon Monoxide Detector was tested and in compliance.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 29, 2024.

Education Outside of U.S.

“1 out of 10 employee files reviewed is missing translation of education.”

Rule 746.1111. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2024. Correction verified: Nov 26, 2024.

Children’s Records Maintained

“9 out of 10 childrens records reviewed is missing the following: 1) Admission Date 2) Emergency Contact Address, Special Care Statement, Healthcare Provider Statement, Immunization Information 3) Emergency Contact other than a parent 4) Emergency Contact Address, Emergency Care Authorization, Special Care Statement 5) Date of Admission, Special Care Statement 6) Date of Admission, 7) Date of Admission, Name of School/Address/Phone Number 8) Date of Admission, Address of Emergecny Contact, Special Care Statement, School information, Healthcare Statement, Immunization records, Permission to ride bus/walk 9) Iimmunization Records”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2024. Correction verified: Nov 26, 2024.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“In the infant classroom there was a garbage can that was accessible to the children. NOTE: This was corrected at inspection when caregiver removed the trash can from the classroom.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2023.

Diaper Changing Steps-Label Powders, Lotions, Etc. with Name

“In the toddler classroom there was an ointment in one of the children’s cubbies that was not labeled. NOTE: This was corrected at inspection when caregiver labeled the diaper ointment.”

Rule 746.3501(5). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2023.