Redeemer Lutheran Childrens Center

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

“The operation was observed to not have infant care instructions sheets available for review in the Infant Room A (four children) and Infant Room B (six children). These children are not on table food.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2026. Correction verified: Oct 27, 2026.

Child/ Caregiver Ratio - 13 or More Children

“The infant classroom was observed with one caregiver and five infants ages eight months old to eleven months old.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 18, 2026.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“A five month old infant was observed sleeping with a pacifier strap clip.”

Rule 746.2401(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 29, 2026.

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

“Bleach was observed in a unlocked cabinet beneath the sink in the room four classroom. Note: Photos were taken.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 29, 2026.

Chairs - Safety Straps Used if Required by Manufacturer

“Three toddlers were observed seated at a multi-seat lunch table without the required straps.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2026.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“A five month old infant was observed sleeping with a pacifier strap clip. Note: A photo was taken.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2026. Correction verified: Jul 29, 2026.

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

“Cleaning supplies such as degreaser and spray disinfectant were observed in a cabinet beneath the sink in the room five preschool classroom. Cleaning supplies such as bleach was observed in a unlocked cabinet beneath the sink in the room nine twos classroom. Note: Photos were taken.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2026. Correction verified: Jul 29, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“The infant B classroom provided the incorrect ages of the two infants in care.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2026. Correction verified: Jul 29, 2026.

Child/ Caregiver Ratio - 13 or More Children

“The infant A classroom was observed with one caregiver and eight infants between the ages of three months old to seven months old.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2026. Correction verified: Jul 29, 2026.

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

“Cleaning supplies such as lysol wipes and spray disinfectant were observed in a cabinet beneath the sink in the preschool room ten classroom.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 15, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“The infant A classroom did not know the ages of the four infants in care.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 15, 2026.

Annual Sanitation Inspection

“The operations annual sanitation inspection expired 12/31/2025.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 20, 2026. Correction verified: Jul 15, 2026.

Safety - Electrical Outlets Covered

“An outlet plate was observed broken in the room three classroom.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 15, 2026.

Chairs - Safety Straps Used if Required by Manufacturer

“One toddler was observed seated at the lunch table without the required straps in use.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 15, 2026.

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

“One school age caregiver was observed with access to children prior to receiving the background check results.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2026. Correction verified: Jun 26, 2026.

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

“Cleaning supplies such as lysol wipes, bleach, clorox spray, degreaser and spray disinfectant were were observed accessible in the infants and preschool classroom. Note: Photos were taken.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 25, 2026.

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“The parent handbook did not contain the required safe sleep for Infants section.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2026. Correction verified: Jun 26, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“One classrooms did not know the ages of the students responsible for.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 25, 2026.

Safety - Electrical Outlets Covered

“An outlet was observed uncovered in the room three classroom and Room 11 classroom. Note: A photo was taken.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 25, 2026.

Safety - Air Conditioners, Fans, Heaters Safeguarded

“An unmounted fan was observed in room eight preschool classroom and in infant two. Note: Photos were taken.”

Rule 746.3701(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 26, 2026.

Mounting of Fire Extinguishers

“A fire extinguisher was observed unmounted in the infant classroom. Note: A photo was taken.”

Rule 746.5305. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 26, 2026.

Space Requirements for School-age - Interest Centers

“The school age space did not have the required interest centers.”

Rule 746.2703(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Chairs - Safety Straps Used if Required by Manufacturer

“Four toddlers were observed seated at the lunch table without the required straps in use. Note: A photo was taken.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 25, 2026.

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

“One caregiver was observed using their personal device during nap time.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 9, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“Three classrooms did not know the ages of the students responsible for.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 9, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Three infants were observed seated at the lunch table without the required straps. Note: Photos were taken.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 9, 2026.

Safety Requirements for Cribs - Snug Fitting Sheets

“An infant as observed with loose fitting sheets. Note: A photo was taken.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 9, 2026.

Requirements for Feeding Infants - Fed in Safe Manner

“A 12 month old infant was observed drinking out of a sippy cup while laying in a crib. Note: A photo was taken.”

Rule 746.2419(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 9, 2026.

Arrangement of Napping Equipment - Provides Access to Walkway

“A walkway was not provided during nap time in the room 3 classroom.”

Rule 746.2909(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 9, 2026.

Safety - Electrical Outlets Covered

“An outlet was observed uncovered in the infant B classroom and Room 10. Note: A photo was taken.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2026. Correction verified: Jun 9, 2026.

Director Responsibilities - Operate in Compliance

“Based on the evidence obtained, the director is not operating the center in compliance by not following discipline requirements, allowing incidents to remain unreported, and by not following with minimum standards in the day-to-day operation of the center.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

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

“Based on the evidence obtained during the investigation, a child exited the daycare without supervision and was found by a parent. Based on the evidence obtained during the investigation, children were left unsupervised when two students exited the classroom via the bathroom and the caregiver left to retrieve the children. Based on the evidence obtained during the investigation, a child was left unsupervised on the playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

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

“Based on the evidence obtained during the investigation, a 13-month-old was placed into a bouncy chair for 20 minutes. Based on the evidence obtained during the investigation, infants are placed into car seats while in care.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

Prohibited Punishments - Grabbing and Pulling

“Based on the evidence obtained during the investigation, caregivers are grabbing children by their arm.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information obtained during the investigation, there is sufficient evidence to support that children were yelled at in the classroom. Based on the information obtained during the investigation, there is sufficient evidence to support staff humiliate children with name calling.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Prohibited Punishments - Using Harsh, Abusive or Profane Language

“Based on the information obtained during the investigation, there is sufficient evidence to support that profane language was used towards children in care.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Prohibited Punishments - Restrictive device for time out

“Based on the evidence obtained, children are placed into a bouncy chair as a form of discipline.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

Report Situation Placing Children at Risk

“Based on the information obtained during the investigation, there is sufficient evidence to support the operation did not report children being left unsupervised.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Parental Communication - Situation that Placed a Child at Risk

“Based on the evidence obtained during the investigation, parents were not informed of a child being left unsupervised on the playground.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 26, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Based on the evidence obtained during the investigation, the toddler and preschool classrooms are left out of ratio.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jun 25, 2026.

Reporting Suspected Abuse, Neglect, Exploitation-May not delegate responsibility to report

“Based on the evidence obtained during the investigation, caregivers did not report suspected abuse observed.”

Rule 746.201(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Based on the evidence obtained, safety straps were not used causing a 10-month-old infant to fall out of a highchair.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

“Based on the information obtained during the investigation, there is sufficient evidence to support that children were not provided water while in care.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jun 26, 2026.

Machine Wash Cloth Toys

“Based on the evidence obtained, the infant cloth toys are sprayed with sanitizer and not washed weekly.”

Rule 746.3407(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jun 25, 2026.

Diaper Changing Steps- Prompt

“Based on the evidence obtained during the investigation, diapers are not changed promptly in the infant, toddler and preschool classrooms.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jun 26, 2026.

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

“Evidence supports that a caregiver lacked good judgement when a child was sprayed with a spray bottle with water intentionally. The caregiver has been terminated, and a meeting was held with all caregivers related to good judgement.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2026. Correction verified: Apr 2, 2026.

Annual Sanitation Inspection

“As of the date of this report, a current health inspection has not been received.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Dec 16, 2025.

Children’s Records - Immunizations

“As of the date of this report, corrections have not been received. This violation is being re-cited. This correction was received the day of this assessment report.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Dec 12, 2025.

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

“A current fire inspection was not available.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Nov 13, 2025.

Required Equipment in Vehicles - Fire Extinguisher

“The fire extinguisher in van #2 was not secured in the passenger compartment. The fire extinguisher was located in the door pocket of the driver’s side of the van.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 4, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Five caregivers were lacking current training for children under 24 months of age. These caregivers were working with this age children.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 20, 2025. Correction verified: Nov 25, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Two caregivers were lacking documentation for current First Aid/CPR.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 4, 2025.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Two drivers and the Director were lacking current transportation training.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 20, 2025. Correction verified: Dec 12, 2025.

Annual Sanitation Inspection

“The operation was lacking a current sanitation inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 12, 2025.

Children’s Records - Immunizations

“Three children’s records were lacking current immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2025. Correction verified: Dec 12, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“One caregiver who was supervising a group of children on a field trip did not have current documentation for First Aid/CPR. Caregiver has current training, but documentation was not available.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 10, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Three caregivers were lacking current training for children under 24 months of age. These caregivers were caring for children this age.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Nov 22, 2024.

Director Annual Training - Caring for children under 24 months

“The Director was lacking current training for children under 24 months of age. The operation has this age children in care.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Nov 22, 2024.

Documented Annual Training Area - 24 Hours Required

“Three personnel files were lacking 24 hours of annual training.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2025. Correction verified: Jan 20, 2025.

Director Annual Training 30 Hours Required

“The Director was lacking 30 hours of annual training.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2025. Correction verified: Jan 20, 2025.

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

“A current fire inspection was not available.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 15, 2023.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Two caregivers were lacking current training for children under 24 months. Both caregivers were caring for children under 24 months of age.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2023. Correction verified: Dec 1, 2023.

Measurement of Use Zone for Slides - Six Feet High or Less

“The use zone for one of the slides was less than 6 feet. The barrier for the loose fill was in the area. This slide must be made inaccesssible to the children until this repair can be made.”

Rule 746.4805(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 19, 2023.

Children’s Records - Health Statement

“One child’s record was lacking a preschool health statement. This child has been enrolled for over 12 months;therefore, a preschool health statement signed by a medical professional is required.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 1, 2023.

Children’s Records - Immunizations

“Four children’s records were lacking documentation for current immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 4, 2023.