Kiddie Patch Daycare Center

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

“One caregiver was unable to provide a copy of their current first aid and CPR card.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2026. Correction verified: Aug 14, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Two caregivers were missing multiple required training topics for their annual training.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2026. Correction verified: Aug 19, 2026.

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

“The director was missing 3.5 hours of annual training, including training in management, communicable diseases, administering medications, food allergies, understanding building and physical premises safety, and handling hazardous materials.”

Rule 746.1301(a)(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2026. Correction verified: Aug 3, 2026.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver had a group of twenty children that had a specified age of four years old. Four-year-old classes can only have eighteen children per one caregiver. This was corrected during the inspection when two of the three-year-olds in that class were transferred to another class.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 6, 2026.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The sand around the climbing structures and merry-go-round had compacted and was no longer shock-absorbing.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2026. Correction verified: Aug 13, 2026.

Children’s Records Maintained

“Out of the four children’s records reviewed, two children were missing an admission date, one child was missing an emergency contact and persons the child could be released to, two school-age children were missing their school’s information, and one parent had not acknowledged that they received the parent handbook.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 3, 2026.

Required Personnel Records

“Out of four staff files reviewed, one staff member was missing a pre-employment affidavit and another was missing statements that they received the employee handbook and parent handbook, and that they attended orientation with an overview on the center’s abuse neglect policies.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 17, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“A a sixteen-month-old was cmobined with the pre-k class in the front area of the operation. This was corrected during the inspection when the infant was taken to the toddler room with the toddlers.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2026. Correction verified: May 11, 2026.

Employee Handwashing After Diapering a Child

“A caregiver changed a child’s diaper and did not wash hands before changing the next child’s diaper. This was corrected during the inspection when the caregiver was reminded about washing hands, and they washed their hands before changing the next child.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2026. Correction verified: May 11, 2026.

Children Handwashing After Toileting or Diapering

“A caregiver changed a child’s diaper and did not wash the child’s hands afterwards. This was corrected during the inspection when the caregiver was reminded that children’s hands must be washed after diaper changes.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2026. Correction verified: May 11, 2026.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver changed a child’s diaper and did not sanitize the diapering surface before moving on to the next child. This was corrected during the inspection when the caregiver was reminded to sanitize the surface between diaper changes and the caregiver did so before changing the next child”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2026. Correction verified: May 11, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“During the investigation, it was found that an infant who is sixteen months old was being combined with children up to four years old in the mornings during drop-off.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: May 6, 2026.

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

“During the investigation, it was determined that caregivers have been supervising two classes at once by standing in the doorway between the classrooms.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2026. Correction verified: Jun 4, 2026.

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

“Two caregivers were using their iPads for personal use. This was corrected during the inspection when the caregivers were informed that electronic devices can’t be used for personal use and the devices were turned off.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 1, 2025.

Policies Comply with Rules

“The parent handbook was missing field trip procedures, information on parent’s rights, benefits of physical activity, critera for extreme weather that will prohibit outdoor play, and a plan for indoor physical activity to occur when the children cannot go outside.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2025. Correction verified: Apr 18, 2025.

Required Equipment in Vehicles - First-aid Kit

“The first aid kit in the operation’s vehicle had antiseptic solution and cream that had expired. This was corrected during the inspection when the expired supplies were removed from the first aid kit.”

Rule 746.5617(a)(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 15, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“One caregiver who was past her first 90 days was missing an hour of pre-service training.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2025. Correction verified: Apr 16, 2025.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“One caregiver did not have any annual training for the 2023-2024 training year.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2025. Correction verified: Apr 29, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant had feeding instructions that were last updated in January.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2025. Correction verified: Apr 16, 2025.

Children’s Products- Annual Certification

“The children’s product certfiication form was last signed in January 2024. This was corrected during the inspection when a new certification form was signed.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 15, 2025.

Infant May Not Sleep in a Restrictive Device

“There was an infant sleeping in a swing. This was corrected during the inspection when the infant was removed from the swing.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2024. Correction verified: Jun 25, 2024.