The Little Learning Place

Child/ Caregiver Ratio - 13 or More Children

“They was one caregiver in the classroom specify age group 12 to 17 months old and had 13 children doing nap time. The caregiver was eight children over the ratio. Corrected at inspection: Another caregiver came into the classroom off her lunch break.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 31, 2023.

Responsibilities of Caregivers - Know Children’s Names and Ages

“The toddler caregiver was unsure of the children’s ages and did not have information to show the children’s ages.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Aug 31, 2023.

Child/ Caregiver Ratio - 13 or More Children

“They was one caregiver in the infant classroom specify age group 0 to 11 months old and had 10 children doing nap time. The caregiver was six children over the ratio. Corrected at inspection: Another caregiver came into the classroom when the person in charge went to get her off her break.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Aug 31, 2023.

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

“It was observed a caregiver in the infant classroom with children and had a pending background.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 9, 2023.

Child/ Caregiver Ratio - 13 or More Children

“In the toddler classroom they were 6 children to 1 caregiver SAG 12-17 months old they were one child over the ratio. Corrected: When the director moved a child over to another classroom and left the caregiver with 5 children for SAG 12-17 months old.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2023.

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

“The operation did not have in their operational policies about safe sleep.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 6, 2023.

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

“An caregiver dose not have qualifications for having a high school diploma.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 8, 2023.

Responsibilities of Caregivers - Know Children’s Names and Ages

“Caregivers did not know the age of the children they were caring for.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 8, 2023.

Responsibilities of Caregivers - Free of other activities

“Four caregivers were observe to be vacuuming the floor while children were eating lunch in the pre-school, toddler, infant classroom. In one of the infant classroom the caregiver was vacuuming while infants sat in the high chair and bouncers.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 8, 2023.

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

“Two caregivers did not have in person CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 10, 2023.

Children Handwashing Before Eating

“The children were observed to not wash their hands with soap and water before eating lunch.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 8, 2023.

Written Operational Policies - Suspension and Expulsion

“The operation did not have in their operational policies on suspension and expulsion”

Rule 746.501(a)(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 6, 2023.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“In the emergency preparedness plan it did not state how the operation will evacuate children under 24 months out of the building.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 6, 2023.

Required Personnel Records- Training Hours

“The director did not have 30 annual hours for training year 8/18/21 to 8/18/2022, they were only 15 hours. I took 15 training hours from training year 8/18/2022 to 8/18/2023.”

Rule 746.901(5). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 24, 2023.

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

“It was observed infants sitting in restrictive device and high chairs for over 15 minutes and not given the opportunity to get on the floor and play.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 8, 2023.

Child/ Caregiver Ratio - 13 or More Children

“In the first infant classroom the caregiver had 5 children SAG 0-11 months old, they were one child over. In the second infant classroom it was one caregiver with 6 children SAG 0-11 months they were two children over. In the three infant classroom they was one caregiver with 6 children SAG 12-17 months, they were one child over.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 8, 2023.

Operation Open to Parents At All Times

“After further review it was determination that the operation was not allowing parents in the building.”

Rule 746.201(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 8, 2023.