Fundamental Beginnings Day Care Center

Responsibilities of Caregivers - Supervision of Children

“A infant child was observed sleeping in a crib on the other side of infant room unsupervised. There was a crib and a changing table blocking the walkway to the child crib.”

Rule 746.1203(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 13, 2022.

Training Requirements for Employees, Caregivers, and Directors - Transportation Training

“Director current tranportation training could not be observed. Last transportation traning observed dated for 7/10/2021.”

Rule 746.1301(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2022. Correction verified: Oct 17, 2022.

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

“Infant caregiver cpr/first aid exipred 8/7/2022.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2022. Correction verified: Oct 17, 2022.

Fire Extinguishers Serviced

“Fire extingusher was observed last serviced in Feb 2021.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2022. Correction verified: Oct 17, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based upon the information gathered during the investigation, sufficient evidence was available to support a child was neglectfully supervised when left in the transportation vehicle unattended.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 17, 2022.

Report Situation Placing Children at Risk

“Based upon the information gathered during the investigation, sufficient evidence was available to support the operation failed to report that a child was left on the transportation vehicle unsupervised for an extended period of time within the 48-hour time frame. The child was left in the vehicle on 09/30/2022 and the operation reported the incident on 10/03/2022. The incident should have been reported no later than 10/02/2022.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 17, 2022.

Safety Precautions for Loading and Unloading Children - Account for All Children

“Based upon the information gathered during the investigation, evidence was available to support safety precautions for loading and unloading children to ensure all children were accounted for was not followed. As a result, a child was left on the van unattended.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 17, 2022.

AP Safety Precautions for Loading and Unloading Children - No Child Unattended

“Based upon the information gathered during the investigation, evidence was available to support the safety precautions for unloading children was not followed. As a result, a child was left on the van unattended for approximately 90 minutes.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 17, 2022.

Responsibilities of Caregivers - Free of other activities

“The caregiver of the school-age group had a cell-phone and computer out while the children in care were playing. The caregiver was not able to properly and sufficiently supervise children in their care while conducting reports on their personal computer.”

Rule 746.1203(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 23, 2021.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy emergency plan was not signed by the parent, and/or guardian. The food allergy plan was signed by the physician, and dated 08/09/2021.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Nov 30, 2021.

Required Admission Information - Emergency Contact

“Five out of six children records did not include the address for the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2021. Correction verified: Nov 30, 2021.

Children’s Records - Health Statement

“Two out of six children records did not include a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Nov 30, 2021.

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

“Based on the documentation provided the fire drill has not been practiced since September 11th. The operation has not documented any emergency drills, smoke detector, and/or the carbon monoxide detector check.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Nov 23, 2021.

Required Personnel Records- Training Hours

“Six out of six staff records did not include current training hours. The most recent training certificates for four out of six staff expired in 2019. Staff files were observed, in which the training topics observed did not cover the required topics.”

Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2021. Correction verified: Dec 20, 2021.

Required Personnel Records - Required Affidavit

“One out of six staff records did not contain a notarized affidavit.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Nov 24, 2021.

Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

“The operation had no documentation on the cribs utilized. The operation did not have the manufacturers instructions for the cribs utilized”

Rule 746.2409(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2021. Correction verified: Nov 23, 2021.

Responsibilities of Caregivers - Know Children’s Names and Ages

“The caregiver in the Toddler classroom was not aware of the ages of the youngest child in care. The caregiver acknowledged that she is not the primary caregiver in the Toddler classroom.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2021. Correction verified: Nov 23, 2021.

Maintenance of Building, Grounds and Equipment

“One out of two toilets utilized in the Toddler classroom is in nonworking condition. The toilet/restroom in the infant classroom is utilized as storage. The operation has missing tiles in the activity area, and the children’s bathroom.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Nov 23, 2021.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy emergency plan was not signed by the parent, and/or guardian. The food allergy plan was signed by the physician, and dated 08/09/2021.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 30, 2021.

Required Postings-Child’s Food Allergies

“The operation did not have a copy of the food allergies posted in the facility. The food allergy named was not posted in the child’s classroom(s), nor the kitchen(food preparation) area.”

Rule 746.401(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 23, 2021.

Required Admission Information - Emergency Contact

“Five out of six children records did not include the address for the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 30, 2021.

Children’s Products- Annual Certification

“The most recent CPSC form was dated 01/02/2019. The operation had not reviewed current recalled items on the CPSC website.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 23, 2021.

Children’s Records - Health Statement

“Two out of six children records did not include a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Nov 30, 2021.

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

“Based on the documentation provided the fire drill has not been practiced since September 11th. The operation has not documented any emergency drills, smoke detector, and/or the carbon monoxide detector check.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2021. Correction verified: Nov 23, 2021.

Required Personnel Records- Training Hours

“Six out of six staff records did not include current training hours. The most recent training certificates for four out of six staff expired in 2019.”

Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2021. Correction verified: Nov 23, 2021.

Required Personnel Records - Required Affidavit

“One out of six staff records did not contain a notarized affidavit.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 23, 2021.