Sandra Lee Powell

Mounting of Fire Extinguishers

“The fire extinguisher was observed not mounted.”

Rule 747.5105. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2026. Correction verified: Aug 5, 2026.

Sanitation of Building, Grounds and Equipment

“A soiled diaper, and an empty alcohol bottle was observed. This was corrected during the inspection when the provider removed the diaper and the bottle and discarded them.”

Rule 747.3203. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 9, 2024.

Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child

“A caregiver was observed changing a child’s diaper and did not have hands securing the child. The caregiver was observed walking away from the child leaving the child on the changing table.”

Rule 747.3303(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2024. Correction verified: Oct 23, 2024.

Screen Time Activities - Not Used for Under Two

“Two children under the age of two were observed watching screen time activities. This was corrected during the inspection.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 9, 2024.

Records Maintained and Made Available - Personnel and Training

“Personnel records were for one caregiver was missing the notarized affidavit, a photo ID, and 4 hours of annual training.”

Rule 747.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2024. Correction verified: Oct 14, 2024.

Transportation Safety Training-Primary Caregiver and Employee Transporting

“The primary caregiver transports children but did not have the required two hours of transportation training.”

Rule 747.1314. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2023. Correction verified: Nov 15, 2023.

Safety - Areas Free From Hazards

“The primary caregiver had a candle with hot wax sitting on a table within reach of children. There was also a bottle of bleach solution sitting on the bathroom counter within reach of older children. These were corrected at inspection when the primary caregiver removed the candle and bleach and set them out of the reach of children.”

Rule 747.3501. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 8, 2023.

Primary Caregiver Annual Training -30 Hours Required

“The primary caregiver had the 30 hours of required training, but was missing training in the following topics: Emergency preparedness, communicable diseases, administering medication, food allergy emergencies, premesis safety, and handling, storing, and disposing of hazardous materials. This was corrected at inspection was the evaluation period for these trainings has already ended and the primary caregiver is working on obtaining this topics for the current evaluation period.”

Rule 747.1309(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 8, 2023.

Children’s Products- Annual Certification

“The primary caregiver had not signed the form certifying that she had reviewed the children’s products recall list. This was corrected at inspection when the primary caregiver signed the form to certify that she had reviewed the recalls.”

Rule 747.3935(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 8, 2023.