Lily’s Little Kids Day Care Center

Maintenance of Building, Grounds and Equipment

“Broken equipment and trash were observed in the playground. Note: This was corrected at inspection when provider removed the trash and broken equipment.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2025.

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

“Operation’s playground has a play structure surrounded by 1-2 in of wood mulch.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 12, 2026. Correction verified: Jan 15, 2026.

Cots, Beds, Mats Labeled With Child’s Name

“Napping mats are labeled by numbers but assignment list was not available for review at the time of inspection. Note: This was corrected at inspection when provider generated an assignment list.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2025.

Requirements for Feeding Infants - Label Bottles/Cups

“One infant milk bottle and one infant water bottle were not labeled with the children’s names. Note: this was corrected at inspection when provider labeled the bottles with a marker.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 12, 2025.

Nutrition and Food Service - Follow Meal Patterns

“Children in the infant room were served milk, chicken nuggest and beans for lunch. No fruit or second/ additonal vegetables were served.”

Rule 746.3301(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2025. Correction verified: Jul 3, 2025.

Written Activity Plans

“Up to date written lesson plans were not available for review nor posted at the time of inspection.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2025. Correction verified: Jul 3, 2025.

Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation

“Most recent letter or form from CCR inspection or investigation was not posted. Updated menu reflecting the food items served during today’s meal was not posted.”

Rule 746.401(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jul 3, 2025.

Written Operational Policies - Criteria for Extreme Weather

“Operational policies were reviewed and are missing the following information: - 18(f) Criteria to determine extreme weather for outdoor play; - 18(g) Plan for outdoor play during extreme weather; - 20 Parent’s rights; - 26abcde Abuse / Neglect policy”

Rule 746.501(a)(18)(F). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2025. Correction verified: Jun 23, 2025.

Children’s Records Maintained

“Ten children’s files were reviewed. One file is missing up date feeding instructions and emergency medical authoriazation. A second tile is missing custody court order.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2025. Correction verified: Jul 3, 2025.

Required Personnel Records

“Six staff files were reviewed. One file has an invalid high school diploma. A second file is missing 3 hr of management training. A thrid file is missing notarized affidavit (2895), pre-employment affidavit (2912) and TB test. A fourth file is misising ID, notarized affidavit (2895), pre-employment affidavit (2912) and TB test.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2025. Correction verified: Jul 3, 2025.

Notify Parents of Change in Operational Policy or Enrollment Agreement

“Based on the information obtained during the course of the investigation, operation failed to obtain updated signed and dated enrollment agreements after operational policies were updated on 05/06/2024.”

Rule 746.505(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 10, 2025.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“Based on the information obtained during the investigation, it was determined the operation did not notify Child Care Regulation of an injury to a child in care that required medical treatment by a health-care professional.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2024. Correction verified: Oct 19, 2024.

Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

“Based on the information obtained during the investigation, it was determined that a caregiver did not use gloves when providing first-aid to a child who was injured in care.”

Rule 746.3425(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2024. Correction verified: Oct 19, 2024.

Incident/Illness Report Form Storage

“A child’s incident report was not available for review during the inspection.”

Rule 746.709. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2024. Correction verified: Aug 23, 2024.

Maintain Sand Boxes/Tables in Sanitary Manner

“A turtle sandbox was filled with standing water in the children’s outdoor playground. Note: This was CORRECTED during the inspection as the sandbox was drained.”

Rule 746.3407(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 2, 2024.

Child/Caregiver Ratio - 18 Months Difference in Age

“Two infants were combined with older children during naptime in a preschool room. There was more than an 18 month difference between the youngest and oldest child in the group. The youngest child was 16 months of age and the oldest child in the group was 5 years of age.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 11, 2024. Correction verified: Feb 6, 2024.

Maintenance of Building, Grounds and Equipment

“Trash was observed in the outdoor playground. Several candy wrappers and a torn foam cup were observed on the ground accessible to children in care.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2024.