Ages and Stages Child Care Center

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“CCR observed a used shaving cream can labeled “Keep out of reach of children,” with cream dripping down the side of the can, placed on a shelf in the multipurpose room where children eat. This item was accessible to children. Correction made: The owner/director stored the shaving cream away, making it no longer accessible.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2026.

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

“CCR reviewed both directors’ files and found that the owner/director’s First Aid expired on 2/7/2026, and the second director’s First Aid expired on 2/6/2026. Correction made: Both directors completed online First Aid training during the inspection.”

Rule 746.1315(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“The both director’s did not take an in-person CPR class.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jul 15, 2026.

Maintenance of Building, Grounds and Equipment

“The outdoor playground has a drainage component on the building wall that is leaking water, resulting in mold stains running down the wall. Children’s toys are leaning against the wall where the mold is present.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jul 15, 2026.

Floors, ceilings and Walls in Good Repair and Clean

“CCR observed that the acoustic ceiling tiles in the infants classroom appeared to be sagging.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jul 15, 2026.

Safety - Electrical Outlets Covered

“There are no childproof covers on the electrical outlets in the toddler and infant classrooms. Correction made:The director placed childproof covers on the electrical outlets.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2026.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The playground has a stationary equipment that require loose fill and does not meet the required six-inch depth.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jul 15, 2026.

Additional Surfacing Requirements for Indoor Active Play Equipment

“In the toddlers’ classroom, there is indoor climbing equipment that is over 20 inches tall, without any shock-absorbing material underneath or around the equipment. Correction made: The director’s added foam mats around the indoor play equipment.”

Rule 746.4915. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“CCR observed the children watching Mickey Mouse Clubhouse on television while eating breakfast. Correction made: The director turned off the television.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2026.

Required Records Maintained and Made Available - Employees’ Attendance

“The directors have not documented their attendance since February 2026.”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 15, 2026.

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

“CCR observed a child alone in the dining area, playing on a tablet.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 23, 2025.

Safety Requirements for Active Play Equipment - Securely Anchored

“CCR observed two play equipment that are not securely attached according to the manufacturer’s specifications.”

Rule 746.4601(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 25, 2025.

Required Equipment in Vehicles - First-aid Kit

“The first aid kit is missing from the operation transportation van.”

Rule 746.5617(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 24, 2025.

Maintenance of Building, Grounds and Equipment

“During the walk-through, CCR observed specks of dirt under the changing mats on the diaper-changing table in the toddler classroom. On the playground, CCR observed that a car play equipment that is missing a door and had cracks on its surface.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 23, 2025.

Safety - Areas Free From Hazards

“In the toddlers’ classroom, CCR observed a caregiver over the counter medication near the diaper changing station, which is accessible to a child. The caregiver removed the medication and stored it away that is not accessible to the children.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 13, 2025.

Prohibited Equipment - Multiple Occupancy Swings

“CCR observed a teeter-totters swing, which are prohibited equipment at centers, were present.”

Rule 746.4603(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 23, 2025.

Director Annual Training - Additional required topics

“The director and the second director are missing the following training: - Preventing and controlling the spread of communicable diseases, including immunizations. - Administering medication. - Understanding building and physical premises safety. - Handling, storing, and disposing of hazardous materials.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 13, 2025.

Written Activity Plans - Plan Followed by Caregiver

“During the walk-through, CCR observed the preschoolers playing on their tablets instead of following the scheduled activity plan. The schedule indicated indoor motor activities or outdoor activities.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 23, 2025.

Written Activity Plan- Screen Time Activities

“CCR observed screen time activities is not included in the activity plan.”

Rule 746.2205(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 23, 2025.

Measurement of Use Zone for Stationary Equipment

“The operation playground has five stationary equipment that overlap with other play equipment and are not six feet apart in all directions from the perimeter.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 25, 2025.