The Learning Experience

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation’s fire inspection is past due and has not been scheduled.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2026. Correction verified: May 28, 2026.

Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

“The operation does not know the location of the CO detection and it has not been tested by the operation.”

Rule 746.5531. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2026. Correction verified: May 14, 2026.

Critical Injury - Give First Aid or CPR

“A child sustained an injury to the head, and the proper first aid was not provided following the incident.”

Rule 746.3607(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 10, 2026.

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

“Based on information gathered during the investigation, it was determined that the operation failed to notify the person at pick-up or the child’s parent of an injury sustained while in care. As a result, the child required medical treatment.”

Rule 746.307(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 10, 2026.

Incident/Illness Report Form Shared with Parent

“The operation did not provide the parent of an injured child with an incident report promptly, as outlined in standards.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 10, 2026.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Three staff are missing the following trainings; Recognizing and preventing shaken baby syndrome and abusive head trauma, Understanding and using safe sleep practices and preventing sudden infant death syndrome and Understanding early childhood brain development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2025. Correction verified: Oct 21, 2025.

Required Admission Information - Special Needs Statement

“Four children files are missing information in the special care statements.”

Rule 746.605(12). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 23, 2025.

Documented Annual Training- Required Content

“Staff files were observed missing the following trainings for the last full year; -Two staff are missing training in preventing and controlling the spread of communicable diseases, -Five staff are missing training in preventing and responding to emergencies due to food or an allergic reaction, -Three staff are missing training in understanding building and physical premises safety, and -Three staff are missing training in handling, storing, and disposing of hazardous materials”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2025. Correction verified: Oct 23, 2025.

Required Personnel Records - signed dated statement that employee received operational policies

“Three staff files were missing a signed and dated statement that they have recieved the center policies.”

Rule 746.901(7)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 21, 2025.

Food Service and Preparation Requirement - No Foods That Present Choking Risk

“Infants and toddlers were observed eating entire pieces of broccoli for lunch. The broccoli was not cut up.”

Rule 746.3317(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2024. Correction verified: Nov 7, 2024.

Nutrition and Food Service - Follow Meal Patterns

“The menus observed for Weeks 1 through 4 do not follow the USDA food guidelines.”

Rule 746.3301(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2024. Correction verified: Oct 29, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child does not have the epiPen on file that is listed on the food action plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2024. Correction verified: Nov 1, 2024.

Activities for Infants - Outdoor Play Daily

“During the inspection, it was determined that the Infant A classroom has not been going outside.”

Rule 746.2417(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2024. Correction verified: Nov 7, 2024.

Employee Handwashing After Diapering a Child

“During the inspection, a caregiver did not wash their hands after diapering two children.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2024. Correction verified: Sep 5, 2024.

Children Handwashing After Toileting or Diapering

“Two children did not wash their hands after having diapers changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2024. Correction verified: Sep 5, 2024.

Infant Handwashing - Individual Cloth

“Based on interviews during the investigation, it was determined that infant handwashing is not properly being done.”

Rule 746.3421(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2024. Correction verified: Sep 5, 2024.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“The operation contacted the parents after a child was injured but the operation did not use good judgement when they did not send the child home or to seek medical attention for the child’s injury.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2024. Correction verified: Jun 26, 2024.

Maintenance of Building, Grounds and Equipment

“There was water on the floor in the operation causing a child to be injured. The operation failed to maintain the floor.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2024. Correction verified: Jun 26, 2024.

Responsibilities of Caregivers - Know children’s names and ages

“One caregiver during the inspection, did not know the correct ages of the children that were in the classroom.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Jan 4, 2024.

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

“One staff does not have a valid certificate for first aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 8, 2023.

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

“One staff does not have a valid certificate for CPR.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 8, 2023.

Infant Care Area - Crib Placement

“In the two infant classrooms, the cribs were touching next to each other, while the infants were napping.”

Rule 746.2403(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Jan 4, 2024.

Required Admission Information - Special Needs Statement

“Ten children’s files were observed and missing the updated required information for special care statements.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 21, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“Seven feeding instructions have not been properly updated.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2023. Correction verified: Dec 8, 2023.

Required Admission Information - Water Activity Permission

“Ten children files are missing the new section for if the children can swim and if not, what assistance is needed.”

Rule 746.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 21, 2023.