Horn’s Academy Child Care Center

Naptime Child/Caregiver Ratio - Additional Employees Required

“During the current inspection, there were 2 caregivers counted in ratio during nap time and there was not another caregiver present in the building.”

Rule 746.1613(a)(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2023. Correction verified: Oct 11, 2023.

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

“An infant and toddlers were observed eating Doritos for a snack.”

Rule 746.3317(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2023. Correction verified: Oct 3, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“A 15 month old infant was observed in a classroom with children who were 3, 4 and 5 years olds.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2023. Correction verified: Oct 3, 2023.

Determining Child/Caregiver Ratios - Basis

“A 15 month infant was observed in a Toddler Classroom that was not regulated for Infants. The infant was placed back in their classroom during the inspection.”

Rule 746.1507(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2023. Correction verified: Oct 3, 2023.

Responsibilities of Caregivers - Know children’s names and ages

“A caregiver in a classroom was unaware of the ages of children in the classroom.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2023. Correction verified: Aug 9, 2023.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“There was 1 caregiver observed in a classroom that did not have orientation on file for review.”

Rule 746.1301(a)(1)A. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2023. Correction verified: Aug 9, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“There was 1 caregiver observed in a classroom prior to having pre-service training on file for review.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2023. Correction verified: Aug 9, 2023.

Prohibited Punishments - Corporal Punishment

“During an investigation, it was determined a caregiver hit a child in care on the arm.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2023. Correction verified: May 10, 2023.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“A 12 month old infant was observed sleeping in his crib with a bottle. This was corrected when the Director instructed the caregiver to remove the bottle from the crib.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2023.

Naptime Child/Caregiver Ratio - Caregivers Physically Present

“There were 3 caregivers present upon arrival, each caregiver was observed supervising a group of children during naptime. There was not another caregiver present in the building to answer the door to parents without a caregiver having to leave the classroom.”

Rule 746.1613(a)(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 21, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“There were 2 infants that did not have updated infant feeding instructions. The feeding instructions were last updated on 10/3/22.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Nov 21, 2022.

Determining Child/Caregiver Ratios - Basis

“A 15 month infant was observed in a Toddler Classroom that was not regulated for Infants. Ms. Rembert removed the infant from the classroom.”

Rule 746.1507(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2022. Correction verified: Aug 5, 2022.

Responsibilities of Caregivers - Supervision of Children

“Observed two caregivers not knowing how many children they had in their care. One caregiver stated they had 12 children and they only had 11. The other caregiver stated they had 9 children but had 8 children.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Jul 26, 2022.

Center Heated, Lighted and Ventilated Properly

“It was determined through the investigation only 2 classrooms have window air condition units, the remaining classrooms were observed to have been warm and not properly ventilated. During an inspection the temperature at the operation was observed to be 86 degrees.”

Rule 746.3407(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 26, 2022.

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

“A caregiver did not use good judgment when she attempted to remove a child from a infant chair and did not move an infant in close proximity on the floor to the chair, causing the chair to hit the infant on the floor, when the chair was lifted on the ground.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2022. Correction verified: Jun 21, 2022.

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

“It was determined through an investigation that a caregiver was neglectful in the supervision of a child in care, which resulted in the child to receive an injury.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2022. Correction verified: Jun 21, 2022.

Responsibilities of Caregivers - Share Information with Incoming Caregiver

“A caregiver failed to pass on information to a child’s primary caregiver when she returned from lunch, that a child in care had received an injury.”

Rule 746.1203(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2022. Correction verified: Jun 21, 2022.

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

“It was determined through information obtained through the investigation, a caregiver did not utilize good judgment when they transported an infant in an infant seat outside, rather than carrying the infant outside.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

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

“It was determined, through an investigation, a caregiver neglected to properly supervise a child in care, which caused the child to receive an injury; due to a fall.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 7, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“A caregiver did not utilize the straps in an infant chair which caused a child to fall out of the chair and receive an injury.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“It was determined based on evidence gathered during the investigation, the operation is not properly labeling bottle and pacifiers for infants in care.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

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

“It was determined through an investigation the operation did not report an injury, a child sustained while in care, that required medical attention.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

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

“It was determined the operation did not notify the parent immediately of an injury the child received while in care. The parent was not notified until approximately an hour after the injury occurred.”

Rule 746.307(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

Parental Notification of Less Serious Injuries

“It was determined through the investigation, parents are not informed of less serious injuries their child receives while in care.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 21, 2022.

Determining Child/Caregiver Ratios - Basis

“Two 11 month old infants were observed grouped with 2 year children in a classroom that is not regulated for infants.”

Rule 746.1507(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2022. Correction verified: Feb 10, 2022.