True-Lite Daycare & Learning Center

Requirements during probation

“Not all probation conditions were met regarding conditions pertaning to caregiver observations. There were some blank areas not filled on observation forms (comments, suggestions). Two observations of two different employes had same date of 8/29/23 and same time frame T1B 8:18 am - 8:50 am and T2B 8:20 - 8:50 AM time. One observation did not have a caregiver name. Some of the observations have the name of a director assistant and not the director’s name, conducting the observations. There have not been any monthly conferences conducted with observed caregivers.”

Rule 745.8641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Sep 28, 2023.

Employee Handwashing After Diapering a Child

“A caregiver did not wash her hands after diapering a child and proceeded to feed the child. This was corrected at inspection when the caregiver was reminded to wash hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2023. Correction verified: Aug 3, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“Nine infants not yet on table food did not have current feeding instructions. They were last updated February and March 2023. Two expired on April 1st.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2023. Correction verified: May 5, 2023.

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

“This standard was evaluated and found to be out of compliance when a child was left out on the playground alone for one - two minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2023. Correction verified: May 15, 2023.

Discipline - Positive Methods of Discipline and Guidance

“This standard was evaluated and found to be out of compliance when a caregiver tapped a child on the head with the child’s shoes.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2023. Correction verified: May 15, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“This standard was evaluated and found to be out of compliance when a caregiver failed to account for all children during transition.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2023. Correction verified: Apr 3, 2023.

Responsibilities of Caregivers - Supervision of Children

“This standard was evaluated and found to be out of compliance when a caregiver left a child in the classroom alone for approximately 15 minutes.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2023. Correction verified: Apr 3, 2023.

Responsibilities of Caregivers - Supervision of Children

“A caregiver in the indoor playroom with 15 children allowed a child to go to the bathroom in the adjoined lobby by themselves while caregiver stood at the door between indoor playground and lobby. There was no other caregiver in the play room or the lobby.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2022. Correction verified: Nov 17, 2022.

Responsibilities of Caregivers - Children in Control

“This standard was evaluated and found to be out of compliance when a caregiver lost control of a group of children.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2022. Correction verified: Dec 14, 2022.

Responsibilities of Caregivers - Supervision of Children

“This standard was evaluated and was found to be out of compliance. A caregiver left the entire classroom of children unsupervised for more than two minutes.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2022. Correction verified: Dec 14, 2022.

Critical Injury - Contact EMS After Ensuring Supervision of Group

“This standard was evaluated and found to be out of compliance. The staff did not call EMS immediately when a child lost consciousness.”

Rule 746.3607(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2022. Correction verified: Dec 14, 2022.

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

“Three staff of 15 evaluated had online CPR certification.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2022. Correction verified: Oct 24, 2022.

Prohibited Punishments - Hitting with Hand or Instrument

“This standard was evaluated and was found to be out of compliance. It was found that a caregiver hit children with her hand to redirect their behavior.”

Rule 746.2805(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Oct 5, 2022.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“This standard was evaluated and found to be out of compliance. It was found that a caregiver yelled at the children in a harsh manner while redirecting the children.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Oct 5, 2022.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A 14 year old without an initial background check was working as a volunteer at the operation with direct access to children.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 31, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“This standard was evaluated and found to be out of compliance. A caregiver grabbed a child roughly by the arm to remove the child from an area, while redirecting the child.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 22, 2022.

Safety - Electrical Outlets Covered

“An outlet low to the floor in the cafeteria was uncovered. Children were sitting next to the outlet. This standard was corrected at inspection when the staff covered the outlet immediately.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 20, 2022.

Responsibilities of Caregivers- Supervision of Children

“This standard was evaluated and found to be out of compliance. A caregiver left her classroom of ten children unsupervised for three seconds while she went to the next door classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: May 20, 2022.

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

“This standard was evaluated and was found to be out of compliance. The operation did not report, to Child Care Regulation, a child injury requiring medical attention, within 48 hours of the incident date. The injury and medical attention occurred on Thursday 3/31/22 and was not reported to CCR until Wednesday 4/6/22.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 20, 2022.

Incident/Illness Report Form Shared with Parent

“This standard was evaluated and found to be out of compliance. The operation did not share the incident/illness report with the child’s parent within 48 hours from the date of the incident. The child was injured on 3/31/22 and the parent received an incident report on 4/6/22.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 20, 2022.

Documentation of Gas Leak Inspection

“The building gas inspection report was not available for review at inspection.”

Rule 746.5405. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Nov 22, 2021.