Ms. Mary’s Place Home Daycare

Safety - Areas Free From Hazards

“Outdoor play area was observed having broken and missing pickets on the gate. A wheel barrow and two barbeque pits were observed accessible to children in the backyard play area. A lighter and two bottles of lighter fluid was observed on a table in the backyard accessible to children.”

Rule 747.3501. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Aug 31, 2023.

Screen Time Activities - Not Used for Under Two

“Four children under the age of 2 years old was observed having screen time during the inspection. This was corrected during the inspection when the caregiver was observed turning the television off.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 10, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“Children were observed having screen time while eating a snack. This was corrected during the inspection when the television was observed being turned off.”

Rule 747.2105(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 10, 2023.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“Sippy cups were observed not properly labeled with children first name and first initial of last name. This was corrected during the inspection when the caregiver was observed labeling the sippy cups.”

Rule 747.2405(4)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 10, 2023.

Records Maintained and Made Available - Safety Drills Documentation

“There were no documentation of emergency drills including fire drills, fire extinguisher, smoke detector, and carbon monoxide detector available for review during the inspection.”

Rule 747.801(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Aug 31, 2023.

Personnel Records

“There was no record available for review during inspection for one caregiver.”

Rule 747.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Aug 31, 2023.

Prohibited Punishments - Associated with Food, Naps, or Toilet Training

“Based on the DFPS investigation, there is sufficient evidence to suggest that children are being made to nap as a form of punishment.”

Rule 747.2705(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 10, 2023.

Prohibited Punishments - Restrictive Device for Time Out

“Based on the DFPS investigation, there is sufficient evidence to suggest that children are being placed in a highchair as a form of punishment.”

Rule 747.2705(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 10, 2023.

Inspections and Investigations Allowed

“Based on the DFPS investigation, there is sufficient evidence to suggest that the DFPS investigator was not allowed entrance into the operation to conduct the investigation and was denied access to a child’s record when requested.”

Rule HRC42.044. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 10, 2023.

Prohibited Punishments - Corporal Punishment

“Based on information obtained during the investigation, there is sufficient evidence to support a citation for prohibited punishment.”

Rule 747.2705(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2023. Correction verified: Jun 21, 2023.

Diaper Changing Steps- Prompt

“Based on information obtained during the investigation, there is sufficient evidence to support a citation that diapers are not promptly changed.”

Rule 747.3301(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2023. Correction verified: Jun 21, 2023.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“Based on the evidence obtained during the DFPS investigation, there is sufficient evidence to support the allegation that diaper changing supplies were in which of children.”

Rule 747.3301(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2023. Correction verified: May 9, 2023.

Immunization Record Upon Admission

“As of today September 16th, 2022 the provider has not submitted documentation for 2 children’s records that were evaluated and was missing documentation of immunizations.”

Rule 747.613(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2022. Correction verified: Oct 3, 2022.

Written Operational Policies - Promotion of Physical Activity

“As of September 16th, 2022 the provider still has not provided a written policy for the Promotion of Physical Activity which include the following: (A)The duration of physical activity at your home, both indoor and outdoor (B)The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities (C) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time.”

Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2022. Correction verified: Sep 23, 2022.

Children’s Records - Admission Information

“As of today September 16th, 2022 the provider still has not submitted documentation for 3 children’s records that were evaluated and was missing information including the following: Name and Phone Number of Release Person Complete Emergency Contact Information”

Rule 747.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2022. Correction verified: Sep 23, 2022.

Children’s Records - Immunizations

“As of today September 16th, 2022, the provider has not submitted documentation for 2 children’s records that were evaluated and did not contain current immunizations. The most recent immunizations were from 2019.”

Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2022. Correction verified: Sep 23, 2022.

Health Statement on File

“As of today September 16th, 2022 the provider still has not submitted health statements for 2 children’s records that were evaluated.”

Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2022. Correction verified: Oct 3, 2022.

Training Requirements for Caregivers Licensed -24 hours Annual Training

“Documentation of the full 24 hours of annual training for 2 caregivers was not available for review upon request.”

Rule 747.1303(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 1, 2022.

Food Service and Preparation - Use Sanitary Holders

“Children were observed eating graham crackers on a bare table with no sanitary holder. Note: The provider corrected this during the inspection by providing napkins for each child.”

Rule 747.3117(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2022.

Maintenance Procedures for Active Play Space - Hazards Removed or Repaired

“During the inspection a fence observed in the outdoor play area there were two plats missing and the fence is leaning to the side posing a safety hazard for children. There is also an ant bed outside in the play area.”

Rule 747.4407(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2022. Correction verified: Sep 15, 2022.

Written Operational Policies - Safe Sleep for Infants

“A Safe Sleep Policy for infants under 12 months was not available for review upon request. Note: Provided the Safe Sleep Policy form to the operation during the inspection where a copy was made and added to the operational policies.”

Rule 747.501(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2022.

Immunization Record Upon Admission

“2 out of 11 children’s records evaluated were missing documentation of immunziations.”

Rule 747.613(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Screen Time Activities - Not Used for Under Two

“Children under 2 years old was observed watching television during the inspection. Note: Discussed using other activities for children under 2.”

Rule 747.2105(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Sep 8, 2022.

Written Operational Policies - Promotion of Physical Activity

“Promotion of Physical Activity at the home was not available for review upon request.”

Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Children’s Records - Admission Information

“7 out of 10 chidlren’s records evaluated were missing information including the following: Name and Phone Number of Release Person Special Needs Statement was left Blank Complete Emergency Contact Information”

Rule 747.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Children’s Records - Immunizations

“2 out of 11 children’s records evaluated did not contain documentation of immunizations.”

Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Health Statement on File

“The health statement was missing for 3 out of 11 children’s records evaluated.”

Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Training Criteria - Certificate

“Training certificates showing 24 hours of training topics have been completed was not availale for review upon request for the pirmary caregiver.”

Rule 747.1315(c)(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 1, 2022.

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

“During DFPS investigation it was determined that a person had access to children and did not have a cleared background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2022. Correction verified: May 19, 2022.