America’s Choice Children’s Center

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“Four caregivers lacked the educational requirements on file.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2023. Correction verified: Nov 15, 2023.

Director Annual Training - Additional required topics

“The documented annual training hours/certificates provided for review did not include training on the following required topics in Health and Safety for the director. 1. emergency preparedness 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2023. Correction verified: Nov 10, 2023.

Required Records Maintained and Made Available - Children’s Records

“Some of admission forms used were outdated. The admission forms do not capture the required minimum standards changes of March 2023.”

Rule 746.801(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2023. Correction verified: Nov 10, 2023.

Required Personnel Records - Required Affidavit

“One personnel file lacked the required notarized affidavit on file.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2023. Correction verified: Nov 10, 2023.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The transportation training for the 2nd director was last completed on 03/07/21.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2023. Correction verified: Aug 10, 2023.

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

“Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence to show that a caregiver neglectfully supervised a child.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2023. Correction verified: Aug 3, 2023.

AP Safety Precautions for Loading and Unloading Children - No Child Unattended

“Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence to show that all the children were not accounted for when they exited the van into the operation.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2023. Correction verified: Aug 3, 2023.

Required Equipment in Vehicles - List of Children

“Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence that the caregiver, who parked the vehicle, did not have a list of the children when this incident occurred.”

Rule 746.5617(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2023. Correction verified: Aug 3, 2023.

Child/ Caregiver Ratio - 13 or More Children

“There were 15 children napping, ages 15 months to 2 years old with one caregiver. The specified age group was 2 years old. With this specified age group one caregiver can supervise 11 children. This was corrected at inspection when the youngest child was moved to the infant classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2022. Correction verified: Dec 13, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“Five staff files observed contained training from an online source.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 15, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One food allergy plan observed did not include the parent signature.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2022. Correction verified: Nov 9, 2022.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“There are nails observed protruding from a wooded gate that posed as a hazard to children in care. There was a broken board observed hanging from the wooded gate. A water hose was observed unraveled which poses as a tripping hazard.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2022. Correction verified: Dec 6, 2022.

Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.

“The outdoor area observed did not have adequate amount of mulch near the grounded area of the slide. The mulch observed was displaced, and/or removed due to rain or lack of maintenance on three separates areas of the playground. The mulch observed was less than 9 inches.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2022. Correction verified: Dec 6, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“A total of five infant feeding instructions were observed that were not updated. Infant feeding instructions observed were dated: -09/01/2022 -09/06/2022 -08/31/2022 -09/27/2022 -09/19/2022”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2022. Correction verified: Nov 9, 2022.

Required Admission Information - Physician Information

“One child’s file observed did not include the child’s physician information for contact in case of an emergency. The child’s file did not contain the physician’s name, address, and/or telephone number. The child’s file did not contain the emergency care facility either.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Nov 9, 2022.

Health Statement on File within 1 Week of Admission

“One child’s file observed did not include a health statement. The child’s enrollment date is documented as 05/31/2022.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Dec 6, 2022.