The Learning Experience

Written Operational Policies - Emergency Preparedness Plans

“The emergency preparedness plan was not present in the parent provided operational policies. This was corrected when the director added the complete emergency preparedness plan to the operational policies.”

Rule 746.501(a)(24). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 15, 2023.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“There were eight infants 12-18 months being supervised by one caregiver when the required ratio was five infants 12-18 months to one caregiver. This was corrected when the owner added another caregiver to the ratio.”

Rule 746.1613(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2023. Correction verified: Aug 22, 2023.

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

“Based upon the information obtained, the operation did not notify Child Care Regulation of a child who obtained an injury that required medical treatment within the required time frame.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 15, 2023.

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

“Based upon the information obtained, a caregiver did not maintain adequate supervision needed for an infant during water activities. As a result, the infant drank the sprinkler water.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 15, 2023.

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

“Based upon the information obtained, the operation did not notify Child Care Regulation of a child who required medical treatment by a Health-Care Professional within the required time frame.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 15, 2023.

Safety Requirements for Active Play Equipment - Used According to Manufacturer’s Instructions

“Based upon the information obtained, the operation did not use play equipment according to manufacturer’s instructions.”

Rule 746.4601(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 15, 2023.

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

“During the inspection, an individual was observed with direct access to children and the operation has not obtained an eligibility notification back from CBCU stating the person could be present. Note: The individual left the facility during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2023. Correction verified: May 8, 2023.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“I observed disinfectant wipes on the floor in the restroom which was accessible to children. Note: The provider removed the cleaning wipes during the inspection.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2023.

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

“During an inspection at the center on May 8th, 2023 a fire inspection had not been conducted at the center since March 28th, 2022.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2023. Correction verified: May 15, 2023.

Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

“Documentation of the most recent fire inspection report was not available for review upon request.”

Rule 746.801(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 15, 2023.

Children’s Records - Immunizations

“1 out of 3 children’s files evaluated did not contain an updated immunization record. Note: This was corrected at inspection when the provider obtained the udpated shot record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2023.

Children Handwashing After Toileting or Diapering

“A child in the older pre-k classroom did not wash their hands after toileting. Note: This was discussed and corrected during the inspection.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 27, 2023.

Children Not Required to Sleep - May Not Force Child to Sleep

“A child’s head was completely covered during the follow up inspection in the toddler room. Note: The provider corected this during the inspection.”

Rule 746.2905(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 27, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“A caregiver did not know the number of children in the classroom during the inspection. The caregiver stated there were 18 children and there were only 17. Note: Discussed with the provider all caregivers must know how many children are in the class at all times.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 11, 2023. Correction verified: Jan 27, 2023.

Maintenance of Building, Grounds and Equipment

“A broken soap dispenser was observed in the Pre-School classroom and the light in the restroom was not turning on in the Pre-School 2 when the light switch was flipped on. Note: The operation corrected this during the inspection.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2023.

Required Equipment in Vehicles - List of Children

“Based upon the information obtained, there was sufficient evidence to support the operation did not maintain a transportation log showing the 3-year-old children that were being transported and it was not kept in the vehicle.”

Rule 746.5617(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 13, 2023.

Child Passenger Safety Seat System - Must Use for Each Child in When Transporting and be Properly Installed

“Based upon the information obtained there is sufficient evidence to support the operation was transporting children with no car seats.”

Rule 746.5607(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 13, 2023.

Required Equipment in Vehicles - Information About Facility

“The operation did not keep the information showing the facility name and phone number inside the vehicle.”

Rule 746.5617(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 13, 2023.

First Aid Kit - Supplies Not Expired

“The first aid kit in the vehicle used to transport children contained expired alcohol wipes.”

Rule 746.4003(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 13, 2023.

Required Equipment in Vehicles - List of Children

“11 children were in the van upon arriving at the daycare center and only 10 children were showing on the transportation list. Note: The driver corrected this during the inspection.”

Rule 746.5617(a)(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 28, 2022.

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

“A caregiver was observed in the pre-k classroom caring for children as they were using the restroom and preparing for naptime. Note: The caregiver left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 25, 2022.

Sign-in and Sign-out Tracking System

“The sign in and out log for the pre-k classroom only had 5 children signed in when there were 19 children accounted for in the classroom. Note: This was corrected during the inspection when the caregiver signed the rest of the children in.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 25, 2022.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“During walk-through it was observed a spray bottle of Bleach located on a shelf next children s cup. It was accessible to children. Note: the Director removed the spray bottle during inspection.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 4, 2022.

Annual Sanitation Inspection

“Health Sanitation Inspection was not available for review during Inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 11, 2022.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“While conducting walk-through I observed 3 changing mats that were torn ,and cannot be properly cleared.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 10, 2022.

Sign-in and Sign-out Tracking System

“While conducting walk-through I observed 3 classrooms where the children were not signed-in.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 25, 2022.

Documented Annual Training- Required Content

“While reviewing 6 staff files the following topics were missing : PREVENTION AND RESPONSE TO FOOD ALLERGIES, STORAGE OF HAZARDOUS MATERIALS AND BIO-CONTAMINANTS, EMERGENCY PREPARATION.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 10, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“3 Infant feeding instructions had not been signed and dated within the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 10, 2022.

Napping Floor Mats Marked with Sleeping Side Distinguished

“During walk-through it was observed 2 children laying on incorrect color side for napping mats. They were sleeping on Floor side instead of the Sleeping side .”

Rule 746.4503(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2022. Correction verified: Oct 25, 2022.

Director Responsibilities - Employee Assignments

“Based upon the DFPS Investigation, the director failed to ensure that proper training had been completed and did not ensure the driver was following policies.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

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

“The operation failed to practice good judgment by allowing a child in care to disengage the emergency release button for the child safety alarm.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

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

“Based upon the findings from the DFPS Investigation, there is sufficient evidence to support neglectful supervision of a child in care has occurred at the operation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

Responsibilities of Caregivers - Supervision of Children

“Based on the DFPS investigation, the operation did not maintain supervision of a child who was left alone on the van for approximately 40 minutes.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

Safety Precautions for Loading and Unloading Children - Account for All Children

“A caregiver did not walk the van to account for all children accurately when exiting from the vehicle which resulted in a child being left on the van.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

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

“Based on the DFPS investigation, a child was left unattended on a van by a caregiver.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 28, 2022.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Based upon the findings from the DFPS Investigation, a person was allowed to transport children prior to completing the required 2 hours of Transportation Safety Training.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2022. Correction verified: Aug 30, 2022.