Kidz First Learning Academy

Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib

“A crib sheet was observed to be loose fitting and bundled up when an infant was sleeping. This was discussed with the caregivers and corrected at inspection.”

Rule 746.2409(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

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

“During inspection a caregiver walked out of the breakfast area leaving 4 children alone to switch places with a caregiver outside.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 16, 2023. Correction verified: Sep 7, 2023.

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

“During inspection there was a container of lysol wipes and hand sanitizer on the shelf within the reach of the children.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 16, 2023. Correction verified: Sep 7, 2023.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“The HASA was conducted and one caregiver had an expired CPR and First Aid certification.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2023. Correction verified: Sep 1, 2023.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“A piece of equipment that bounces did not have the proper depth of loose fill around and under it as required.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2023. Correction verified: Sep 7, 2023.

Written Activity Plans

“There were no activity plans posted in the classrooms.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2023. Correction verified: Sep 7, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“During inspection it was observed that the children were eating their breakfast upon arrival and watching television.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 16, 2023. Correction verified: Sep 7, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The HASA was conducted and the grounds checklist has not been conducted in the last 3 months.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2023. Correction verified: Sep 7, 2023.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“During follow up inspection, 1 infant was observed in a restrictive device for 50 minutes.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2023. Correction verified: Feb 23, 2023.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During follow up inspection, 1 infant was observed unbuckled in the highchair table.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2023. Correction verified: Feb 23, 2023.

Responsibilities of Caregivers - Know Children’s Names and Ages

“During POA inspection, the infant caregivers did not know the information for 1 infant they were responsible for.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 16, 2023.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During POA inspection, 1 infant was observed unbuckled in the highchair table.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 16, 2023.

Report Unsafe Facility Occurrence

“The operation was closed 1/31/23 - 2/3/23 due to weather and did not notify CCR.”

Rule 746.305(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 16, 2023.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“During POA inspection, the infant feeding sheets were not updated. One bottle fed infant did not have an infant feeding sheet.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2023. Correction verified: Feb 13, 2023.

Infant May Not Sleep in a Restrictive Device

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Dec 12, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“One non-exempt caregiver with no previous training was counted in ratio before having the required 8 hours of training.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2022. Correction verified: Dec 6, 2022.

Child/ Caregiver Ratio - 13 or More Children

“During inspection, two classes were out of ratio. The two year old class was out of ratio by one child. The three year old class was out of ratio by three.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Dec 12, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“During inspection, three bottle fed infants did not have updated feeding instruction sheets.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 6, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“During inspection, 6 staff records were reviewed and not maintained.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Oct 27, 2022.

Children’s Records Maintained

“During inspection, 6 records were reviewed and 2 were missing updated immunization records.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Oct 27, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“During inspection the emergency drills and detector monitoring was unavailable.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Oct 27, 2022.

Responsibilities of Caregivers - Supervision of Children

“During inspection, a 3 year old child was observed alone and unsupervised in the bathroom. CCR Inspector returned child to teacher. Teacher advised they were not aware child was gone.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2022. Correction verified: Oct 12, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“During inspection, 6 staff records were reviewed and not maintained.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 12, 2022.

Children Handwashing After Toileting or Diapering

“During inspection, 3 diaper changes were observed and all 3 did not wash the infants hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2022. Correction verified: Oct 12, 2022.

Children’s Records Maintained

“During inspection, 6 records were reviewed and not maintained.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 12, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“During inspection the emergency drills and detector monitoring was unavailable.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 12, 2022.

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

“A follow up was conducted. A caregiver was present supervising children alone and did not have an eligible status to be present.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2022. Correction verified: Sep 1, 2022.

Responsibilities of Caregivers - Supervision of Children

“During inspection at naptime, it was observed 1 caregiver was supervising 3 areas of children. 1 classroom had 12 children ages 3 yrs - 5rs napping. 1 classroom had 14 children ages 1 yr - 2 yrs napping with the door closed and no teacher inside the room. The open area had 4 children ages 7yrs - 9yrs resting.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2022. Correction verified: Aug 25, 2022.

Infant May Not Sleep in a Restrictive Device

“During inspection, 1 infant was observed asleep in a swing. 2 infants were observed in the high chair table unstrapped. 2 infants were in highchairs unstrapped. TA was provided and the infants were removed from the restrictive devices.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2022. Correction verified: Aug 25, 2022.

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

“The operation allowed a newly hired staff member to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility. Another citation related to background checks within the next 6 months may result in a penalty. Another citation related to background checks within the next 6 months may result in an additional penalty and other enforcement actions. An Administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 25, 2022.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“This standard was reviewed in relation to the reported allegation and found to be deficient. Caregivers advised that children are strapped into high chairs while other tasks, such as diapering other children, are conducted.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 25, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During inspection, 2 infants were observed unstrapped in the high chair table.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 25, 2022.

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

“This standard was found to out of compliance when reviewing video footage. It was found that the operation’s caregivers did not demonstrate good judgment when they left a toddler in a high chair for 2 and a half hours during the morning.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Infant May Not Sleep in a Restrictive Device

“This Standard was found to be out of compliance while reviewing video footage. Video shows that a child was left sleeping in a restrictive device.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Employee Handwashing After Diapering a Child

“While reviewing video footage it was found that caregivers were not washing their hands after diaper changes. The caregivers were also not cleaning the infants hands either.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Diapering Procedures - Sanitizing Diaper Changing Area

“While reviewing video footage it was found that caregivers were not sanitizing the diaper changing mat after use.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Written Activity Plans - Plan Followed by Caregiver

“This Minimum Standard was found to be out of compliance while reviewing video footage. The operation did not follow their activity plan when they had children watching television for 2.5 hours and had a toddler restricted in a high chair for 2.5 hours.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Screen Time Activities - Not Exceed One Hour Daily

“While reviewing video footage it was found that the operation kept their television on for 2 and a half hours in the morning with children.”

Rule 746.2207(c)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 19, 2022.

Safety - Electrical Outlets Covered

“An electrical outlet did not have a cover and a cover was found and put in during inspection.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 12, 2021.

Documented Annual Training- Required Content

“Four staff records were reviewed and all four need required training related to health and safety.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2021. Correction verified: Dec 29, 2021.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infant feeding instructions were not up to date.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Dec 29, 2021.