Tammys Angels

Primary Caregiver Annual Training - Special topics for children under 24 months

“The director lacked documentation of completion of one hour of training in the following topic to complete last years annual training: (1) Recognizing and preventing shaken baby syndrome; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.”

Rule 747.1309(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2023. Correction verified: Jun 7, 2023.

Primary Caregiver Annual Training - Required training less than- 5 years experience

“The director lacked documentation of completion of training in the following topics to complete last years annual training: 1) Emergency Preparedness; 2) Preventing and responding to emergencies due to food or an allergic reaction; 3) Understanding building and physical premises safety; and 4) Handling, storing, and disposing of hazardous materials.”

Rule 747.1309(e)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 11, 2023.

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

“The operation did not have written infant feeding instructions on file for the 9 month old.”

Rule 747.2321(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2023. Correction verified: May 31, 2023.

Children’s Records - Admission Information

“A sampling of children records were evaluated. One child’s record lacked information whether or not the parent gives permission for transportation (such as for emergency care), one child’s immunization record was observed incomplete, and one child’s record lacked a health statement.”

Rule 747.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: May 30, 2023.

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

“An individual was present at inspection without a background check. This was corrected at inspection as the individuals background check was submitted.”

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

Smoke Detectors Testing

“The operation did not have documentation that the operation tested the smoke detectors and carbon monoxide detector for the month of April 2022.”

Rule 747.5115. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 31, 2022.

Policies Comply with Rules

“The operational policies were evaluated and lacked written procedures for the following: 1) Promotion of indoor and outdoor physical activity and 2) How parents may access the HHSC website (www.hhs.texas.gov).”

Rule 747.207(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2022. Correction verified: Jun 2, 2022.

AP Parent Notification of Liability Insurance - Permitted Before April 25, 2021 & No Insurance Must Notify Parent in Writing by May 25, 2021

“The operation did not have documentation on file showing they have notified parents of two children enrolled that the operation does not carry liability insurance.”

Rule 747.213(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 31, 2022.

Required Admission Information - Emergency Contact

“A sampling of children records were evaluated. One child’s record lacked the address of the responsible individual (friend or relative) who should be contacted in an emergency when the parent cannot be reached.”

Rule 747.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2022. Correction verified: May 31, 2022.