Betty’s Day Care LLC

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

“Two individuals with pending background checks were in operation in contact with children.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Oct 13, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“Infant observed in play yard with blanket around infant. CORRECTED when blanket was removed from infant.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Oct 13, 2023.

Child/Caregiver Ratio - 12 or Fewer Children

“Observed 10 children in care of 1 caregiver with 6 children being 18-4yrs.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2023. Correction verified: May 10, 2023.

Placement of Groups - Groups Kept Separate

“Oberseved infant and toddler area with a removable wall mount division open and accesiible to acces between age groups. Children and caregivers observed to be walking back and forth through open space of room.”

Rule 746.1505(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2023. Correction verified: Feb 14, 2023.

Training Requirements for Employees and Caregivers - 24 Annual Training

“One employee records observed to be missing 20 annual training hours.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2022. Correction verified: Dec 27, 2022.

Responsibilities of Caregivers - Supervision of Children

“One Infant observed unsupervised on highchiar in multipurpose room while caregiver assisted that other children in restrooms to wash hands.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2022. Correction verified: Dec 16, 2022.

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

“Paint cans and cleaning products observed in cabinets accessible to children, 3 different cabinets did not have a secured lock in the.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2022. Correction verified: Dec 16, 2022.

Training Requirements for Employees and Caregivers - 24 Annual Training

“One employee records observed to be missing 20 annual training hours.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 16, 2022.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“Loose fill surfacing observed for slide, surfacing was less than the 6 inches required. When digging into the surfacing observed how the rocks have compressed and compacted making it a harder solid surface in the bottom.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 16, 2022.

Arrangement of Napping Equipment -All Children Supervised

“One caregiver supervising three different rooms for nap time. One room had 2 infants, second room had 5 children and third room toward back of building has 4 children.”

Rule 746.2909(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Dec 1, 2022.

Adequate Lighting During Naptime

“Lights during nap time were off in classrooms. eyes needed adjusting when entering a lighted area into the dimmed light classroom.”

Rule 746.2911. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Dec 1, 2022.

Child/Caregiver Ratio - 12 or Fewer Children

“One caregiver observed supervising 11 children. . 12mo,15mo,2y,2y,2y,4y,4y,6y,10y,10y,11y. Operation was out of ratios based on number of children supervised for one caregiver when 12 or fewer children are in care.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Dec 1, 2022.

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

“Based on the information gathered during the investigation caregiver did not exercise self-control as a child was disciplined in front of the whole class humiliating the child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2022. Correction verified: Dec 1, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the information gathered during the investigation it was determined caregiver poured a bottled water down a child back as a form of punishment.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2022. Correction verified: Nov 22, 2022.

Responsibilities of Caregivers - Supervision of Children

“5 children observed in classroom unsupervised during nap time. CORRECTED when teacher entered classroom and was walking actively supervising.”

Rule 746.1203(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 2, 2022.

Naptime Child/Caregiver Ratio - Caregivers Physically Present

“A total of 21 children were counted in nap time ratio, but divided into two separate classroom areas with 2 caregivers for naptime. One classroom was left unsupervised by caregiver. CORRECTED at inspection when caregiver was actively supervising the clasroom.”

Rule 746.1613(a)(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 16, 2022.

Adequate Lighting During Naptime

“School age room observed durring naptime. room was dark with no lights and windows covered. CORRECTED at inspection when a curtian was opened to let some natural light in and when the restroom light was turned on with the door open.”

Rule 746.2911. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 2, 2022.

Immunizations-Immunization record must include the child’s name and birth date

“One child records reviewed missing immunization record in file.”

Rule 746.623(1)(A). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 16, 2022.

Safety Requirements for Play Yards - Label for Each Infant

“Infant area observed, Play yard were not labeled with children names.”

Rule 746.2411(2)(I). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2022. Correction verified: May 26, 2022.

Signed Admission Form

“Record evaluated, a parent or guardian signature was missing in admission form. Admission date of 1/10/2022.”

Rule 746.607. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2022. Correction verified: May 26, 2022.

Required Admission Information - Name and Birthdate

“One child record was not avialble for review,”

Rule 746.605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2022. Correction verified: Apr 14, 2022.

Director Annual Training - Additional required topics

“Director missing hours for Preventing and controlling the spread of communicable diseases, including immunizations.Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 15, 2022. Correction verified: Apr 21, 2022.

Child/Caregiver Ratio - 12 or Fewer Children

“One caregiver was carring for 13 children in total 4 of those children were under 17 months of age. CORRECTED at inspection when two other caregivers came into operation to work.”

Rule 746.1701. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 11, 2022.

Required Personnel Records- Meets Requirements

“Record evaulauted no Highschool diploma or GED in file.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: Apr 28, 2022.

Children Handwashing After Toileting or Diapering

“Caregiver observed during diaper change, child’s hand were not washed after change. CORRECTED at inspection when instructed caregiver regarding the diapering changing instruction that are available for review on wall and caregiver took child to sink to have their hands washed.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 21, 2022.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Loose Fill surfacing observed for play structure that measured 4Ft of height for highest play surface on the structure. Surfacing measures 1inch in depth.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2022. Correction verified: Mar 24, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“Updated feeding instructions were not available for review.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Mar 23, 2022.

Required Admission Information - Date of Admission

“One of the three files observed was missing child’s admission date.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Mar 23, 2022.

Required Personnel Records - Dates of Employment

“One of the three files reviewed did not have an employee start date.”

Rule 746.901(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2022. Correction verified: Mar 23, 2022.

Requirements for Swings - Not Attached to a Composite Structure

“Composite play structure observed with slides and swings”

Rule 746.4701(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2021. Correction verified: Dec 7, 2021.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Playground Structure observed, structure higher that five feet did not have requiered depth of loose fill surfacing, depth was less than 2 inches.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 17, 2021.