Mi Casita

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

“I conducted the walkthrough for indoor and outdoor. I observed two playgrounds for toddlers and preschoolers. There are some new wood chips under the equipment, but only 2 inches of loose fill (see picture)”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2026. Correction verified: May 20, 2026.

Director present-Minimum 75%

“I visited the operation for monitoring on 4/20/2026 and today. The Interim Director is not present both times. According to Admin, the interim director is only at the facility on Thursday and Friday. She is still in the process of moving from Pennsylvania to Texas.”

Rule 746.1011(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2026. Correction verified: May 6, 2026.

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

“I conducted the walkthrough for indoor and outdoor. I observed two playgrounds for toddlers and preschoolers. There are some new wood chips under the equipment, but only 2 inches of loose fill (see picture)”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2026. Correction verified: May 6, 2026.

Medication Authorization Expires on First Anniversary

“During the inspection, I observed that a child’s epinephrine had expired on 3/2026. An assistant called the mother to request the medication.”

Rule 746.3803(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: Apr 29, 2026.

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

“During the walk-through, I observed that neither of the outdoor playgrounds has enough loose-fill surfacing (Less 1 inch)”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2026. Correction verified: Apr 29, 2026.

Immunization Records, Exceptions, and Exemptions Current

“During the HASA review of 10 children s immunization records, 4 children did not have current immunization records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: Apr 29, 2026.

Responsibilities of Employees and Caregivers -Relate to Children

“The caregiver did not support the child’s physical or emotional needs when the child got hurt.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 14, 2026.

Prohibited Punishments - Grabbing and Pulling

“A caregiver was grabbing a child when the child was upset.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 14, 2026.

Responsibilities of Caregivers - Interact positively with children

“The caregiver did not interact positively with the child.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 14, 2026.

Discipline - Positive Methods of Discipline and Guidance

“The caregivers did not use positive methods of discipline and guidance to improve the behavioral concerns.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 14, 2026.

Written Operational Policies - Promotion of Physical Activity

“Operation policies stating the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter was not available to review at time of inspection.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2025. Correction verified: Nov 20, 2025.

Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website

“Instructions on how a parent may access the Minimum standards on line, Texas Abuse and Neglect Hot line; and HHSC website were not available for review at time of inspection in the operation policies.”

Rule 746.501(a)(23). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2025. Correction verified: Nov 5, 2025.

Requirements for Feeding Infants - Label Bottles/Cups

“During an investigation it was determined two infant bottles were not labeled. This resulted in an infant given the incorrect bottle and having an allergic reaction.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 21, 2025.

Nutrition and Food Service - Must not serve identified foods to allergic child

“It was determined during an investigation an infant was served a food item identified as a diagnosed food allergy resulting in emergency medical treatment.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 21, 2025.

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“Individual without an active background check was observed alone with children.”

Rule 745.621(a)(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2025. Correction verified: Jun 12, 2025.

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

“Three children were observed alone in a room without a qualified caregiver at time of inspection. This was corrected when children were brought to a classroom with a qualified caregiver.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2025. Correction verified: Jun 12, 2025.

Children’s Records - Enrollment Agreement

“Two children observed at operation did not have enrollment paperwork on file. Corrected when enrollment forms were filled out at time of inspection.”

Rule 746.603(a)(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 29, 2025.

Administering Medication - Original Container with Child’s Name, Date

“There Epi-Pens were not in their orginal container.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 16, 2024. Correction verified: Jan 18, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One food allergy plan was not signed by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 16, 2024. Correction verified: Jan 12, 2024.

Medication No Longer Used

“Medications no longer in use are not being returned to parent or discarded. The violation was corrected at the time of inspection.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2024.