Bertha Academy LLC

Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“In the toddler/prek3 classroom, two year old children were observed and choking hazards were present in the play areas, in access to children under the age of 3.”

Rule 746.2501(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2026. Correction verified: Sep 1, 2026.

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

“The annual fire inspection was observed to be expired.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Sep 30, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“One out of the eight staff records monitored did not have the in person training that is required to complete the on line certification training.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 1, 2026.

Maintenance of Building, Grounds and Equipment

“In the infant classroom, infant equipment currently used was observed to be unsanitary.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2026. Correction verified: Sep 1, 2026.

Required Records Maintained and Made Available - Children’s Records

“Out of the ten children’s records monitored, two were missing the emergency care authorization, one was missing the special care statement, one was missing the healthcare provider statement, and three were missing current and updated immunization records.”

Rule 746.801(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Aug 31, 2026.

Required Personnel Records

“One out of the 8 records monitored did not have a record ready for review.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 1, 2026.

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

“The operation’s staff did not report to Child Care Regulation, a child’s injury that required medical attention.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 23, 2026.

Child/Caregiver Ratio - Opening/Closing

“The operation combined infant aged children with 18m and older children, in the music room, when combing for the 45 minutes prior to closing.”

Rule 746.1615. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 23, 2026.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“The center director did not have a current CPR and First Aid certification training.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 12, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“3 out of the 5 staff records monitored, did not have their annual training current for Shaken Baby Syndrome, Sudden Infant Death Syndrome, and Early Childhood Brain Development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 12, 2025.

Children’s Records - Immunizations

“4 out of the 10 children’s records monitored, did not have up-to-date immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 12, 2025.

Required Records Maintained and Made Available - Playground Maintenance Records

“The outdoor monthly checklists have not been completed since May of 2025 and are not current.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 12, 2025.

Child Becomes Ill in Care and Requires Immediate Treatment or Hospitalization - Contact EMS or take to ER

“The operation’s staff did not make the decision to call for emergency services when a child showed an urgent need for medical care.”

Rule 746.3605(b)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2025. Correction verified: Jun 5, 2025.

Basic Requirements for Infants - Never Unsupervised

“Infant children were left unsupervised when a caregiver left her classroom for a restroom break and asked a second caregiver to supervise them when that caregiver was caring for a separate group of children in a different room.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2025. Correction verified: Jul 30, 2025.

Prohibited Punishments - Restrictive device for time out

“Children were placed in a highchair for approximately 5-10 minutes as a form of discipline.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2025. Correction verified: Jul 30, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“One infant classroom caregiver was observed on her personal cell phone while she was supervising children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2025. Correction verified: Apr 17, 2025.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“10 children were observed eating in highchairs and were observed to not be strapped to their seats that require seat straps.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2025. Correction verified: Jan 23, 2025.

Children Handwashing Before Eating

“10 children in the toddler/ PreK mixed classroom did not wash their hands prior to eating their food.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2025. Correction verified: Jan 23, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Inspector observed one caregiver on their cell phone while caring for children. Inspector spoke to staff who stated they are not allowed to be on their cell phones when in a classroom with children. Inspector has previously provided technical assistance on staff on cell phones while caring for children during a previous inspection.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 18, 2024.

AP Initial background checks submitted - At the time you hire someone

“Inspector observed one person present and in a classroom with unsupervised access to children without an initial background check submitted. At the time of inspection the caregiver was seen in multiple classrooms.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2024. Correction verified: Feb 27, 2024.

Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

“Based on the information provided during the course of the investigation, two infants were observed being left asleep in car seats while in care at the operation.”

Rule 746.2426(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2024. Correction verified: Mar 18, 2024.

Child/ Caregiver Ratio - 13 or More Children

“Inspector observed two classrooms out of ratio. The infant room had 11 infants with one caregiver. The caregiver did not know the ages of the infants except that the youngest infant was one month old. A second classroom had one caregiver with 23 children. The children were between 2-4 yrs. old. The specified age group was 3 yrs. old.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 23, 2024. Correction verified: Mar 4, 2024.

Smoke Detectors Testing

“The operation did not have annual documentation for checking the carbon monoxide, smoke detector, or fire extinguishers monthly.”

Rule 746.5319. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 10, 2024.

Diapering Procedures - Sanitizing Diaper Changing Area

“Inspector observed two classrooms change children and not sanitize the diaper changing table after each child.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Jan 23, 2024.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“The emergency preparedness plan was missing information such as how children with limited mobility or who are under 24 months will be evacuated, and how staff will continue to care for children until parents arrive.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Jan 23, 2024.