The Learning Experience

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

“One caregiver, counted in ratio in the pre school A classroom, did not have a active background check. The background check was noted as inactive 3/14/23. Note: The background was resubmitted during the inspection.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

Storage of Medication - Inaccessible to Children

“In the Pre School 2 classroom there was a child holding benadryl cream sitting at the table with other children. Note: When pointed out the caregiver removed the cream.”

Rule 746.3807(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

Maintenance of Building, Grounds and Equipment

“In Prepper A and Prepper B there were torn couches for the children to use. As a result of being torn they cannot be properly sanitized. Note: The couches were removed during the inspection.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

“In Pre School 1B and in the Make Believe classrooms there were trash cans with diapers in them and the trash cans did not have a lid and the diapers were not in individual sealed bags. Note: This was corrected when the trash cans were emptied.”

Rule 746.3505(f). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

Safety - Electrical Outlets Covered

“In the Pre School 2 classroom and Pre School 1B both had a power strip accessible to the children on the floor that had exposed electrical outlets. Note: A picture was taken.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2023. Correction verified: Sep 7, 2023.

Documentation of Drills

“Per discussion with the person in charge a fire drill was conducted during the month of August 2023 but was not documented. This was corrected when the drill was documented.”

Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 7, 2023.

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

“I did not observe eligibility results on a background check for a caregiver who was observed working with children during the inspection. NOTE: The caregiver left during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 29, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“During the initial walk-through, two caregivers gave the incorrect number when asked how many children were in the group.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 29, 2022.

Required Equipment in Vehicles - Emergency Medical Information

“I reviewed the center’s transportation binders. I did not observe documentation of emergency contact information for some of the children on the list.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2022. Correction verified: Nov 29, 2022.

Child/ Caregiver Ratio - 13 or More Children

“A caregiver who was counted in ratio walked out of the classroom to put away cots after naptime, leaving one caregiver with 10 older infants. The required/childcare ratio for older infants is 1 caregiver to every 5 infants.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2022. Correction verified: Sep 20, 2022.

Children Handwashing After Toileting or Diapering

“I observed a caregiver in the young infant classroom change a child’s diaper without washing the child’s hands afterwards.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2022. Correction verified: Sep 20, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“I observed the infant feeding instructions had not been updated in the last 30 days for 6 infants who are not yet eating table food.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2022. Correction verified: Sep 20, 2022.

First Aid Kit - Incomplete Kit

“I observed that there were not cotton balls in the first aid kit.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2022. Correction verified: Sep 20, 2022.

Children’s Records Maintained

“Ten children’s enrollment records were evaluated. The following ws observed: 1. One child’d file was missing documentaiton that immunizations are current. 2. One child’s file was missing documentation of vision and hearing screening.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2022. Correction verified: Sep 20, 2022.