Ivy Kids @ Birnham Woods

Employee Handwashing After Diapering a Child

“Based on information received from DFPS a caregiver did not wash their hands after changing several diapers.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2023. Correction verified: Sep 7, 2023.

Children Handwashing After Toileting or Diapering

“Based on information received from DFPS several children did not wash their hands after a caregiver changed their diapers.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2023. Correction verified: Sep 7, 2023.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“Based on the findings of a DFPS investigation, a caregiver did not intervene when necessary to ensure the safety of children in the classroom.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2023. Correction verified: Sep 7, 2023.

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

“A child was left alone unsupervised in a classroom when the class transitioned from the classroom to the cafe for lunch. The child was alone for approximately seven minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2023. Correction verified: Jun 21, 2023.

Administering Medication - Not After Expiration date

“I observed a bottle of children’s Benadryl that expired in October of 2022. NOTE: This was corrected during the inspection.”

Rule 746.3805(b)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 7, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“I did not observe documentation that the in-person portion for CPR was completed.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2022. Correction verified: Sep 28, 2022.

Required Personnel Records-signed dated statement that employee received child care center’s operational policies

“I did not observe documentation that a caregiver gad completed orientation and received the center’s operational policies. NOTE: This was corrected during the inspection.”

Rule 746.901(6)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 20, 2022.

Report Situation Placing Children at Risk

“Interviews were conducted and procedures were evaluated. It was determined that the operation did not report to Child Care Regulation an incident involving a 4 yr. old running out of the classroom and the operation.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 14, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“During a recent A/N investigation, it was determined that a caregiver placed a bib over the face of a crying infant.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 13, 2022.

Prohibited Punishments - Using Harsh, Abusive or Profane Language

“During an A/N investigation, it was determined that a caregiver became frustrated with an infant child and used profane language.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 13, 2022.

Reporting Suspected Abuse, Neglect, Exploitation

“The operation did not report the suspected abuse of a child to HHSC - Child Care Regulation. The operation was aware of the incident where a caregiver placed a bib over the face of the infant.”

Rule 746.201(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 13, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“When asked how many children were in the group, a caregiver for school-age children didn’t know the correct number.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2022. Correction verified: Aug 2, 2022.

Child/ Caregiver Ratio - 13 or More Children

“I observed a caregiver supervising 16 three and four yr. old children. The median age of the group was 3 years and the required child/caregiver ratio for three year olds is 1 caregiver with 15 children. NOTE: This was corrected during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2022. Correction verified: Aug 2, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“During the walk-through inspection, a caregiver stated that there were 40 children in the group, but when I counted, there were only 35.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 12, 2022.

Responsibilities of Caregivers - Supervision of Children

“Interviews were conducted and operation procedures were evaluated. It was determined that a preschool child was left alone on the playground when the class transitioned back inside to the classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 27, 2022. Correction verified: Jul 28, 2022.

Prohibited Punishments - Associated with Food, Naps, or Toilet Training

“Interviews were conducted and surveillance tape was reviewed. It was determined that a caregiver placed two 3 yr. old children in the restroom during naptime as a disciplinary measure. NOTE: The caregiver was terminated.”

Rule 746.2805(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 25, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2022. Correction verified: May 2, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“Caregivers were interviewed and procedures were evaluated. It was determined that an infant child was left in the building during a fire drill due to caregivers not verifying the children in the group before exiting the building. During the inspection today, I asked a caregiver how many children in her room and she said 15 children but there were 16 children in the group.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2022. Correction verified: Feb 8, 2022.

Responsibilities of Caregivers- Supervision of Children

“Interviews were conducted and the operation’s emergency procedures were evaluated. It was determined that a 6 month old infant was left in the classroom without adult supervision during a fire drill.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2022. Correction verified: Mar 1, 2022.

Responsibilities of Caregivers- Supervision of Children

“Interviews were conducted and procedures were evaluated. It was determined that a preschool-age child was left alone in a classroom when a caregiver did not follow the operation’s procedure for transitioning children.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Dec 9, 2021.