Little Laughter’s Childcare Center

Required Immunizations

“1 of 6 children folders immunization was not observed.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Sep 25, 2023.

Required Personnel Records - Required Affidavit

“1 of 5 caregivers folders affidavit could not be observed.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Sep 25, 2023.

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

“A caregiver did not use good judgement when she gave a soiled disposable diaper to a child to place in the trash.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 20, 2023.

Prohibited Punishments - Grabbing and Pulling

“During a DFPS investigation, it was determined that a caregiver grabbed a child roughly.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2023. Correction verified: Jun 20, 2023.

Diapering Procedures - Use Disposable Gloves

“During a recent DFPS investigation, it was observed that a caregiver did not remove disposable gloves and wash her hands between diaper changes.”

Rule 746.3505(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 20, 2023.

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

“Caregiver was observed issuing snack to children in care. Corrected at Inspection: Caregiver was asked to leave.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 17, 2022.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“6 week old infant was observed sleeping swaddled in a crib.”

Rule 746.2428. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 3, 2022.

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

“Fire inspection observed dated for 11/26/2019.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2022. Correction verified: Nov 8, 2022.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“3 caregivers and director cpr/first aid license exipred 3/2022. Current license could not be observed.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2022. Correction verified: Nov 14, 2022.

Fire Extinguishers Serviced

“All fire extinguishers observed last serviced in March of 2022.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 4, 2022.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“Two of the operation’s vehicle did not have the electronic safety alarm system installed properly. A walkthrough was conducted of both vehicles, in which neither alarm was in working condition.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2021. Correction verified: Dec 1, 2021.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed with 14 children, 11 months- 5 years of age.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2021. Correction verified: Dec 1, 2021.

Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list

“The operation validated their people list on 06/17/2020. The operation has a total of 7 employees on their staff list within the operation.”

Rule 745.651(2)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2021. Correction verified: Nov 15, 2021.

Screen Time Activities - Not Used for Under Two

“Approximately 6 children under the age of 2 was observed in front of a television screen. The operation utilizes the television in the morning time during drop-off, and breakfast time. Younger children were observed in high chairs in the cafeteria area while the television was being utilized.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2021. Correction verified: Dec 1, 2021.

Children’s Records - Immunizations

“One child’s file did not include an updated immunization/vaccination card.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2021. Correction verified: Dec 1, 2021.

Documentation of Training Requirements - Trainer’s Qualifications

“Four staff files did not contain the trainer’s qualifications on a training certificate with numerous titles.”

Rule 746.1329(b)(5). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2021. Correction verified: Dec 1, 2021.