Lil’ Munchkins Child Care Center

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

“A child who was injured was taken to the hospital for treatment and Child Care Regulation was not notified.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 19, 2023.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Evacuation and relocation diagrams were not posted in each classroom.”

Rule 746.5207(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 16, 2023.

Measurement of Use Zone for Swings - in Front and Rear

“A new swing set was installed. The center beam height is over eight feet. The rear use zone is 14 feet. The children will not use the swings until this deficiency is corrected.”

Rule 746.4807(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Aug 31, 2023.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“A classroom was observed to be have cots tightly placed with no aisles for a walk or work space. This was corrected at inspection when a discussion was had about cot placement.”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 18, 2023.

Fenced Outdoor Activity Space -Gates Locked

“The outside exit to the playground was locked from the outside. This was corrected at inspection when the lock was turned to be accessed from inside the playground.”

Rule 746.4309. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 18, 2023.

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

“A piece of climbing equipment with a height of 24 inches was placed over grass.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 8, 2023.

Discipline - Positive Methods of Discipline and Guidance

“Based on the information gathered, caregivers did not use positive methods of discipline and guidance when redirecting children and putting them in time out.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Aug 8, 2023.

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

“Based off of the DFPS investigation, children cleaned tables using chemicals while in care at the operation. And, based off of the DFPS investigation, a caregiver provided a personal tablet to children with a pixelated video of nude people.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2023. Correction verified: Dec 27, 2023.

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

“Based off of the DFPS investigation, a caregiver was found reason to believe for sexual abuse. A child made an outcry of being inappropriately touched by the caregiver while in care at the center.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2023. Correction verified: Dec 27, 2023.

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

“Based off the DFPS investigation a caregiver fell asleep while directly supervising children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2023. Correction verified: Dec 27, 2023.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based off the DFPS investigation, several children stated that a caregiver would yell at them at the operation.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2023. Correction verified: Dec 27, 2023.

Required Admission Information - Emergency Contact

“Nine of ten children’s files did not have addresses listed for the emergency contacts.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 26, 2023.

Written Operational Policies - Promotion of Physical Activity

“A statement promoting active play was not present in the operational policies.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 26, 2023.

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“A current employee list was not posted. This was corrected at inspection when a new list was posted.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 5, 2023.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“It was determined through the course of the investigation that a caregiver transported children without having taken the transportation safety training.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2023. Correction verified: Apr 14, 2023.

First Aid Kit - Incomplete Kit

“There were scissors and a thermometer missing from the first aid kit located in the vehicle to transport children. Note: There was a staff member that grabbed a thermometer and scissors from the operation and put them in the vehicle’s first aid kit to make it complete.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 16, 2023.

Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

“There was a strand of barbed wire that was on the operation’s side of the fence. The barbed wire is sharp and rusty.”

Rule 746.4601(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2023. Correction verified: Feb 2, 2023.

Child/ Caregiver Ratio - 13 or More Children

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 2, 2023.

Maximum Group Size 13 or More Children

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Feb 2, 2023.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“There was a piece of playground equipment was cracked and broken. Additionally there was metal pieces from a fence that were found on the grass area on the playground.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 2, 2023.

Safety Requirements for Active Play Equipment - No Entrapment Openings

“There was a fence located towards the backside of the playground, that was leaning over. With the fence leaning over it created a huge gap/opening. Additionally there were some rusty wires that were trying to hold the fence in place, but with it leaning the wires were exposed.”

Rule 746.4601(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2022. Correction verified: Jun 30, 2022.

Child/ Caregiver Ratio - 13 or More Children

“A classroom was observed to be out of ratio when a group of children with a specified age group of 5 years old was observed to have 24 children with one caregiver. The caregiver to child ratio for this specified age group for one teacher is 22 children. The operation corrected this at inspection when an afternoon caregiver arrived to make the clasrsroom in ratio.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2022. Correction verified: Jun 30, 2022.

Floors, ceilings and Walls in Good Repair and Clean

“There was a wall located in the hallway next to the restrooms, that had a hole towards the bottom of the wall.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2022. Correction verified: Jun 30, 2022.

Child/ Caregiver Ratio - 13 or More Children

“A classroom was observed to be out of ratio when a group of children with a specified age group of 3 years old was observed to have 27 children with one caregiver. The caregiver to child ratio for this specified age group for one teacher is 15 children. The operation corrected this at inspection when the caregiver that immediately returned on bus run was added to ratio making the classroom compliant.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2022. Correction verified: Apr 26, 2022.

Maximum Group Size 13 or More Children

“A classroom was observed to be out of ratio when a group of children with a specified age group of 0-11 months old was observed to have 12 children with two caregivers. The caregiver to child ratio for this specified age group for two teachers is 10 children. The operation corrected this when two children were picked up for the day making the classroom compliant.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2022. Correction verified: Apr 26, 2022.

Safety Requirements for Active Play Equipment - No Entrapment Openings

“There was a gap of more than 4 inches where the fence did not meet the pavement on the toddler outdoor play area.”

Rule 746.4601(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Apr 12, 2022.

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

“There was not an updated fire inspection that was completed for the current year. The last inspection was completed on 9/22/2020.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Mar 18, 2022.

Required Admission Information - Emergency Medical Authorization

“There were two out of the five children files viewed that did not have their authorization for medical treatment completed in their enrollment paperwork.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 15, 2022.

Maintenance of Building, Grounds and Equipment

“There was a disinfectant solution underneath a sink in the school age classroom. Also in all the bathrooms there was a plunger,toilet scrub brush accessible to children, and trash cans without lids. Note: This was corrected at inspection when the operation’s director removed all toilet scrub brushes, plungers, cleaning supplies, and trash cans from all the restrooms.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 8, 2022.

Required Admission Information - Emergency Contact

“There were two out of the five children records that did not have the address of an emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Apr 12, 2022.

Immunization Records, Exceptions, and Exemptions Current

“There were two children files out of the five children files viewed that did not have updated immunization records available for review.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2022. Correction verified: Mar 15, 2022.

Documented Annual Training Area - 24 Hours Required

“There were four out of the five employee files that did not have 24 hours of annual training available for review.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Apr 12, 2022.

Director Annual Training 30 Hours Required

“The center director did not have the annual 30 hours of completed training available for review.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Apr 12, 2022.

Safety Requirements for Cribs - Label for Each Infant

“None of the cribs in the infant room where labeled with each child’s name.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 18, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“There were no updated infant feeding schedules for this month, available upon review.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Apr 12, 2022.

First Aid Kit - Incomplete Kit

“The first aid kit was missing twizzers to make the kit complete.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Mar 15, 2022.

Required Admission Information - Date of Admission

“There were four out of the five children records that were missing their admission date.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Apr 12, 2022.

Required Personnel Records - Required Affidavit

“There were five employee files that were viewed. There were three employee files that did not have a notarized affidavit available for review.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Mar 15, 2022.

Signed Admission Form

“There were two out of the five children files that did not have a parent signature on the enrollment forms.”

Rule 746.607. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Mar 15, 2022.