Sunshine Child Care

Employee Handwashing After Diapering a Child

“A caregiver was observed at inspection conducting diaper changes. The caregiver wore the same gloves for each diaper change and did not wash her hands in beween diaper changes either.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2026. Correction verified: Apr 24, 2026.

Children Handwashing Before Eating

“Children were observed arriving at the operation and were not washing their hands before eating breakfast.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2026. Correction verified: Apr 24, 2026.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver was observed at inspection conducting diaper changes and did not sanitize the diaper changing surface after each diaper change. Wax paper wasn’t used in between diaper changes either.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2026. Correction verified: Apr 24, 2026.

Prohibited Punishments - Grabbing and Pulling

“Two caregivers were observed on the playground grabbing a child each by an arm and pulling the child across the outdoor activity space. The child was upset and then the child was held in a caregiver’s lap and held in place for over10 minutes while they continued to be upset.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2025. Correction verified: Nov 13, 2025.

Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

“Outside time was observed at the follow up inspection and water was not available during active play.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2025. Correction verified: Nov 13, 2025.

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

“The child safety alarm is not operating correctly according to manufacturer instructions. The button at the rear of the vehicle is not disabling the alarm as it is supposed to. When inquiring about daily procedures when transporting children, the operation has not been disabling the child safety alarm at the rear of the vehicle when using the child safety alarm.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2025. Correction verified: Nov 25, 2025.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“Cots were arranged in a manner that blocked an exit to the building and an exit of a classroom.”

Rule 746.2909(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2025. Correction verified: Nov 6, 2025.

Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

“Outside time was observed and water was not available during active play.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2025. Correction verified: Nov 6, 2025.

Children Handwashing Before Eating

“Two classrooms were observed at afternoon snack time and the children did not have their hands washed prior to eating. Additionally, one classroom had also transitioned immediately from the playground and did not wash their hands after outdoor activities.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2025. Correction verified: Nov 6, 2025.

Safety - Areas Free From Hazards

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2025. Correction verified: Nov 6, 2025.

Documented Annual Training - Remaining training hour topics

“The last complete annual training year for a caregiver was lacking topics in prevent and controlling the spread of communicable disease including immunization training, understanding building and premises safety including identification and protection from hazards that can cause bodily hazards such as electrical hazard, bodies of water and vehicular traffic training and handling and storing blood or bodily fluids training.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2025. Correction verified: Oct 24, 2025.

Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

“Four employee records was lacking signatures for orientation for either the employee or trainer. This was corrected at inspection for each personnel file obtained the appropriate signatures.”

Rule 746.1329(d). Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 21, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“One caregiver has been employed for five months and lacks first aid training.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2024. Correction verified: Nov 25, 2024.

Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

“Documented orientation for one caregiver lacked the employee signature. Documented orientation for one caregiver lacked the trainer signature. Documented orientation for one caregiver the topic checkboxes being selected. These were all corrected at inspection.”

Rule 746.1329(d). Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 25, 2024.

Children’s Products- Annual Certification

“The children’s product annual certification form was required to be completed by 12/2/2022 to be current for an annual certification and was not completed as of 1/3/2024.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2024. Correction verified: Jan 17, 2024.

Chairs - Safety Straps Used if Required by Manufacturer

“The multiple occupancy seats in the infant classroom was observed in use by the children but they were not secured while in use.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2024. Correction verified: Jan 17, 2024.