Holy Word Early Learning Center

Diapering Procedures - Wash Infant’s Hands

“A caregiver did not wash the infant’s hands after changing their diaper. This was corrected during the inspection when I asked the caregiver to wash the infant’s hands.”

Rule 746.3505(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 19, 2026.

Administering Medication - Not After Expiration date

“A medication was expired at the time of the inspection.”

Rule 746.3805(b)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 2, 2026.

Administering Medication - Original Container with Child’s Name, Date

“Three EpiPens were observed not stored in their original labeled boxes”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 15, 2025.

Documented Annual Training Area - 24 Hours Required

“Of the ten staff files reviewed, one employee was missing the required 24 hours of annual training. Additionally, two employees lacked training in emergency preparedness, two in building and premises safety, two in emergency planning, one in child maltreatment, one in administering medication, and one in discipline and guidance.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 15, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“Feeding instructions for multiple infants had not been updated within the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jul 1, 2025.

Written Operational Policies - Support inclusive services

“The operation did not have written policies on the following: infant safe sleep, how to access the most recent M.S. inspection form, how to contact Licensing, how to access the DFPS website, and procedures for inclusive care.”

Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 1, 2025.

Children’s Records Maintained

“Of the ten children’s files reviewed, four were missing updated immunization records, three were missing health statements, and all ten were missing emergency contact information.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 15, 2025.

Required Records Maintained and Made Available - Playground Maintenance Records

“The operation did not have a completed playground maintenance checklist available for review.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 27, 2025.

Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)

“Out of the ten staff files reviewed, two employees did not have a notarized affidavit on file.”

Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jun 27, 2025.

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

“Two caregivers with a pending background check were present with access to children. This was corrected during the inspection when the caregivers were sent home.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2024. Correction verified: Sep 16, 2024.

Smoke Detectors Testing

“The operation has not conducted monthly testing of smoke detectors or carbon monoxide detectors.”

Rule 746.5319. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2024. Correction verified: Aug 20, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Three children do not have a complete food allergy plan. Two of the medicaitons were expired.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2024. Correction verified: Aug 20, 2024.

Inspect Fire Extinguishers Monthly

“The operation does not have documentation of completing monthly fire extinguisher tests. This was corrected during the inspection when the fire extinguisher were inspected by the director.”

Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 15, 2024.

Children’s Records - Immunizations

“Three children do not have updated immunization records on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2024. Correction verified: Aug 23, 2024.

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

“Based on the evidence gathered during the investigation, good judgment was not used when the required notifications after a child is injured was not made.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

Infant Care Area - Space to Walk Between Cribs, Cots or Mats

“Based on the evidence gathered during the investigation, the room arrangement created a tripping hazard and injury to a child.”

Rule 746.2403(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.