The Childrens Courtyard

Required Admission Information - Emergency Contact

“Four children’s records lacked the address for the listed emergency contact person.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Nov 3, 2026.

Children’s Records - Health Statement

“Five children’s records did not contain a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2026. Correction verified: Nov 3, 2026.

Required Admission Information - Physician Information

“Two children’s records lacked complete information for the child’s physician or an emergency care facility.”

Rule 746.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Nov 3, 2026.

Required Records Maintained and Made Available - Personnel and Training Records

“Complete personnel and training files were not available for review at the time of inspection.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2026. Correction verified: Nov 3, 2026.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“The presence of ants on the toddler playground was not communicated with the caregiver resulting in a child getting multiple ant bites that caused an allergic reaction.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: May 26, 2026.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Transportation safety training was not available for review for the listed drivers.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2026. Correction verified: Apr 20, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child did not have a food allergy plan on file at the center. One child’s food allergy plan was not signed by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: May 1, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infants did not have updated feeding instructions on file.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 15, 2026. Correction verified: Apr 20, 2026.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“Safety documentation for emergency drills, fire extinguishers, and carbon monoxide & smoke detectors was not available for review at the time of inspection.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: Apr 20, 2026.

Required Records Maintained and Made Available - Personnel and Training Records

“Staff training records were not available for review at the time of inspection.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: Apr 20, 2026.

Director Responsibilities - Operate in Compliance

“The director is not ensuring the operation is operating in compliance with minimum standards. The director did not ensure proper coverage during her absence which also resulted in a group being out of compliance with ratio.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 10, 2026.

Director’s Absence - Qualified Caregiver in Charge

“There was no one designated to be in charge of the operation during the director’s absence.”

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 10, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“A caregiver provided the ages of the children in her group which were later found to be incorrect. The caregiver reported that the children in her group were all 2 years but the children ranged in age from 16 months - 2 years.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 10, 2026.

Child/ Caregiver Ratio - 13 or More Children

“It was determined that the operation was out of compliance with child/caregiver ratios. There were 17 children ages 3 - 7 years with one caregiver. The specified age for the group was 3 years which only allows for 15 children. The group was over ratio by 2 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 10, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“It was found that on at least one occasion, a 5-month-old infant and a 16-month-old infant were combined with children that exceeded the 18-month age difference allowed between the oldest and youngest child in the group.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2026. Correction verified: Apr 9, 2026.

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

“It was determined that the operation’s driver dropped a child off at the wrong elementary school during before school transportation.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Sep 30, 2025.

Required Equipment in Vehicles - List of Children

“It was determined that the lists used for before and after school transportation were not accurate.”

Rule 746.5617(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Sep 30, 2025.

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

“Based on the information obtained during the investigation, a lack of supervision was determined. A child got out of the playground and wandered off of the operation’s property. The child was returned to the operation by an unknown bystander.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 15, 2025. Correction verified: Apr 25, 2025.

Required Records Maintained and Made Available - Personnel and Training Records

“At the time of inspection, complete personnel and training documentation was not available for 2 staff.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2025. Correction verified: Mar 3, 2025.

Maintenance of Building, Grounds and Equipment

“Several slats were missing from the wooden railing of the deck on the outdoor playground.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2025. Correction verified: Feb 10, 2025.

Floors, ceilings and Walls in Good Repair and Clean

“The floors in the schoolage room, kitchen, and preschool restroom were not clean - along with 2 sinks in the schoolage room.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Feb 10, 2025.

Documentation of Drills

“Documentation of emergency drills and checks was not available at the time of inspection.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Feb 10, 2025.

Required Records Maintained and Made Available - Personnel and Training Records

“Complete personnel and training files were not available at the time of inspection.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Feb 10, 2025.

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

“The operation did not have a current fire inspection on file. The last fire inspection was completed 11/2022.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2024. Correction verified: Feb 7, 2024.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director and 3 drivers did not have documentation of current transportation safety training available for review at the time of inspection.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2024. Correction verified: Feb 7, 2024.

Maintenance of Building, Grounds and Equipment

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 5, 2024. Correction verified: Feb 7, 2024.

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

“This standard was evaluated as part of an investigation and found to be deficient when a caregiver regularly grabbed children by the arm as a form of redirection.”

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

Prohibited Punishments - No Harsh, Cruel or Unusual

“This standard was evaluated as part of an investigation and found to be deficient when caregiver pushed a child in the face as a form of punishment.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2023. Correction verified: Dec 20, 2023.