Bright Beginnings

Responsibilities of Caregivers - Know children’s names and ages

“One caregiver did not have a list of all of the children’s ages in the classroom and did not know the accurate age of the youngest child she was responsible for.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 21, 2023.

Food Service and Preparation Requirement - Use Sanitary Holders

“Two classrooms were observed with children having their food served directly on a table without a plate or napkin.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 21, 2023.

Children Handwashing After Toileting or Diapering

“Diaper changing was observed in the older infant classroom and the toddler classroom and hand washing by the children and staff did not occur after each diaper change.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 21, 2023.

Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm’s Length of Child

“A caregiver was observed at inspection leaving a child on an above ground diaper changing surface in the classroom to complete an incident report form regarding a biting incident.”

Rule 746.3503(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 21, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“The operation has not been routinely conducting fire drills monthly.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Mar 8, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“In one classroom, the caregiver did not know an accurate count of the number of children she is responsible for and did not know the accurate age of the youngest child. Multiple classrooms did not have a list of the names and ages of the children.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 1, 2023.

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

“Classroom interactions were observed with the classroom that is mixed with older infants and toddlers. The caregiver rarely communicated with the children in a positive manner and was very overly firm with her demands to the children that is not appropriate for their developmental level. Additionally the children were disciplined negatively for wanting to play with toys when they had already transitioned from lunch time and story time and had not had an opportunity to play in over an hour.”

Rule 746.2803(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 1, 2023.

Children Handwashing After Toileting or Diapering

“Diaper changing was observed at inspection and children did not have their hands washed after diaper changes and staff did not wash their hands either.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 1, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“The diaper changing surface was not sanitized after each use. When the sanitizing product was used between some of the diaper changing sessions, the manufacturer instructions were not being followed.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 1, 2023.

Requirements for Feeding Infants - Label Bottles/Cups

“Based on the evidence obtained, bottles were not labeled for two infants resulting in infants being fed the wrong bottles. It was immediately corrected with all the bottles being labeled and was observed labeled at inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 1, 2023.

Diaper Changing Steps- Prompt

“Based on the evidence obtained during the investigation, diaper changes have not been conducted promptly.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2023. Correction verified: Mar 10, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Based on the evidence obtained during the investigation, one child with a known food allergy did not have a complete food allergy plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2023. Correction verified: Mar 10, 2023.

Report Outbreak of Communicable Illness

“A staff member of the operation tested positive for COVID-19 two weeks ago and a timely report to child care regulation was not made. It was corrected at inspection with a report being made.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 1, 2023.

Screen Time Activities - Not Used for Under Two

“The toddler classroom with two children less than the age of 2 were observed participating in screen time with watching a movie.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2023. Correction verified: Feb 8, 2023.

Director Responsibilities - Operate in Compliance

“Based on the evidence obtained during the investigation, the director is not reinforcing the compliance with minimum standards with the staff employed at the operation and patterns of minimum standard violations.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2023. Correction verified: Feb 24, 2023.

Responsibilities of Caregivers - Supervision of Children

“Based on the evidence obtained during the investigation, staff are routinely leaving the infant room unsupervised.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2023. Correction verified: Feb 24, 2023.

Requirements for Feeding Infants - Never Prop Bottles

“Based on the evidence obtained during the investigation, infants are often being fed with their bottles propped.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2023. Correction verified: Feb 24, 2023.

Responsibilities of Caregivers - Supervision of Children

“The pre-k caregiver was supervising 3 children at the meal time tables while the remaining 7 children she was responsible for were two classrooms away. The caregiver was not within physical proximity, did not have visual awareness or able to intervene with the other 7 children she was responsible for. Children were running around the classroom as well.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 27, 2023.

Infant May Not Sleep in a Restrictive Device

“During this inspection I observed a 4 month old asleep on a boppy pillow with a blanket and the boppy pillow was sitting inside a crib. This was corrected at inspection when the boppy pillow and blanket was removed from the crib.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 27, 2023.

Child/ Caregiver Ratio - 13 or More Children

“Once classroom was observed with 12 children between the ages of 15 months and 2 years of age during nap time. The specified age group of the classroom was 18-23 months of age and is limited to 9 children with one caregiver. Since classroom with children less than 18 months of age cannot be reduced for nap time ratios, the classroom was over ratio with one caregiver.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 27, 2023.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“The sink specified for hand washing after diaper changes was also being used for cleaning bottles.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 27, 2023.

Maintenance of Building, Grounds and Equipment

“The sand box was observed at inspection with cat poop in the sand box. Children were observed at inspection playing in the sand box.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 27, 2023.

Child/ Caregiver Ratio - 13 or More Children

“A caregiver left the infant classroom over ratio with six infants, less than 12 months of age, with one staff member in the classroom while completing laundry duty tasks in the kitchen.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Oct 19, 2022.

Chairs - Safety Straps Used if Required by Manufacturer

“Infants were observed buckled securely in high chairs at inspection however an infant in a restrictive device (bouncer chair) that requires the infant to be fastened was not secured after being placed in the device.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2022. Correction verified: Oct 13, 2022.

Children Handwashing After Outdoor Activities

“A classroom with a combination of older infants and younger toddlers did not wash hands after entering from the playground. They additionally did not wash hands before eating.”

Rule 746.3417(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2022. Correction verified: Oct 6, 2022.

Chairs - Safety Straps Used if Required by Manufacturer

“Two infants were observed in a high chair and they were not securely fastened with the buckles when in use.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2022. Correction verified: Oct 6, 2022.

Infant May Not Sleep in a Restrictive Device

“Based on the evidence obtained at inspection, there is sufficient evidence that staff are routinely leaving infants asleep in restrictive devices.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2022. Correction verified: Oct 13, 2022.