Klein Kindercare

Parental Notification of Less Serious Injuries

“The center did not notify parents that their child received an injured lip when the child was picked up. The caregiver provided first aid treatment to the child.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Dec 31, 2025.

Floors, ceilings and Walls in Good Repair and Clean

“During a walk through of the operation it was observed that there were three holes in the wall, the trash can was overflowing with trash and onto the floor, the bathroom floor and classroom floor had several pieces of paper on it.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2025. Correction verified: Jun 30, 2025.

Required Equipment in Vehicles - First-aid Kit

“During the inspection of the transportation vans it was found that Bus #4 was missing an entire first aid kit.”

Rule 746.5617(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Mar 17, 2025.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“During the inspection of the transportation vans, I observed Bus #4 with several pieces of trash and food on the floor.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Mar 17, 2025.

Safety Requirements for Cribs - Label for Each Infant

“During the walk through of Infant A Room, I observed 3 infants in unlabled cribs.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Mar 17, 2025.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“When evaluating children’s records, I found that 1 out of 10 files were missing date of admission and signed statements from healthcare providers.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Mar 17, 2025.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“In the infant room a 4 month old was observed sleeping with bib on. Note: This was removed at inspection.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2024. Correction verified: Feb 2, 2024.

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

“A front desk administrator/ staff present at the time of inspection did not have an active background check at the time of the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2023. Correction verified: Dec 18, 2023.

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

“The operation was only able to provide documentation of CPR/first aid training for 3 out of the 13 currently employed caregivers.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 18, 2023.

Pre-service Training for Caregivers of Children Under 24 Months

“A newly hired caregiver present at the time of inspection and counted in the infant child to caregiver ratio did not have safe sleep, SIDS or shaken baby training.”

Rule 746.1305(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 13, 2023.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“The operation had two buses used to transport children that had expired registration and inspection tags. The tags were on the windshields of the vehicles dated 8/24/2022 and 6/2022.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 13, 2023.

Required Admission Information-Completed Food Allergy Plan

“A child in care with a documented fish allergy requiring an epinephrine injection did not have an emergency plan on file.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 18, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“The operation was unable to provide written feeding instructions reviewed within the last 30 days for any of the 7 infants present at the time of inspection not yet on table food.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 18, 2023.

Medication No Longer Used

“The epinephrine injection for a child in care with a known food allergy had expired on 9/24/2022 and was still on file at the operation. The operation also had expired anti static valved holding chamber as of 2/18/22 and albuterol as of 5/2023 for a child in care.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 18, 2023.

Posting Requirements - Daily menu, including all snacks and meals served by the child care center

“The posted menu at the operation was for the week of September 4, 2023. This was corrected at inspection with the director had the menu updated to reflect the current week.”

Rule 746.401(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The operation was unable to provide a building and grounds checklist.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 13, 2023.

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

“The operation was unable to provide documentation for a fire drill, lock-down drill for a volatile or endangering person or sheltering drills.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 18, 2023.

Required Personnel Records- Meets Requirements

“A caregiver present at the time of inspection did not have proof of education on file for review.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 13, 2023.

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

“The operation did not have a current employee list posted for review. The employee list posted had caregivers that were no longer employed at the operation. This was corrected at inspection when the caregiver posted an updated employee list.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2023.

Required Personnel Records - Required Affidavit

“A caregiver present at the time of inspection did not have a notarized employment affidavit on file for review.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 13, 2023.

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

“A child was left unattended on the playground without direct supervision for hours.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2024. Correction verified: Jan 23, 2024.

Maintenance of Building, Grounds and Equipment

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2023. Correction verified: Jan 9, 2024.