Mother Theresa’s Child Dev Center

Director Responsibilities - Employee Assignments

“The director failed to provide appropriate guidance or intervene when a caregiver yelled at, pursued, and dragged a child into the classroom while refusing to allow the child to enter. The director reported inaccurate details concerning a child’s injury without conducting appropriate observation or clarification of the incident.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 5, 2026.

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

“Based on the video observed the caregiver did not demonstrate good judgment and or self-control when raising their voice and used a harsh, inappropriate tone and using taunting language while attempting to redirect a child behavior.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 5, 2026.

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 video observed children were left unsupervised in a classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 5, 2026.

Prohibited Punishments - Grabbing and Pulling

“Based on the video observed a caregiver grabbed a child by the arm and dragged the child across the classroom.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 5, 2026.

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

“Classroom with 8 toddlers was left napping unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Sep 11, 2026.

Prohibited Punishments - Restrictive device for time out

“Based on information gathered during investigation it was determined caregivers uses highchairs to restrain children in to correct behavior.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2026. Correction verified: Oct 5, 2026.

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

“Based on information gathered, this standard is found to be deficient. A caregiver was allowed to care for children without an active background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 10, 2026.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on information provided, this standard is found to be deficient by yelling at children in care as a form of discipline.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 11, 2026.

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

“A child of age 2yrs was observed getting diaper change in a classroom by a caregiver were other children were present.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2026. Correction verified: Aug 4, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“Caregiver did not know age of child in classroom during inspection.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2026. Correction verified: Aug 4, 2026.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“Feeding instructions for 9month could not be oberved during inspection.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2026. Correction verified: Aug 4, 2026.

Children’s Records - Admission Information

“A infant child in care enrollemnt folder and several children files were observed to be missing required docuementation.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2026. Correction verified: Aug 4, 2026.

Required Personnel Records

“Caregivers folders was observed missing several required documentation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2026. Correction verified: Aug 4, 2026.

AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

“A caregiver was present and caring for children with an ineligible background check status. The operation was notified of the ineligible status on 5/13/2025.”

Rule 745.635(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2025.

Prohibited Punishments - Restrictive device for time out

“There were two children placed in a high chair as result of them actibt “bad”.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Aug 11, 2025.

Safety Requirements for Cribs - Snug Fitting Sheets

“The sheets in the cribs in the infant were loose and not snug fit.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Aug 11, 2025.

Documented Annual Training Area - 24 Hours Required

“One of the five caregivers files reviewed did not have documentation showing the required completed 24 hours of annual training.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2025. Correction verified: Sep 19, 2025.

Report Number of Employees

“The center did not report the number of employees that left employment in 2024 by the required date of 1/15/25.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Jan 22, 2025.

Basic Requirements for Infants - Never Unsupervised

“During the walk through in the Infant room 5 children ages 2-14months observed in the classroom without a caregiver supervising children in care. The caregiver came from the Toddler room back into the infant room.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 12, 2024.

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

“2 children observed ages 2yrs old sleeping in high chairs during nap time. CI: caregiver removed children and placed them on sleeping mates.”

Rule 746.1201(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2024.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“Children were observed sleeping blocking the entrance and exit doors of the classroom. CI: Caregiver rearranged the children blocking the exit doors.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2024.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“Children were observed napping on mats closely to each other with no walk space on either sides of their mats. Caregiver were unable to walk between cots. CI: Caregiver rearranged the children sleeping arrangement.”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2024.