The Learning Station

Requirements for Feeding Infants - Other Use of Handwashing Sink

“At the time of the visit it was found through observation of dish soap and a bottle scrubber, and discussion with caregivers about their practices, that the infant handwashing sink was being used to also wash infant dishes such as bottles and spoons.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2023. Correction verified: Nov 6, 2023.

Required Admission Information-Completed Food Allergy Plan

“At the time of the inspection 2 children with noted food allergies in their file did not have the required doctor note with instructions on what to do if a reaction occurs.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 6, 2023.

Required Admission Information - Emergency Contact

“At the time of the visit 6 of the 10 children’s records reviewed did not have the required information for emergency contacts.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 6, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“At the time of the inspection it was found that no infants in care had written feeding instructions from the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 6, 2023.

Children’s Records - Immunizations

“At the time of the inspection 5 of the 10 records reviewed had missing immunization records or immunization that was not up to date.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 6, 2023.

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

“Based on information obtained through investigation it was found a caregiver had been present in a classroom without a completed background check and without the operation having been notified of the background check results.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2023. Correction verified: Nov 6, 2023.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“At the time of the inspection the loose fill on the toddler playground measured less than the required 6 inches at the base of the slides of the structure.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2022. Correction verified: Nov 29, 2022.

Responsibilities of Employees and Caregivers -Relate to Children

“Based on the information obtained a caregiver did not relate to children respectfully by raising her voice and talking in the child’s face while re-directing behavior.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Jul 25, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on information obtained through investigations 3 children reported that a caregiver squeezed their hand or shoulder when guided to a time out in a way that hurt them.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Jul 25, 2022.

Director Responsibilities - Employees Supervised

“Based on information provided by DFPS it was found that the director did not supervise staff appropriately when 2 caregivers were found Reason To Believe for Neglectful Supervision and Physical Abuse.”

Rule 746.1003(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

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

“Based on information provided by DFPS 1 caregiver did not use self control when they pushed another caregiver to chase a child who was running away from them. A second caregiver did not use good judgement when they witnessed a caregiver using excessive force in discipline and did not intervene or notify the operation administration.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based on information provided by DFPS it as found that 2 caregivers were found reason to believe for Neglectful Supervision and Physical Abuse.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

Prohibited Punishments - Corporal Punishment

“Based on information provided by DFPS and video reviewed a caregiver was observed yanking a child in the classroom and holding the child’s wrists tightly, to the point of leaving a bruise.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

Prohibited Punishments - Associated with Food, Naps, or Toilet Training

“Based on information provided by DFPS a caregiver stated that for discipline blankets are taken away from children at nap time because they are seen as a privilege.”

Rule 746.2805(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

Prohibited Punishments - Using Harsh, Abusive or Profane Language

“Based on information provided by DFPS a caregiver was observed and said to have raised their voice to children in care to get them to behave.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.

Responsibilities of Caregivers - Free of other activities

“Based on information provided by DFPS a caregiver was using their personal cell phone during an incident where a second caregiver was inappropriately disciplining another child. The second caregiver did not maintain adequate supervision of the class while on their cell phone.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 28, 2022.