Busy Bee Learning Center

CPR Training and Recertification Adhere to Guidelines-skill based

“Two caregivers obtained their CPR training online.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Nov 2, 2023.

Floors, ceilings and Walls in Good Repair and Clean

“A hole was observed on a wall in the afterschool room. The hole measured 3 1/2 inches wide and 3 inches high and was accessible to children in care.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 13, 2023.

Children Handwashing Before Eating

“Six school age children did not have their hands washed before eating their snack, after arriving to operation. NOTE: This was addressed with the caregiver during the inspection and children were directed to wash their hands.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Nov 2, 2023.

Safety - Areas Free From Hazards

“Several electrical outlets were observed in the pre-k room without a safety cover. One electrical outlet was observed in the toddler room without a safety cover. Television cords were observed hanging connected to an extension cord. This posed a safety hazard as the electrical outlets and television cords were within children’s reach. Note: This was CORRECTED during the inspection as safety covers were placed on the electrical outlets and the television cords were removed.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 5, 2023.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“An emergency evacuation and relocation diagram was not posted in the toddler room. Note: This was CORRECTED during the inspection as the diagram was posted near the entrance of the room.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 5, 2023.

Documented Annual Training Area - 24 Hours Required

“A caregiver was missing annual training for training year 3/26/2022-3/25/2023 on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?).”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 13, 2023.

Director Annual Training 30 Hours Required

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 13, 2023.

Chairs - Safety Straps Used if Required by Manufacturer

“An infant observed sitting at a kidney shaped table did not have the safety straps fastened.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Nov 2, 2023.

Infant May Not Sleep in a Restrictive Device

“An infant was observed sleeping on a floor bouncer for an undetermined amount of time.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 21, 2022.

Arrangement of Napping Equipment - Not Set Up During Other Activities

“A pre-k child was observed napping on a floor mat in the carpet area during other activities.”

Rule 746.2909(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 21, 2022.

Children’s Records Maintained

“A child’s admission form was missing the following information: A statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use; and A signed statement from the parent giving the name and address of a health-care professional who has examined the child within the past year stating that the child is able to participate in the program.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2022. Correction verified: Nov 21, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“Two caregivers did not complete 24 clock hours of pre-service training in the specific required topics. A caregiver with a DOE 4/4/2022 was missing 4 clock hours of training and a caregiver with DOE 3/02/2022 was missing 7 clock hours of training.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Sep 13, 2022.

Policies Comply with Rules

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: Apr 25, 2022.

Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

“There was no documentation available for review to verify that a crib in the infant room met applicable federal rules at Title 16, Code of Federal Regulations, Parts 1219or 1220, concerning Safety Standards for Full Size Baby Crib”.”

Rule 746.2409(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 15, 2022. Correction verified: May 5, 2022.

Required Equipment in Vehicles - Emergency Medical Information

“The Emergency medical transport and treatment authorization forms, and Parent s names and telephone numbers and emergency telephone numbers were not available in the transportation binder for two children being transported. Note: This was CORRECTED during the inspection as the required forms were obtained and included in the transportation binder.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Required Equipment in Vehicles - Fire Extinguisher

“The fire extinguisher in the transportation vehicle was located in the trunk and not secured in the passenger compartment and accessible to the caregiver.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 15, 2022. Correction verified: Apr 14, 2022.

Responsibilities of Caregivers - Children in Control

“A caregiver did not ensure that children in the after school room were not out of control. Children were observed running around the running and sitting under tables. No activities were provided by the caregiver.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: May 5, 2022.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Three caregivers that conduct transportation did not have current training in transportation safety.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2022. Correction verified: Apr 19, 2022.

Infant Daily Report - Share with Parent

“Infant daily reports were not being completed or shared with parents on a daily basis. The last daily report available for review was dated 4/8/2022.”

Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: May 5, 2022.

Food Service and Preparation Requirement - Safe and Sanitary

“Expired milk was served to children during the lunch meal. Several milk gallons stored in the refrigerator had an expiration date of 4/11/2022.”

Rule 746.3317. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: May 5, 2022.

Maintenance of Building, Grounds and Equipment

“Several children’s disposable face masks and a used band-aid were observed in the outdoor play ground accessible to children. Note: This was CORRECTED during the inspection as the face masks and used band-aid were disposed of.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Safety - Areas Free From Hazards

“A pack of plastic edging stakes were observed on the ground in the outdoor playground. This posed a safety hazard as the plastic stakes were accessible to children. The artificial grass rug on the outdoor playground was not secured and presented a tripping hazard for children when playing outdoors.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: May 5, 2022.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“A slide that required surfacing was observed in the children’s outdoor playground. Note: This was CORRECTED during the inspection as the slide was removed from the playground.”

Rule 746.4901(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Documented Annual Training Area - 24 Hours Required

“A caregiver with DOE 5/30/2018 was missing 12 clock hours of annual training. A caregiver with DOE 3/26/2021 was missing annual training on the following topics: Emergency preparedness; Preventing and responding to emergencies due to food or an allergic reaction; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: May 5, 2022.

Written Activity Plan - Outdoor Play Opportunities

“Children were not being provided with outdoor play twice a day. According to the center director the children did not go out to the outdoor playground this morning due to it being too windy outside.”

Rule 746.2206(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2022. Correction verified: May 5, 2022.

First Aid Kit - Incomplete Kit

“The first aid kit in the transportation vehicle was incomplete. The following items were missing: 1.Adhesive tape; 2. cotton balls; and 3.thermometer Note: This was CORRECTED during the inspection as the missing items were obtained and included in the first aid kit.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Children’s Records Maintained

“2 of 6 children’s files reviewed were missing the child’s current immunization record. 3 of 6 children’s records reviewed were missing the address, and telephone number of the child s physician or an emergency-care facility. A child’s record reviewed was missing the parent’s authorization to obtain emergency medical care and to transport the child for emergency medical treatment. A child’s record reviewed was missing the name and telephone number of the school that a school-age child attends. A child’s record reviewed was missing the Vision and hearing screening results.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: Apr 19, 2022.

Required Records Maintained and Made Available - Employees’ Attendance

“Time sheets were not maintained for a caregiver present at the operation.”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: May 5, 2022.

Required Personnel Records

“3 of 5 personnel records reviewed were missing a notarized Licensing Affidavit for Applicants for Employment form. 2 of 5 personnel records reviewed were missing a statement signed and dated by the employee showing he has received a copy of the child-care center s: Operational policies; and Personnel policies. A statement signed and dated by the employee verifying the date the employee attended training during orientation. The director had an expired driver’s license.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: May 5, 2022.