Hands N Hands Childcare

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The fire inspection was last conducted on 5.16.22.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2023. Correction verified: Jul 25, 2023.

Responsibilities of Caregivers - Know children’s names and ages

“The school age teacher was unaware of the name of the youngest and oldest of the group. NOTE: This was corrected at inspection when a name to face was conducted.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 11, 2023.

Child/ Caregiver Ratio - 13 or More Children

“The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 11, 2023.

Annual Sanitation Inspection

“The health inspection was last conducted on 5.12.22.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2023. Correction verified: Aug 11, 2023.

Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 4, 2023.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.”

Rule 746.3501(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 4, 2023.

Safety - Areas Free From Hazards

“On the changing table of the toddler classroom a Lysol spray can was observed accessible to the children. In addition to diaper cream on the changing table in the infant classroom. NOTE: This was corrected at inspection when it was removed.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 4, 2023.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 4, 2023.

Children’s Records - Immunizations

“Two of the eight children did not have shot records available for review. In addition to one of the eight children missing medical authorization information. NOTE: One of the two shot records was provided.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2023. Correction verified: Apr 12, 2023.

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

“Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2023. Correction verified: Apr 4, 2023.

Parental Notification of Infestation

“Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.”

Rule 746.307(e). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2023. Correction verified: Apr 4, 2023.

Children’s Records Maintained

“Four out of eight children’s records reviewed were missing required information including emergency contact information and healthcare provider statements.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2022. Correction verified: Nov 17, 2022.

Required Personnel Records - Required Affidavit

“Three out of eight employee records reviewed were missing the required affidavit for employment.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2022. Correction verified: Nov 9, 2022.

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

“During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2022. Correction verified: Jul 19, 2022.

Operation Open to Parents At All Times

“Based on the information received parents are not allowed to enter the operation.”

Rule 746.201(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2022. Correction verified: Jul 19, 2022.

Parental Notification of Less Serious Injuries

“Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2022. Correction verified: Jul 19, 2022.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“Annual first inspection had not been updated since 10/19/2020.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2022. Correction verified: Mar 21, 2022.

Safety - Televisions Anchored to Prevent Tip Over

“In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.”

Rule 746.3701(9). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 10, 2022.

Report Number of Employees

“A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 7, 2022.