Horizon Kidz

Requirements for Feeding Infants-Hold through 6-months

“Infant caregiver was bottle feeding an infant in their lap instead of their arms.”

Rule 746.2419(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2026. Correction verified: Sep 4, 2026.

Food Service and Preparation Requirement - Use Sanitary Holders

“It was observed that infants are eating food on a bare table.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 22, 2026. Correction verified: Jul 9, 2026.

Required Equipment in Vehicles - Emergency Medical Information

“In the transportation binders, the operation is missing the emergency medical information.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 9, 2026.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The changing pad was observed in poor condition.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2026. Correction verified: Apr 16, 2026.

First Aid Kit - Supplies Not Expired

“Several first aid kits at the operation contain expired supplies.”

Rule 746.4003(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2026. Correction verified: Apr 16, 2026.

Children’s Records - Health Statement

“One child was missing a health statement and has been enrolled over 12 months.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: Apr 16, 2026.

Documentation of Training Requirements - Title

“The trainings the operation provides does not give an accurate description of topic covered during the training lesson.”

Rule 746.1329(b)(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: Apr 16, 2026.

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

“The director did not use good judgment when bringing a child into unlicensed space for unknown periods of time.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2026. Correction verified: Mar 6, 2026.

Prohibited Punishments - Grabbing and Pulling

“The director inappropriately grabbed and picked up a child when redirecting them.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2026. Correction verified: Mar 6, 2026.

Complying with Laws and Rules

“The permit holder?s failure to ensure compliance has resulted in a pattern of inappropriate discipline at the center.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2026. Correction verified: Mar 6, 2026.

Policies Comply with Rules

“The operational policies have not been updated to comply with the 2023 changes. The operations policies are missing: the parents’ rights section, an inclusive care statement, and a completed promotion of indoor and outdoor physical activity section.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: May 20, 2025.

Required Immunizations

“Two children enrolled do not have immunization records on file and one child’s immunization records require updated information.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 20, 2025.

Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified Caregiver

“The operation has a high school student assigned as the office manager and closer of the infant building.”

Rule 746.1109(b)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2025. Correction verified: May 20, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“One caregiver has been employed since 2023 with no previous experience and only has 19.50 hrs of training on file at the operation.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 20, 2025.

Children’s Products- Review list and Remove unsafe products

“A bumbo with no safety straps was observed being used by an infant who could not support their own head and body. The Bumbo was recalled in 2012.”

Rule 746.4135(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2025. Correction verified: May 20, 2025.

Required Admission Information - Limitations or Restrictions

“Two children’s files reviewed did not have updated admission forms. Two children’s files reviewed were incomplete.”

Rule 746.605(12)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 20, 2025.

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

“One infant in care does not have a written feeding plan. One infant in care’s feeding plan has not been updated since February.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2025. Correction verified: May 20, 2025.

Location of Handwashing Sink

“Multiple classrooms at the operation have been using one cloth to clean children’s hands throughout the day and not individual cloths or disposable paper towels.”

Rule 746.4405. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2025. Correction verified: May 20, 2025.

Written Operational Policies - Criteria for Extreme Weather

“The operation’s policies have not been updated to meet all of the 2023 requirements.”

Rule 746.501(a)(18)(F). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2025. Correction verified: May 20, 2025.

Required Personnel Records - Required Affidavit (Form 2912)

“The operations employees who were employed after October 2023 do not have a pre-affidavit on file.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Apr 25, 2025.

Prohibited Punishments - Grabbing and Pulling

“During the external video footage obtained, the director was observed in two different incidents grabbing a toddler and a school-age child while in care.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 23, 2025.

Prohibited Punishments - Placing Child in Locked or Dark Room

“Based on video footage obtained during the course of the investigation, the director of the operation placed a toddler in a dark restroom to separate him from the group.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 23, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“One caregiver does not have current CPR/First Aid. One caregiver that has been employeed for more than 90 days does not have CPR/First Aid.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2024. Correction verified: Jun 12, 2024.