Alice in Wonderland 2

Screen Time Activities - Related to Planned Activities

“Children were observed watching a cartoon program but it was not related to a planned activity and curriculum. This was corrected when the tv was turned off and the children began their next activity.”

Rule 746.2207(c)(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 11, 2023.

Arrangement of Napping Equipment -All Children Supervised

“In two classrooms, children were observed napping in cots that were arranged behind book shelves preventing the caregiver from providing adequate supervision when across the room.”

Rule 746.2909(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 17, 2023.

Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us

“The operation’s current health inspection was not available for review.”

Rule 746.3401(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 8, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a known food allergy does not have a food allergy emergency plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 24, 2023.

Documentation of Fire Inspection

“The operation’s current fire inspection was not available for review during inspection.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 8, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Two out of the six children’s immunization records evaluated did not have current immunizations on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 11, 2023.

Documentation of Drills

“The operation’s documentation of emergency drills for 2022 was not available for review during inspection.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 11, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Three children need updated immunization records on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Aug 23, 2022.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Two children need signed health statements from their physician after being enrolled for 12 months.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2022. Correction verified: Sep 19, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“Documentation of safety emergency drills and fire safety equipment checks were unavailable for review during inspection.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 24, 2022.

Required Personnel Records- Meets Requirements

“Four employees are missing proof of education requirements in personnel files.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 18, 2022.

Required Personnel Records - Required Affidavit

“Five employees are missing notarized employment affidavits in personnel files.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 24, 2022.

AP Ensure total number of children both at & away from center within capacity

“During the walkthrough 46 children were observed in care. The operation’s licensed capacity is 45.”

Rule 746.201(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 22, 2022.

Naptime Child/Caregiver Ratio - Caregivers Physically Present

“A caregiver was observed supervising children who were napping in two separate classrooms. The rooms are divided by shelves and a baby gate. There were 9 children in one classroom and 7 in the other.”

Rule 746.1613(a)(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 22, 2022.

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

“A person was observed caring for children without recieving notice of eligibility from the Centralized Background Check Unit.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2022. Correction verified: Feb 17, 2022.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“Multiple infants and toddlers were observed seated in high chairs and other restrictive devices during and after nap time between 1:50pm to 2:50pm.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2022. Correction verified: Feb 17, 2022.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Four caregivers do not have current certification in pediatric first aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 23, 2022.

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

“Three caregivers do not have current certification in CPR.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 23, 2022.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“A caregiver was observed rinising an infant’s bottle in the hand-washing only sink.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2022. Correction verified: Feb 17, 2022.

Medication Authorization - Signed and Dated

“Signed authorization from parent was not obtained before adminstering a prescribed medication to a child. This was corrected at inspection when the parent signed the Medication Authorization form.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2022.

Medication Records - Date, Time and Amount Given

“There is no written or signed record of each time a medication was administer to a child.”

Rule 746.3805(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

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

“There is no loose-fill surfacing material installed in the use zones of a climbing structure in the outdoor active play space.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Feb 17, 2022.

Additional Surfacing Requirements for Indoor Active Play Equipment

“There is no unitary shock-absorbing surface installed in the use zones of the indoor climbing equipment in the classroom. The climbing structure was removed from the classroom during inspection.”

Rule 746.4915. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2022.

Immunization Records, Exceptions, and Exemptions Current

“Three children are missing current immunization records on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2022. Correction verified: Apr 21, 2022.

Documented Annual Training- Required Content

“Three caregivers did not have current training in the following topic: Administering Medication; Six caregivers did not have current training in the following topic: Handling, storing, and disposing of hazardous materials.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 23, 2022.