The Goddard School - Spring Harmony

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

“Based on the information obtained during the investigation, the caregiver failed to demonstrate competency and good judgement when they failed to conduct a name to face check on the children in their care before and after transitioning. The caregiver then signed the child in but was not aware the child was not in their care.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2023. Correction verified: Oct 17, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the information obtained during the investigation, there is sufficient information to support a child (20 months) was left unattended in a classroom during a transition to another classroom NOTE: The caregiver was terminated the day of incident and training on accounting for children is scheduled for 9/22/23”

Rule 746.1205(a)(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 21, 2023.

Maintenance of Building, Grounds and Equipment

“A play mat in an infant room accessible to children had a broken plastic mirror with sharp edges accessible to children. Note: Corrected at inspection removing play mat out of classroom.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2023.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“During the walk-through, it was observed that classrooms #10, #5, #4, #11, and #7 did not have an emergency evacuation diagram visible in the classroom. Note: Diagrams displayed during inspection.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2023.

Location of Handwashing Sink

“During the walk-through it was observed #11, and #7 classrooms did not have hand soap available for children. Note: Soap was added during the inspection.”

Rule 746.4405. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 31, 2023.

Parental Notification of Less Serious Injuries

“After a child told caregivers his finger hurt and had been shut in the door, caregivers or management did not notify the parent of the incident.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 16, 2023.

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

“An incident report was completed for an injury that occurred in care after a parent inquired about an injury that occurred in care that they took their child to a healthcare professional to be seen for, but it was not the HHSC Incident report and did not include all the required information.”

Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2023. Correction verified: Jun 20, 2023.

Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance

“The annual verification of insurance was not entered in the provider portal by the due date as required.”

Rule 746.203(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2023. Correction verified: Apr 11, 2023.

Responsibilities of Caregivers - Know children responsible for

“Based on information gathered in the investigation it was determined a pre-k aged child was left alone in a classroom during transition due to the caregiver not performing a face to name check or count before exiting the classroom or when arriving at the destination.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2023. Correction verified: Apr 18, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“A pre-k child was left alone in the classroom when the class transitioned to another classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2023. Correction verified: Apr 18, 2023.

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

“The caregiver involved in the incident being investigated did not have any preservice training hours completed even though she had been in the classroom alone and was being counted in child/caregiver ratios.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: Apr 11, 2023.

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

“I observed a caregiver working with children whose background check is still pending. NOTE: This was corrected during the inspection when the caregiver was sent home.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 6, 2023.

Required Equipment in Vehicles - List of Children

“I did not observe a list of children for a bus run that was observed during the inspection. NOTE: This was corrected during the inspection.”

Rule 746.5617(a)(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 6, 2023.

Child/ Caregiver Ratio - 13 or More Children

“I observed 1 caregiver supervising 10 toddlers. The required child/caregiver ratio for toddlers is 9 children with 1 caregiver. NOTE: This was corrected during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2023. Correction verified: Mar 14, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“I observed a food allergy action plan that had not been signed by the child’s parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 14, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“I observed infant feeding instructions that had not been updated in the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 14, 2023.

Report Change in Director

“Child Care Regulation was not notified of a director change that took place the last week of May.”

Rule 746.303(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2022. Correction verified: Jul 6, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“Procedures were evaluated, and it was determined that a toddler was left in a classroom during transition due to the caregiver not having an accurate count of the children in the group.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2022. Correction verified: Apr 28, 2022.

Responsibilities of Caregivers- Supervision of Children

“Interviews were conducted and procedures were evaluated. It was determined that a toddler was left in a classroom when the group transitioned to the playground.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2022. Correction verified: Apr 28, 2022.

Child/ Caregiver Ratio - 13 or More Children

“I observed one caregiver supervising 17 toddler and 2 yr. old children. The specified age of the group is 2 years old and the required child/caregiver ratio for 2 yr. olds is one caregiver with 9 children. NOTE: This was corrected during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2022. Correction verified: Apr 28, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“I observed that the infant safety training for a caregiver who works with infant and toddlers had expired.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 30, 2022. Correction verified: Mar 28, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“I observed food allergy action plans for two children that had not been signed by the child’s parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 30, 2022. Correction verified: Mar 17, 2022.

Written Operational Policies - Benefits

“I observed that the center’s operational policies did not include their policy and procedures for outdoor play.”

Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 30, 2022. Correction verified: Mar 28, 2022.

Children’s Records Maintained

“I evaluated 10 children’s enrollment records. I observed the following: Two records did not include an address for the emergency contact person. One immunization record was not current. Two records did not have a preschool health statement. A 5 yr. year did not have documentation of hearing and vision screening.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 30, 2022. Correction verified: Mar 18, 2022.