First Protestant School

CPR Training and Recertification Adhere to Guidelines-skill based

“An employee took an online CPR course which is not allowed, and the card did not specify whether first-aid was taught.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2026. Correction verified: Oct 23, 2026.

Policies Comply with Rules

“During the investigation, the operation’s Emergency Preparedness Plan was found to be incomplete.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“During the investigation, it was determined that the Emergency Preparedness Plan did not include evacuation methods for children under 24 months and staff responsibilities during an emergency situation.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Emergency Preparedness Plan - Communication Procedures

“During the investigation, it was determined that the Emergency Preparedness Plan did not include the procedure for contacting CCR in the event of an emergency.”

Rule 746.5202(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Emergency Preparedness Plan-Continuity of Care Until Children Released

“During the investigation, it was determined that the Emergency Preparedness Plan did not include how staff should ensure the continuity of care during an emergency.”

Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Emergency Preparedness Plan-Reunification Plan

“During the investigation, it was determined that the Emergency Preparedness Plan did not include procedures for reunification.”

Rule 746.5202(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Sheltering Drills for Lock-Down-4 times in a calendar year

“During the investigation, it was determined that the operation does not practice lock-down drills regularly as required.”

Rule 746.5205(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Documented Annual Training- Required Content

“During the investigation, it was determined that one of the staff members did not have Emergency Preparedness training. Another staff’s training was unavailable for review.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Documentation of Drills

“During the investigation, it was determined that the emergency drills practiced in 2026 were not differentiated by type and were documented improperly.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 1, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know how many children she was responsible for at the time of the inspection. She had to count the children before being able to give a number.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 27, 2026. Correction verified: Aug 13, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“Several employees took an online CPR course which is not allowed.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2026. Correction verified: Aug 13, 2026.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“A cot was blocking the exit door during naptime. This was correct when the caregiver moved the child and the cot away from the door.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 27, 2026.

Medication No Longer Used

“Several medications were found to be expired. This was corrected when the medication was discarded.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 27, 2026.

Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

“During the investigation, it was found that staff members did not wear gloves when handling an injury that involved blood.”

Rule 746.3425(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2026. Correction verified: Jul 13, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“The 4 year old room was observed with the tv on during lunchtime. It is unknown how long the tv was on before entering the room. This was corrected when the teacher turned the tv off.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2026.

Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child

“A caregiver turned away from the diaper changing table to throw away a diaper without having an infant secured with safety straps or a hand on a 10-month-old infant during the diaper change. This resulted in the 10-month-old falling off the changing table onto the floor.”

Rule 746.3503(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2026. Correction verified: May 18, 2026.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“An eleven month old infant was in the crib wearing a bib.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2026. Correction verified: Mar 18, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Two children were not buckled in during lunch time due to the bucket seats not having any seatbelts. This was corrected when a new seatbelt was found and another one ordered and the bucket seats removed until the seatbelts get put on.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 5, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“Several bottles were observed with the first name and no last initial. This was corrected when the bottles were labeled correctly.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 5, 2026.

Fire Drill Monthly - Exit in 3 Minutes

“A fire drill was not conducted for the months of November and December.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2026. Correction verified: Jan 7, 2026.

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

“A caregiver was engaged in social media activity while caring for children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 22, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“A caregiver was using a cell phone to create Tik Tok videos while caring for children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 22, 2025.

Maintenance of Building, Grounds and Equipment

“A plastic container in a 4-year-old room that holds toys was damaged, leaving rough edges that could pose a risk to children. This was corrected when the container was replaced. Rain gutters with sharp edges located on the playground were exposed to children.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 22, 2025.

Floors, ceilings and Walls in Good Repair and Clean

“Several rooms had peeling paint on the wall exposed to children.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 22, 2025.

Incident/Illness Report Form Shared with Parent

“An incident report form was not used during an incident that involved the safety of children. Parents were informed about the incident via phone.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 24, 2025.

Nutrition and Food Service - Must not serve identified foods to allergic child

“A child was served an identified food that was listed on the child’s food allergy emergency plan.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: Jun 11, 2025.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information gathered from interviews, a teacher was heard using a yelling unpleasant type of tone with a child in the classroom. According to the information gathered during interviews the same teacher was heard humiliating a child in front of the other children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2025. Correction verified: Mar 10, 2025.

Safety - Areas Free From Hazards

“Several purses were observed in rooms that were accessible to children. This was CORRECTED when the purses were placed in a locked cabinet or up high.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 22, 2025.

Medication No Longer Used

“Two children’s medication was found to be expired. This was corrected when the medication was set aside to return to parents at pick-up time. This was corrected when they were removed by the director to return to parents.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 22, 2025.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The monthly maintenance checklist was last recorded in May.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 22, 2025. Correction verified: Feb 4, 2025.

Requirement of Gas Leak Inspection

“The gas leak test was due in March 2024, and the last one was conducted on March 6, 2022.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2024. Correction verified: Nov 14, 2024.

Incident/Illness Report Form Shared with Parent

“The incident report was shared with the parent verbally, but it was not signed within the 48-hour timeframe. The incident occurred on 10/7, and the report was signed on 10/21.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2024. Correction verified: Oct 23, 2024.

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

“A staff was hired in March of 2023 and has been working in the operation without receiving the eligibility notification from the background check unit.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2024. Correction verified: Jul 22, 2024.

Maintenance Procedures for Active Play - Inspect Daily

“The daily buildings and grounds checklist was not available for review.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2024. Correction verified: Feb 21, 2024.

Required Admission Information - Special Needs Statement

“Three out of ten children were missing a special needs statement. This was corrected when the director updated the form.”

Rule 746.605(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 7, 2024.