Kiddie Academy of League City East

Written Operational Policies - Unassigned Epinephrine Auto-Injectors

“Administration of unassigned epinpherine auto-injectors was not listed in Operational Policies.”

Rule 746.501(a)(29). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

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

“Last Fire Inspection was condcuted on 4/18/2022.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 3, 2023.

Required Admission Information - Emergency Medical Authorization

“During inspection, one child was missing authorization of medical emergency information.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

Medication Records - Name of Employee Who Administered

“Staff first name and or initials only were observed on medication log for staff who administered medication.”

Rule 746.3805(c)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

Required Admission Information - Emergency Contact

“During inspection, one child was missing emergency address, and another child was missing emergency contact phone number.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

Immunization Records, Exceptions, and Exemptions Current

“During inspection, two children did not have current immunizations on file during inspection.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

Director Responsibilities - Employees Comply with Standards

“Based on monitoring inspection observation director has not ensured all employees are mantaining compliance with minimum standards.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 4, 2023.

Written Operational Policies - Promotion of Physical Activity

“Promotion of Physical activity was not listed or discussed in Operational Policies.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

Required Admission Information - Date of Admission

“During inspection, one child was missing date of admission.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 7, 2023.

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

“An employee hired on 8/15/22 does not have current background eligibility results on file. This employee was working with children in a classroom. An employee hired on 9/1/22 is working in the operation without background check eligibility results on file.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 14, 2022.

Administering Medication - According to Label Directions

“The operation gave a two-year-old child Children’s Benadryl and Hyland’ s Kids Cold & Cough at the same time as authorized by parents. The label instructions for Children’s Benadryl medication states “Children ages 2-5 years old, do not use unless directed by a doctor.””

Rule 746.3805(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2022. Correction verified: Dec 21, 2022.

Administering Medication - Only to Child for Whom Intended

“An incident occurred which resulted in two children’s medications being swapped. The two children have the same first name.”

Rule 746.3805(b)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2022. Correction verified: Dec 21, 2022.

Medication Authorization - Signed and Dated

“The medication authorization was not completed for a child who received medication that was meant for a different child.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2022. Correction verified: Dec 21, 2022.

Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child’s Health-Care Professional Directions

“The operation gave a two-year-old child Children’s Benadryl and Hyland’ s Kids Cold & Cough at the same time as authorized by parents. The medications were given in a syringe, which is against the label instructions, which state “Measure only with the dosing cup provided”.”

Rule 746.3803(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2022. Correction verified: Dec 21, 2022.

Training Requirements for Employees and Caregivers - 24 Annual Training

“During visit, below are staff that have not completed annual training for 2021-2022 year. Staff hired on 8/25/2021 had 12 hours. Staff hired on 10/21/2020 had 6 hours. Staff hired on 8/10/2021 had 11 hours. Staff hired on 8/25/2021 had 7 hours.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 22, 2022.

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

“Staff hired on 8/26/2021 had CPR training conducted online.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2022. Correction verified: Nov 16, 2022.

Medication Authorization - Signed and Dated

“During inspection, one child did not have authorization form on file for medication.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 16, 2022.

Administering Medication - Original Container with Child’s Name, Date

“During inspection, one child did not have medication in it’s original container.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 16, 2022.

Inspect Fire Extinguishers Monthly

“During visit, fire extinguishers were not inspected by director or designee for the month of October 2022.”

Rule 746.5307(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 16, 2022.

Responsibilities of Caregivers - Free of other activities

“The caregivers in the two-year-old classroom were not actively involved in supervising their group of children and a child was injured. One caregiver was observed using an iPad to take pictures of the children?s activity and the other caregiver was preparing the next activity taking the caregiver’s attention away from the children. One child pushed another child causing an injury.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2022. Correction verified: Jul 6, 2022.