The Children’s Courtyard, Inc.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“Based on the interviews and video, a 19month old child that was being transferred to another room ran ahead of the caregiver during transition time, which resulted in the child walking in between parents out one door that leads into the foyer and out the front door of the building while walking in between two different parents until the child?s parent saw him outside in the front of the daycare next to a parent.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 19, 2023.

Child/ Caregiver Ratio - 13 or More Children

“The infant II room was over ratio by one around 1:10pm. The room had 5 infants and the youngest was 9months old and the oldest was 12 months old with one teacher. This was corrected when the director removed an infant back to the infant I room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2023. Correction verified: Sep 28, 2023.

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

“Caregivers at the operation failed to ensure that an item was inaccessible to a child after taking it away several times, resulting in the child retrieving it and placing it in their mouth, resulting in a choking incident.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2023. Correction verified: Oct 19, 2023.

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

“One out of five staff records that were reviewed for the HASA did not have a current pediatric CPR/First-aid card. The training expired on March 12, 2023. This was corrected when the director called to make an appointment.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2023. Correction verified: Mar 30, 2023.

Safety - Areas Free From Hazards

“Two purses belonging to caregivers were observed to be accessible and within reach of children in 2 classrooms causing a potential safety hazard for children. This was CORRECTED when the purses were moved up higher out of the children’s reach.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 24, 2022.

Fire Extinguishers Serviced

“The three fire extinguishers located in the building were lasted serviced in July 2021.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2022. Correction verified: Sep 12, 2022.

Documentation of Drills

“There was documentation on the computer showing that a fire drill was conducted on August 9, 2022, but it did not show the start time of the drill or the length of the evacuation.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Sep 1, 2022.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information gathered, a caregiver has been heard using a yelling tone with the children.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2022. Correction verified: Jun 10, 2022.

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

“A caregiver did not use good judgment when they did not notify a parent until the end of the day (around 5:30 pm) that their child was cranky, sneezing, crying, and had red eyes all day long. Furthermore, a caregiver used their arm instead of a thermometer to check if a child had a fever. Upon pick up the child was warm to the touch and had a febrile seizure in the car on the way to the urgent care.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2022. Correction verified: May 18, 2022.

Infant May Not Sleep in a Restrictive Device

“One infant was observed sleeping in a restrictive device. The child was removed from the restrictive device and placed in a crib to sleep.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Four caregivers who work with infants were missing the annual training records for: recognizing shaken baby, sudden infant death syndrome (SIDS), and understanding early childhood development training.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Director Annual Training - Caring for children under 24 months

“The director’s file were observed to be missing the required training hours for: SIDS, shaken baby, abusive head trauma, and early brain development training records.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Safety - Play Materials and Equipment Safe

“Two out of the eight tricycles used by children are missing protective handle covers. This was CORRECTED at inspection when the assistant director removed the tricycles from the outdoor play area.”

Rule 746.3701(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 13, 2021.

Medication Records - Date, Time and Amount Given

“When reviewing a child’s administer medication form the date, time, and amount given was missing when on the child’s form.”

Rule 746.3805(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Medication Records - Name of Employee Who Administered

“When reviewing a child’s administer medication form, the employee who administers the medication’s full name was missing on the form.”

Rule 746.3805(c)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Children’s Records - Immunizations

“One out of the ten children’s records was missing the required immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.

Health Statement on File within 1 Week of Admission

“Two out of the ten children’s records did not have the available information required for the Health Statement.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 23, 2021.