Little Hands Learning Center

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

“A caregiver failed to demonstrate the use of good judgment when she threatened to call law enforcement on a small child who would not listen.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Aug 22, 2023.

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

“Two caregivers were observed laying down in the dark during naptime and not supervising children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Aug 22, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“Multiple children were observed engaged in screen time during nap/rest time. Some children were watching television, some were on tablets and one child was observed on a cell phone device.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 28, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“In the schoolers classroom, 2 out of 12 children were observed sleeping, 5 were observed on electronic devices and the other children were observed watching a movie during naptime/rest time.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 5, 2023.

Required Equipment in Vehicles - Emergency Medical Information

“The operation did not have medical treatment authorization forms for each child in being transported.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 13, 2023.

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

“Medication for a child in care was not in the original container labeled with the child s full name and the date it was brought into the operation.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 13, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy emergency plan form was not signed and dated by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 11, 2023. Correction verified: Jan 13, 2023.

Responsibilities of Caregivers - Supervision of Children

“Based on the preponderance of evidence there is sufficient evidence to prove that supervision of a child in care was not being adequately maintained. The child has been observed by staff and parent(s) outside of the classroom (roaming the building) without adult supervision.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2022. Correction verified: Sep 16, 2022.

Infant May Not Sleep in a Restrictive Device

“An 11 month old infant was observed sleeping on the boucer during the investigation inspection walkthough. The infant was removed from the bouncer and was placed in the crib for napping”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2022. Correction verified: May 24, 2022.

Responsibilities of Caregivers- Supervision of Children

“Based on the information obtained from the investigation, it was confirmed that children were left unsupervised when a caregiver had to leave their classroom to retrieve a child from running outside of the classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2022. Correction verified: May 24, 2022.

Director Responsibilities - Operate in Compliance

“The director failed to ensure that training requirements and safe sleep practices were being met at the operation.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 7, 2022.

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

“An infant was observed sleeping with a pacifier attachment with a clip that was attached to the infant. This was removed at the time of inspection.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Feb 7, 2022.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“A 3 month old infant was swaddled in a crib while sleeping. The swaddle was removed at the time of inspection.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Feb 7, 2022.

Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical authorization information was not located in the vehicle used to transport children.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Feb 7, 2022.

Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

“Two caregivers supervising infants at the time of inspection did not have CPR/First aid training. A caregiver supervising infants did not have current CPR or First Aid training. The certification expired in May of 2021.”

Rule 746.1301(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 3, 2022.

Training Requirements for Directors 30- Annual Training

“The director had completed 15 hours of 30 hours of annual training (August 2020-August 2021) at the time of inspection.”

Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 3, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“An infant caregiver did not have annual training in the following topics: Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) and Understanding early childhood brain development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 3, 2022.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“A restroom used by children in care had diaper changing supplies (Caldesene Baby poweder, Honest soothing bottom wash, 2 Boogie Bottom Diaper Rash Spray) that were within reach of children.”

Rule 746.3501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Feb 7, 2022.

Screen Time Activities - Not Used for Under Two

“A group of children under the age of 2 years old were observed watching Baby Shark at the time of inspection.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Feb 7, 2022.

Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

“An employee hired on or around July 2019 did not have a signed/dated proof of orientation and preservice at the time of inspection.”

Rule 746.1329(d). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Feb 7, 2022.