The Learning Palace

Director’s Absence - Qualified Caregiver in Charge

“Director was not present at arrival, a person in charge was not designated.”

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2023. Correction verified: Sep 15, 2023.

Provide care consistent with child’s habits, interests, strengths, special needs, including any special supervision needs

“Children in the toddler / prek classroom were observed screaming, flighting, moving and climbing onto furniture.”

Rule 746.1203(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2023. Correction verified: Sep 15, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“One caregiver was providing care for a group of 9 children ages 15mo to 3yo. Age difference exceeded 18months.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2023. Correction verified: Sep 15, 2023.

Screen Time Activities - Not Used for Under Two

“Children ages 15mo-3yo were observed were observed watching TV during the morning routine.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2023. Correction verified: Sep 15, 2023.

Space Requirements for Pre-Kindergarten Age - Does Not Limit Movement

“A 3yo child was observed in a high chair during the morning routine.”

Rule 746.2603(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2023. Correction verified: Sep 15, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“A group of 9 children ages 13mo-3yo were combined in the toddler classroom. Age difference exceed 18 months.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2023. Correction verified: Aug 17, 2023.

Activities for Infants - Outdoor Play Daily

“Infant-age children did not participate in outdoor play as described on the daily schedule.”

Rule 746.2417(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 16, 2023.

Posting Requirements - Daily menu, including all snacks and meals served by the child care center

“Menu posted is from last week. Note: This was corrected at inspection when provider printed and updated the menu posted.”

Rule 746.401(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 31, 2023.

Written Operational Policies - Promotion of Physical Activity

“Operational Policies were reviewed and following information is missing: -Outdoor and Physical Activity Policy -Procedures for providing and applying insect repellent and sunscreen -Procedures for conducting health checks -Information on vaccine-preventable diseases for employees -Information regarding the Under the gang-free zone”

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

Children’s Records Maintained

“One of out of seven children’s files were reviewed was not available for review at the time of inspection.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2023. Correction verified: May 31, 2023.

Required Personnel Records

“Five staff records were reviewed. One is missing copy of high school diploma and Administering Medications training for one staff member could not be located.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2023. Correction verified: Jun 2, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was providing care for 5 children ages 5mo, 7mo, 7mo, 12mo and 12mo.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2023. Correction verified: Mar 6, 2023.

Annual Sanitation Inspection

“Last health inspection was conducted on 02/21/2022.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Feb 28, 2023.

Safety - Areas Free From Hazards

“Televisions in the toddler and toddler / prek room are not anchored. There was a mopping bucket with water on the hall that leads to the children’s restroom. There was a cleaning product in the sink outside the children’s restroom. Sprinkler system is located next to the children’s restroom and accessible to children.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Mar 6, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“Based on information provided by staff members a fire drill has not been conducted during 2023.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Mar 2, 2023.

Notification of Change in Space

“Operation reconfigured the operation’s layout. Four classrooms were removed and two new infant classrooms were designated. Note: This was corrected at inspection when operation updated layout and agreed to a reduction of capacity.”

Rule 746.301(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 22, 2023.

Children’s Products- Annual Certification

“Children’s Product Safety Certification was last signed / certified on 01/01/2021.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2023. Correction verified: Feb 24, 2023.

Children’s Records - Immunizations

“Six out ten children’s files reviewed are missing immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Mar 1, 2023.

Required Personnel Records- Training Hours

“Certificates for three out of five staff training records reviewed were not available for review at the time of inspection, including certificates for the following topics: Hazardous Materials Food Allergies Emergency Preparedness Building and Physical Premises Safety Communicable Diseases”

Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Mar 1, 2023.

No Blocked or Locked Doors as Exits

“Front door is labeled as an amergency exit and was locked at arrival.”

Rule 746.5209(c). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2022. Correction verified: May 6, 2022.

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

“Three out of three staff training records reviewed are pediatric CPR Training, two of the records are also missing pediatric first aid training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 6, 2022.

Child/Caregiver Ratio - 18 Months Difference in Age

“A total of 14 children ages 12 mo to 4yo were combined for lunch in the prek room. Age difference exceeded 18 months.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2022. Correction verified: May 6, 2022.

Safety Requirements for Play Yards - Label for Each Infant

“Play-yard in the infant rorom were not labeled with the children’s names nor assigned number.”

Rule 746.2411(2)(I). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2022. Correction verified: May 6, 2022.

Nutrition and Food Service - Drinking Water Available and Served

“No water was available or served during lunch.”

Rule 746.3301(f). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 19, 2022.

Food Service and Preparation Requirement - Safe and Sanitary

“There is raw ground beef stored above a container with uncovered corn dogs in fridge.”

Rule 746.3317. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2022. Correction verified: May 6, 2022.

Maintenance of Building, Grounds and Equipment

“One of the boy’s restroom is inaccessible to children due to pending repairs as the sink is at rik of falling.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 6, 2022.

Children Handwashing Before Eating

“Children used hand sanitizer prior to lunch instead of washing their hands.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2022. Correction verified: May 6, 2022.

Documented Annual Training- Required Content

“Three staff training records were reviewed. Two staff members are missing training on safe sleep/shaken baby/ early brain development. Three staff member are missing administering medications training. One staff member is missing communicable diseases training.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 6, 2022.

Written Activity Plans

“There are daily schedules and lesson plans posted around the operation but were not observed being followed. The lesson plans posted do not indicate the age group and dates they are designated for. Infant children were not observed participating in morning outdoor play. Infant schedule indicates TV time is allowed at 5:30 PM. Toddler and Prek Room do not indicate times for AM outdoor play nor physical activity. Children remained sited for 30 minutes while waiting for lunch.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2022. Correction verified: May 6, 2022.

Written Operational Policies - Parental Notifications

“Operation policies were reviewed and are missing the following: (6) explained how parent notification will be conducted (9) safe sleep policy including restrictions regarding cribs, bedding, blankets and toys (13) explain enrollment procedure (18) physical and outdoor activity policy (28) policy regarding employee vaccinations (b)((2) inform parent regarding gang free zone”

Rule 746.501(a)(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 6, 2022.

Children’s Records Maintained

“Five children record were reviewed; two of the records were not available for review. One file is missing health statement. Another file is missing admission date, parent telephone number, emergency contact address and immunization records.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2022. Correction verified: May 6, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“Last emergency practices documented are from 2021. Per provided they were conducted last month but were not documented.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2022. Correction verified: May 6, 2022.

Report Number of Employees

“A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. Note: This was corrected when provider completed the survey after February 24, 2022.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2022. Correction verified: Mar 1, 2022.