First Steps Learning Center

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“An infant was observed sitting in a rocker without the safety straps fastened. Note: The caregiver removed the infant from the rocker during the inspection.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 11, 2022.

Required Admission Information - Special Needs Statement

“A child’s record evaluated was missing the special needs acknowledgment on their admission form. Note: The parent sent an acknowledgment during the inspection.”

Rule 746.605(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 11, 2022.

Infant May Not Sleep in a Restrictive Device

“A 4-month-old child was observed asleep in a restrictive device (bouncer). A photo was taken.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: May 18, 2022.

Responsibilities of Caregivers- Supervision of Children

“During this investigation, it was determined caregiver supervision was not maintained, which resulted in a child being inappropriately touched by another child in the operation’s restroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2022. Correction verified: Jun 14, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“A caregiver in the infant room (2m to 1yr) did not know the number of children present. The caregiver stated their were 5 children present. There were 7 children present.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

Policies Comply with Rules

“The operational policies handbook is missing the following: 746.501: (14) Transportation; (24) emergency preparedness plan; (29)(b)(2) gang-free zone Note: The Director added these policies to the handbook during the inspection.”

Rule 746.201(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 29, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A 7 month old child was observed asleep on a boppy in their crib. Later during the inspection, another 7 month old child was observed sleeping in a crib with a pacifier and pacifer attachment. Note: A photo was taken.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

Infant May Not Sleep in a Restrictive Device

“A 2 month old was observed alseep in a restrictive device (rocker). Note: A phone was taken.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“Two 7 month old children were observed swaddled and asleep in their cribs. A 2 month old was observed swaddled and asleep in a rocker chair. Note: Photos were taken.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

Covering Infant’s Head or Crib

“A 7 month old was observed asleep in their crib with their head covered with a hat.The hat was placed over the child’s head, eyes, ears, nose, and mouth. Note: A photo was taken.”

Rule 746.2429. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

No Blocked or Locked Doors as Exits

“One of the operations emergency exit doors (back door) cannot open. It is blocked by a wooden step located on the outside of the door. Note: A photo was taken.”

Rule 746.5209(c). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 2, 2022.

Responsibilities of Caregivers - Free of other activities

“A caregiver was observed on their cellphone during naptime in the 3yr to 5yr old classroom.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2022. Correction verified: May 4, 2022.

Training Requirements for Employees, Caregivers, and Directors - Transportation Training

“The Director does not have current transportation training.The Director is the person who transports the school-age children to and from school.”

Rule 746.1301(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2022. Correction verified: May 3, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“Four infant bottles were not labeled with each child’s first and last name.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2022. Correction verified: May 2, 2022.

Maintenance of Building, Grounds and Equipment

“Both restrooms at the operation were unsanitary. One restroom contained urine inside of the toilet, toilet paper on the floor, and the trash can was overflowing with toilet paper.The other restroom had toilet paper on the floor. Note: The Director cleaned both restrooms during the inspection.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 29, 2022.

Documentation of Fire Inspection

“The operation does not have a current fire inspection report available for review. The last inspection conducted was on 3/15/2021.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 6, 2022. Correction verified: May 2, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“Two infants, ages 4m and 7m, who are not ready for table food did not have updated infant feeding instruction sheets available for review.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 2, 2022.

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“The operation did not have a current staff list posted. Note: The Director updated the staff list during the inspection.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 29, 2022.