A+ Kidz Care Learning Center 3, LLC

Written Feeding Instructions - Review and Update Every 30 Days

“Three infant feeding instructions have not been updated within the past thirty days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2023. Correction verified: Oct 25, 2023.

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

“Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Aug 29, 2023.

Prohibited Punishments - Corporal Punishment

“Based on information gathered during the investigation, a caregiver threatened to “pop” another employee’s child, at that employee’s request when they were misbehaving while in care. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2023. Correction verified: Jul 24, 2023.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on information gathered during the investigation, caregivers have reportedly been observed yelling at children. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2023. Correction verified: Jul 24, 2023.

Required Admission Information - Emergency Contact

“One out of ten children’s files evaluated lacked an address for the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2023. Correction verified: Apr 25, 2023.

Provide Parents With Copy of Policies

“One out of ten children’s files evaluated lacked parent acknowledgment of receiving the operational policies.”

Rule 746.503. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2023. Correction verified: Apr 25, 2023.

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

“Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility. The person’s background check is listed as inactive.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2023. Correction verified: Mar 9, 2023.

Employee Handwashing After Diapering a Child

“A caregiver failed to wash her hands after changing a child’s diaper.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 30, 2023.

Children Handwashing After Toileting or Diapering

“A caregiver failed to wash children’s hands after changing their diapers.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 30, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver failed to sanitized the diaper changing table after changing children’s diapers.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 30, 2023.

Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

“Soiled diapers were stored in tied bag and placed on a counter where food is served in the classroom.”

Rule 746.3505(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 30, 2023.

Arrangement of Napping Equipment - Provides Access to Walkway

“Based on information gathered through a DFPS investigation, cots were observed to be touching one another, leaving no walkway or way for children to exit the room without stepping over cots.”

Rule 746.2909(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Mar 9, 2023.

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

“Operation allowed a person to be present at the operation with an inactive background check.”

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

Responsibilities of Caregivers - Children in Control

“Children in the two year old room were observed to be out of control. Note: This was corrected when the director stepped in to get the room back in control.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Nov 8, 2022.

AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

“Based on information gathered, the operation allowed a person to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.”

Rule 745.635(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 26, 2022.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“Based on information gathered during the investigation, infants are seated in car seats for more than fifteen minutes at a time.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2022. Correction verified: Nov 8, 2022.

Using, Storing and Disposing of Hazardous Materials

“In the toddler classroom, a bottle of Clorox bleach and a bottle of “Scrubbing Bubbles” (bathroom cleaner) was stored in the children’s bathroom, in an unsecured cabinet under the sink making it accessible to children. NOTE: CORRECTED AT TIME OF INSPECTION”

Rule 746.3407(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 12, 2022.

Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm’s Length of Child

“A caregiver in the infant room was observed turning her back to a child who was on the changing table.”

Rule 746.3503(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2022. Correction verified: Jun 1, 2022.

Incident/Illness Report Form Shared with Parent

“Through information received with this investigation;the documentation provided by the operation does not have the parent’s signature acknowledging they received a copy of the incident report.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 23, 2022.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“Child was observed laying on his mat which was blocking an emergency exit doorway posing a hazard. NOTE: This was corrected at inspection with the child’s mat being moved out of the doorway.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2022.