Lenora Rosecrants

AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

“An infant under 6 months old was observed sleeping face down. The caregiver placed the infant on their back during the inspection.”

Rule 747.2327(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2026. Correction verified: Oct 1, 2026.

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

“A person with a pending background check was observed at the operation.The person was asked to leave by the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jun 22, 2026.

Fire Extinguishers Serviced

“The fire extinguisher at the residence was last inspected on May 2025.”

Rule 747.5107(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jun 24, 2026.

Health Statement on File

“A child in care did not have a health statement on file for review.”

Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jun 24, 2026.

Required Immunizations Records, Exceptions, and Exemptions Current

“One out of 4 children’s files reviewed did not have current immunizations on file for review.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jun 24, 2026.

Required Personnel Records - Required Affidavit (Form 2985)

“An assistant caregiver did not have any affidavits on file for review.”

Rule 747.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jun 24, 2026.

Sanitation of Building, Grounds and Equipment

“I observed a room that will be utilized by children to have storage bins stacked high, they present a safety risk of falling on the children. In the backyard, I observed planks of wood, a wheel barrel and a ladder that presented a risk to children. The grass was also observed not have been mowed.”

Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2025. Correction verified: Apr 10, 2025.

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

“As I arrived for the inspection a 4 year old child was observed to have opened the door, while the caregiver was in the bathroom. I waited at the door for approximately 3-4 minutes before the caregiver came to the door. The door unlcked presented a safety risk to the children as the children could have walked out the door without anyone noticing.”

Rule 747.1503(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Sanitation of Building, Grounds and Equipment

“In the restooom, the based of the toliet was observed to be full of dried utine.”

Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Caregiver Handwashing After Handling or Cleaning Body Fluids

“The caregiver was observed to have cleaned a child’s nose and did not wash their hands afterwards;”

Rule 747.3211(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Safety - Areas Free From Hazards

“In the backyard I obseved a pile of toys near the exit, which presented a safety hazards when children attempted to complete a fire drill and walk safetly to the end of the fence. In the backyear area, a large gasoline tank was observed accessible to children in care. The fence in the backyard had broken fence planks and exposed nails.”

Rule 747.3501. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Nov 18, 2024.

Safety - Electrical Outlets Covered

“There were 4 outlets that were observed to not have an outlet cover. The caregiver placed covers on the outlets during the inspection.”

Rule 747.3501(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 14, 2024.

Animals at Center - Documentation of Vaccinations

“There was a cat in the home with a vaccination record from September 2023. The animal had not been to the veterinarian 2024.”

Rule 747.3703(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Nov 18, 2024.

Fire Drill Monthly - Exit in 3 Minutes

“The operation had not completed a fire drill since August of 2024. A fire drill was completed during the inspection to bring the deficiency into compliance.”

Rule 747.5005(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 14, 2024.

Primary Caregiver Annual Training -30 Hours Required

“The caregiver was unable to provide documentation of any annual trainings completed in 2023.”

Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Dec 30, 2024.

Planned Activities - Designed to meet individual needs and developmental levels of children in the group

“There was no activity schedule to review. The children were observed running around, asking for the television and were observed fighting with each other. The activity plan was requested and the provider did not have one for review.”

Rule 747.2101. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Nov 18, 2024.

Screen Time Activities - Not Used for Under Two

“I observed a television on in the living room, cartoons were observed to have been playing while there were 3 children under the age of 2 years old present.”

Rule 747.2105(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“There was 1 child in care that requred an updated infant feeding instruction form. The form on file was observed to have been predated and signed through January 2025.”

Rule 747.2321(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Written Operational Policies - Parent Rights

“The operational policy was reviewed and the parent rights were observed to have not been included in the policy.”

Rule 747.501(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Dec 30, 2024.

Children’s Records - Health Statement

“There was 1 children’s file that did not have a health statement on file.”

Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Jan 2, 2025.