Small Hands Big Hopes Academy

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

“Proper supervision was not established as there was only one caregiver in the building caring for 10 children of varying ages. The children were divided into two groups and in different rooms. The caregiver was observed in the infant room supervising 5 children and leaving 5 other children in the pre-k area unsupervised. This prevented the caregiver from having adequate physical proximity and auditory or visual awareness of each child in care.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 4, 2023.

Child/Caregiver Ratio - 12 or Fewer Children

“Ratios were not met when a caregiver was caring for a total of 10 children of varying ages. The ages of the children were One infant, and Nine children between 18 months-4 years of age. According to the ratio chart when 12 or fewer children are present two caregivers were required with the group of children based on the number of children and age of children.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 4, 2023.

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

“A caregiver was allowed to be present in the operation and have director contact with children in care prior to the operation receiving notice from the CBCU (Centralized Background Check Unit) regarding the person s eligibility. Note: The Person left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Oct 24, 2022.

Children Handwashing Before Eating

“A group of children of varying ages did not have their hands washed before eating the morning snack. NOTE: This was addressed during inspection and children’s hands were washed.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Nov 10, 2022.

Screen Time Activities - Not Used for Under Two

“A group of children including a child under the age of 2 were watching television during breakfast.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Nov 10, 2022.

Required Records Maintained and Made Available - Children’s Records

“There were no records available for review for two children in care. 3 of 5 children’s immunization records reviewed were not current. Note: The records missing for the two children were brought to the center and were reviewed.”

Rule 746.801(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2022. Correction verified: Nov 10, 2022.

Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

“Soiled diapers were being disposed of in a trash can with no lid/cover in the infant room. Note: This was CORRECTED during the inspection as the trash can was replaced with one that had a lid.”

Rule 746.3505(f). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 29, 2021.

Responsibilities of Caregivers- Supervision of Children

“Proper supervision was not established as there was only one caregiver in the building caring for 11 children of varying ages. The children were divided into two groups and in different rooms. Four infants and a toddler were observed in the infant room. Four toddlers and two pre-k children were observed in the pre-k area asleep on floor mats. The caregiver was observed in the infant room leaving the children in the pre-k area unsupervised.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2021. Correction verified: Dec 29, 2021.

Child/Caregiver Ratio - 12 or Fewer Children

“Ratios were not met when a caregiver was caring for a total of 11 children of varying ages. The ages of the children were Four infants 0-17 months old, and Seven children between 18 months-4 years of age. According to the ratio chart two caregivers were required with the group of children based on the number of children in each age category.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2021. Correction verified: Dec 29, 2021.

No Blocked or Locked Doors as Exits

“A designated fire exit door was blocked with children’s equipment. Note: This was addressed with director and the equipment was removed.”

Rule 746.5209(c). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 16, 2021.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“A caregiver did not have current training in pediatric first aid with rescue breathing and choking.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 7, 2021.

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

“A caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 7, 2021.

Safety - Areas Free From Hazards

“A small television in the infant room was not anchored or strapped to prevent from tipping over. A sand box in the outdoor area was not properly maintained as the sand box was filled with standing water. Note: The television was removed and stored away. The sand box containing water was emptied during the inspection.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 16, 2021.

Written Operational Policies - Benefits

Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 7, 2021.

Required Personnel Records

“A caregiver’s record was not available for review during the inspection. 1 of 3 records reviewed was missing the caregiver’s education documentation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2021. Correction verified: Dec 16, 2021.