Perfect Care Learning Center

Screen Time Activities - Not Used for Under Two

“During a walk through a classroom with children under the age of two present was seen having screentime. This was corrected when the t.v. was taken out of the room.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 25, 2023.

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“While reviewing the operational policy there was no safe sleep guidelines available.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Sep 6, 2023.

Required Personnel Records-Proof of DFPS background checks

“While reviewing records 3 out of 4 staff did not have proof of DFPS background checks available.”

Rule 746.901(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 5, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“While reviewing 4 staff files all CPR training was completed online.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Aug 31, 2023.

Infant Care Area Furnishings and Equipment - Hand-washing Sink

“During a walk through there were no hand washing sinks available in two infant rooms.”

Rule 746.2405(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 6, 2023.

Safety - Areas Free From Hazards

“During a walk through TV cords were exposed and accessible to children.”

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

First Aid Kit - Incomplete Kit

“While reviewing the first aid kit there were no tweezers available. This was fixed when the tweezers were added to the first aid kit.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 25, 2023.

Children’s Products- Annual Certification

“While reviewing required postings it was seen the annual certification was last signed 1/3/2022.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Aug 31, 2023.

Outdoor Space Requirements - 80 Sq. Feet Per Child

“During a walk through there was no outdoor space available.”

Rule 746.4301(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 6, 2023.

Written Operational Policies - Promotion of Physical Activity

“While reviewing the operational policy there was no promotion of indoor and outdoor play available for review.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Sep 6, 2023.

Required Personnel Records- Photo Identification

“While reviewing staff files 1 out of 4 files did not have a photo identification available.”

Rule 746.901(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Aug 31, 2023.

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

“While reviewing the required posting there was no current employee list available for viewing.”

Rule 746.401(9). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Aug 31, 2023.

Notification of Changing Address or Location

“During an assessment it was found the operation changed locations without notifying CCR.”

Rule 746.301(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2023. Correction verified: Aug 25, 2023.

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

“Observed two infants sitting in rocker chairs. The infants were in the chairs at 11:30 when the inspection started and while going back to the infant room at 1:00, the same two infants were still sitting in the rockers. This was corrected when the infants were removed.”

Rule 746.2417(2)(B). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 16, 2022.

Infant May Not Sleep in a Restrictive Device

“Observed one infant sleeping in a car seat and observed another infant sleeping in a bouncy seat. This was corrected when both children were removed from the restrictive devices and placed in cribs.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2022. Correction verified: Nov 22, 2022.

Maximum Group Size 13 or More Children

“Observed 15 infants in a classroom with 3 caregivers. The maximum group size for infants is 10. This was corrected when 5 infants were moved into the other infant room.”

Rule 746.1609. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 16, 2022.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“Observed an infant sleeping with a bottle. This was corrected when the bottle was removed from the crib.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 16, 2022.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“The operation does not have written feeding instructions for any infants in the operation.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 25, 2022. Correction verified: Nov 22, 2022.