Totally Kids Learning Center

Director Certificate Not Renewed

“The director’s credential was not maintained and no longer current.”

Rule 746.1057. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2023. Correction verified: Apr 26, 2023.

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

“A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Feb 16, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“A caregiver’s pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Feb 16, 2023.

Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

“The center did not have a carbon monoxide detector.”

Rule 746.5531. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2022. Correction verified: Jan 13, 2023.

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

“A caregiver caring for a group of children was missing 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 23, 2022. Correction verified: Jan 13, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“A caregiver’s pediatric CPR training was completed onlline.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2022. Correction verified: Jan 13, 2023.

Posting Requirements - Child’s Food Allergy Plans

“A list of a child’s food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.”

Rule 746.403(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 19, 2022.

Children’s Records - Immunizations

“1 of 6 children’s immuniation records reivewed was not current.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2022. Correction verified: Jan 13, 2023.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2022. Correction verified: Jan 13, 2023.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children’s reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children’s reach.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2022.

Report Number of Employees

“A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 25, 2022.

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

“A caregiver’s pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2021. Correction verified: Jan 3, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“A caregiver completed standard CPR training online.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2021. Correction verified: Jan 3, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2021. Correction verified: Feb 18, 2022.

Required Admission Information - Emergency Contact

“2 of 6 children’s records reviewed were missing the child’s emergency contact’s address. 1 of 6 children’s records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.”

Rule 746.605(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 20, 2021.

Education Outside of U.S.

“A caregiver’s education documentation received outside of the United States was not translated into English.”

Rule 746.1111. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2021. Correction verified: Jan 3, 2022.

Documented Annual Training Area - 24 Hours Required

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2022. Correction verified: Jan 3, 2022.