The Learning Experience

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“The operation has two children with food allergies and do not have food allergy plans on file.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2026. Correction verified: Sep 17, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Based on information gathered during the course of this investigation, it is determined that the operation has a pattern of being out of ratio.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2026. Correction verified: Jun 17, 2026.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver did not use good judgement when not reading the name on the bottle and verifying who the bottle belongs to. This resulted in an infant being given the wrong bottle.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2025. Correction verified: Oct 9, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver did not use good judgment when not verifying the name on the bottle, which resulted in an infant receiving another infant’s bottle.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2025. Correction verified: Oct 9, 2025.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“It was determined, the operation did not report to Child Care Regulations, that a child was injured and required medical treatment, back in February of 2025.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2025. Correction verified: Sep 17, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Two caregivers did not use good judgment by not notifying management immediately of an incident that occurred involving a child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 15, 2025.

Safety Requirements for Active Play Equipment - Used According to Manufacturer’s Instructions

“The operation did not follow manufacturer’s instructions by allowing a child younger than 2 years old on a playground structure.”

Rule 746.4601(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 15, 2025.

Positive Methods of Discipline and Guidance - Redirecting Behavior

“A caregiver inappropriately redirected a child by picking the child up by their forearm to get the child down from climbing on a table.”

Rule 746.2803(4)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 21, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“The infant feeding instructions are not being updated properly.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 25, 2024. Correction verified: Nov 25, 2024.

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

“The caregiver did not position themselves properly to ensure all children could be seen on the playground play structure, which resulted in a child getting hurt.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2024. Correction verified: Dec 17, 2024.

Incident/Illness Report Form Shared with Parent

“The incident report had inaccurate information on what had happened to the child on the playground.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2024. Correction verified: Dec 17, 2024.

Safety - Areas Free From Hazards

“Based on information gathered during the investigation, it was determined that a caregiver kept magnets from a broken toy, which later was ingested by a child while in care.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2024. Correction verified: Apr 25, 2024.

CPR Training and Recertification Adhere to Guidelines-skill based

“Five caregivers have online only CPR on file at the operation.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2024. Correction verified: Jan 3, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The operation has one child with a food allergy listed but does not have a food allergy plan on file at the operation.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2024. Correction verified: Jan 3, 2024.

Documentation of Gas Leak Inspection

“The operation does not have documentation of a current gas leak inspection.”

Rule 746.5405. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2024. Correction verified: Jan 3, 2024.