Cradle to Crayon Learning Center

Diapering Procedures - Sanitizing Diaper Changing Area

“The diaper changing surface was not sanitized between changes. A non-absorbant paper liner was also not utilized for diaper changes.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2023. Correction verified: Apr 25, 2023.

Chairs - Safety Straps Used if Required by Manufacturer

“One high chair designed to have safety straps were missing the straps, and four toddlers in high chairs were not strapped in.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2023. Correction verified: Apr 25, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“Three of the four personnel records evaluated did not have CPR practice on a maniken.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2023. Correction verified: May 4, 2023.

Children Handwashing After Toileting or Diapering

“Two children’s hands were not washed after diapering.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2023. Correction verified: Apr 20, 2023.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The diaper changing surface had an absorbant cover after the changing pad. This was corrected at inspection when the cover was removed.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 11, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“The diaper changing surface was not sanitized between changes. A non-absorbant paper liner was also not utilized for diaper changes.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2023. Correction verified: Apr 20, 2023.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Emergency evacuation diagrams were not posted in three of the four classrooms.”

Rule 746.5207(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2023. Correction verified: Apr 20, 2023.

Required Personnel Records - Required Affidavit

“One of the four personnel records evaluated did not have a notarized affidavit.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: Apr 20, 2023.

Report Outbreak of Communicable Illness

“There were cases of COVID that were not reported in the 48 hours required”

Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 2, 2022.

Child/ Caregiver Ratio - 13 or More Children

“1 caregiver at the operation was in charge of 22 children with a specified age group of 3. The maximum number of children allowed for that age group with 1 caregiver, is 15.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Apr 5, 2022.

Responsibilities of Caregivers- Supervision of Children

“Upon arrival the infant teacher was observed in the per-school room seated with the door to the infant room closed. There was no caregiver in the infant room upon inspection.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Mar 23, 2022.

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

“An infant was observed in a bed with a bottle that was filled with milk”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 15, 2022.

Responsibilities of Caregivers- Supervision of Children

“A 4-year old child wandered away to the restroom without the knowledge or supervision of caregivers.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2022. Correction verified: Mar 15, 2022.

Safety - Electrical Outlets Covered

“Electrical outlets accessible to children were left exposed. The deficiency was corrected by placing a protector over the outlet.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 22, 2022.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A person with a conditional background check was allowed to supervise a group of children alone. This deficiency was corrected during the inspection as the director of the operation assisted the person with supervising the children for the remainder of the inspection.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 22, 2022.

Responsibilities of Caregivers- Supervision of Children

“A 14 month old infant was observed sleeping alone in a classroom with the door closed.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 8, 2022.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A person with a conditional background check was allowed to supervise a group of children alone. This deficiency was corrected during the inspection as the director of the operation assisted the person with supervising the children for the remainder of the inspection.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 15, 2022.

Director’s Absence - Qualified Caregiver in Charge

“No one was left in charge of the operation during the director’s absence.”

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 22, 2022.

Safety - Electrical Outlets Covered

“Electrical outlets accessible to children were left exposed. This deficiency was corrected during the inspection as the outlets were immediately covered with protectors.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 15, 2022.

Requirement of Gas Leak Inspection

“The operation did not have a current gas inspection on file.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 4, 2022.

Required Admission Information - Emergency Contact

“5 child files did not include all required information for emergency contact persons.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Children’s Products- Annual Certification

“A current ‘Consumer Product Safety Commission’ form was not available during the inspection.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Feb 22, 2022.

Chairs - Safety Straps Used if Required by Manufacturer

“Several children were observed sitting unfastened in high chairs during meal time. This deficiency was corrected during the inspection as safety straps were immediately fastened following discussion of the deficiency.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 15, 2022.

Children’s Records - Admission Information

“There was no admission form available for 1 child in care at the operation.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Children’s Records - Health Statement

“1 child’s file did not include a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

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

“There was no record of current emergecy practices availble during the inspection.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Required Admission Information - Date of Admission

“3 child files did not include the child’s date of admission to the operation.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Minimum Qualifications Child Care Center Employees and Caregivers - TB Exam

“There was no TB test on file for 2 staff members.”

Rule 746.1105(2). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.

Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit

“There was no employment affidavit on file for 1 caregiver.”

Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2022. Correction verified: Mar 1, 2022.