A & B Nursery School

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“I observed the mulch under the swing set climbing structure to be depleted.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2026. Correction verified: Oct 16, 2026.

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

“I did not observe a carbon monoxide detector in the daycare building.”

Rule 746.5531. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 9, 2026.

Required Equipment in Vehicles - First-aid Kit

“I observed two daycare vans missing a first aid kit inside. Note: corrected when staff replaced first aid kit.”

Rule 746.5617(a)(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“I observed in the toddler room two feeding bottles and training cup not labeled with child’s name or other identifying information. Note: corrected when caregiver labeled the items.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“The hand washing sink in the diaper changing area is used for washing and rinsing bottles. Note: corrected during inspection.”

Rule 746.2419(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose-fill material mulch was depleted under the climbing structure in the playground area. This must be maintained at proper depth.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2026. Correction verified: Feb 9, 2026.

Screen Time Activities - Not Used for Under Two

“Upon arrival I observed in the infant 2 room a 19-month child in care with television on. Note: corrected when caregiver turned off television.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“During the walk through a caregiver was not able to provide ages of children to licensing staff when asked. This was corrected when the caregiver updated the roll sheet with the children’s current ages for reference.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 3, 2025.

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

“When reviewing personnel files it was found that the director did not have a current CPR/First aid certificate available for review.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 6, 2025.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“During the walk through it was found that the operation has a hazardous piece of playground equipment on the far right of the playground.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 6, 2025.

Required Admission Information - Emergency Contact

“Ten children’s files were reviewed one file did not have an address for the emergency contact and one did not have emergency contact information at all.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 25, 2025.

Children’s Records - Health Statement

“Ten children’s files were reviewed and three files did not have a health care provider statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 25, 2025.

Children’s Records - Immunizations

“Ten children’s files were reviewed and four files did not have immunization reocrds and they were not school aged children.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 25, 2025.

Required Admission Information - Date of Admission

“Ten children’s files were reviewed and 6 of the files did not have a date of addmission.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 25, 2025.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“This standard was evaluated and found to be deficient due to the operations van window being broken, covered with a trash bag.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2024. Correction verified: Dec 2, 2024.

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

“While reviewing personnel files it was found that the director and 3 caregivers were missing training hours and including abuse/neglect training.”

Rule 746.1301(a)(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2024. Correction verified: Oct 30, 2024.

Requirements for Feeding Infants - Label Bottles/Cups

“During the walk through I observed the unlabeled bottles. This was corrected when the caregiver labeled the bottles.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2024.

Employee Handwashing After Diapering a Child

“During the walk through I observed a caregiver change a diaper and the caregiver did not wash her hands. The inspector mentioned handwashing to the caregiver. Then the caregiver washed her hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2024.

Safety Requirements for Cribs - Label for Each Infant

“During the walk through I observed a child inside an unlabeled crib. This was corrected when the caregiver labeled the crib.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2024.

Children’s Records - Admission Information

“While reviewing childrens records it was observed that five children’s reords were missing the admission date, parent signatures and dates through the admission forms.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2024. Correction verified: Aug 29, 2024.

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

“It was found that one caregiver had a pending background check while caring for 17 toddlers during naptime. This was corrected when the caregiver was asked to leave the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2024. Correction verified: Mar 20, 2024.

Infant May Not Sleep in a Restrictive Device

“Three infants of the ages 4 months, 5 months, and 11 months old were found asleep in restrictive devices during a walkthrough of the infant room. This was corrected when all three infants were removed from the restrictive device and placed in their cribs to sleep.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2024. Correction verified: Apr 4, 2024.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A 6 month infant was asleep in a crib while propped up with a boppy pillow. There was no Sleep Execption Form for the infant. This was corrected when the pillow was removed.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2024. Correction verified: Mar 18, 2024.

Requirements for Feeding Infants - Label Bottles/Cups

“In the infant room 2, there were 4 bottles with no name label on them. This was corrected when all the bottles were relabeled during the inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 5, 2024.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“There is no loose-fill or unitary surfacing under the rocking school bus in the outside play area.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2024. Correction verified: Mar 18, 2024.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The playground with swings did not have a depth of 6 inches of loose-fill surfacing.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2024. Correction verified: Mar 18, 2024.

Additional Surfacing Requirements for Indoor Active Play Equipment

“In the toddler room, the two-slide indoor play structure is not installed over unitary shock absorbing surfacing. The two-slide play structure has a large rug underneath the equipment.”

Rule 746.4915. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2024. Correction verified: Mar 18, 2024.