Little Friends Daycare

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

“This standard was evaluated as part of the investigation and found to be deficient. The incident report form was not completed by the operation staff once knowing the child was seen by a medical professional and as required by minimum standards.”

Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 8, 2023.

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

“An operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility. A person may be present while the background check is pending to attend orientation or pre-service training as long as the person does not have contact with children in care.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 11, 2023. Correction verified: Feb 11, 2023.

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

“At the inspection, one slide present on the playground required loose-fill to be installed due to being 3 feet high off the ground.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Mar 6, 2023.

Children’s Records - Health Statement

“At the inspection, two out of five children’s records reviewed did not have a healthcare provider statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Feb 20, 2023.

Children’s Records - Immunizations

“At the inspection, one out of five children’s records reviewed did not have an updated immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Feb 16, 2023.

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

“During inspection there were 2 hand sanitizer bottles down and in the reach of the children. The caregivers moved the bottles out of the reach of the children during inspection. In the lunch room there was a mop bucket that had been used to mop the kitchen that had standing water within the reach of the children. This bucket was removed.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 17, 2022.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“During inspection staff files were reviewed and two employees did not have CPR/First Aid certification. The employees were supervising children alone.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 17, 2022.

Maintenance of Building, Grounds and Equipment

“There was a tricycle observed on the playground that had a broken bucket on the back that had sharp edges.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 8, 2022.

Employee Handwashing After Diapering a Child

“During inspection a diaper change was observed and the caregiver did not wash their hands or the child’s hands. This was corrected when the inspector told the caregiver to wash hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 17, 2022.

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

“The diaper changing pad in the toddler classroom had tears in the pad and could no longer be sanitized properly.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 4, 2022.

Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment

“Director file was reviewed and did not have current training in Child Maltreatment.”

Rule 746.1311(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 8, 2022.

Written Operational Policies - Plan for Extreme Weather

“Operational policies were observed and there was no Active Play portion in the handbook.”

Rule 746.501(a)(18)(F). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2022. Correction verified: Mar 8, 2022.

Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit

“Staff files were reviewed and two files did not have the notarized affidavit.”

Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 8, 2022.