The Learning Experience

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

“The caregiver didn’t use good judgment when she held the child up by the hands with his arms extended while hopping around which led to a nursemaid elbow injury.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 25, 2023.

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

“A child was left in the classroom unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2023. Correction verified: Jul 17, 2023.

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

“One caregivers was working at the operation prior to receiving a background check status result of eligible, eligible with conditions, or provisionally eligible. This was corrected at inspection when the caregivers left the operation during the inspection and the operation submitted the background online during the inspection.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 15, 2023.

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

“Two caregivers were missing first aid certification.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2023. Correction verified: Mar 28, 2023.

Care Requirements for Toddlers - Individual Attention

“Three children in the toddler class had visible running noses that needed attention. This was corrected at inspection when cargivers were informed and wiped their noses.”

Rule 746.2501(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 15, 2023.

Employee Handwashing After Handling or Cleaning Bodily Fluids

“It was observed during the inspection two caregivers wiping children’s noses and not washing their hands in between each nose cleaning. This was corrected at inspection. When caregiver was asked to wash their hands after cleaning a child’s nose.”

Rule 746.3415(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 15, 2023.

Administering Medication - Not After Expiration date

“It was observed two children’s medications had expired. This was corrected at inspection. Expired medications were removed and not administered.”

Rule 746.3805(b)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 15, 2023.

Children’s Records - Immunizations

“Three out of the ten immunizations that were reviewed are not current.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2023. Correction verified: Mar 23, 2023.

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

“A caregiver accidentally used the incorrect cleaning solution on equipment resulting in two children receiving chemical reactions.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2022. Correction verified: Nov 10, 2022.

Responsibilities of Caregivers - Supervision of Children

“A child was left unsupervised for approximately 5 minutes, after a caregiver failed to conduct the proper roll check.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 10, 2022.

Required Immunizations

“Out of ten files reviewed, one child was not current on immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 4, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with a documented food allergy did not have a food allergy plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 10, 2022.

Fire Drill Monthly - Exit in 3 Minutes

“Fire drills for the last three months have exit times documented for more than three minutes.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 23, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“Several infant feeding instructions were not reviewed and updated.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 4, 2022.

Documentation of Training Requirements - Trainer’s Qualifications

“There is no information of the trainers qualifications printed on the training certificates.”

Rule 746.1329(b)(5). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 10, 2022.

Required documentation for Vision and Hearing Screening Requirement

“Three children that are four years old and have been enrolled at the operation for more than 120 days did not have vision and hearing screening documentation available at the time of the inspection.”

Rule 746.629(b). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 4, 2022.

Responsibilities of Caregivers- Supervision of Children

“A child was left unsupervised in a classroom for approximately 3 minutes.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Jan 14, 2022.