Small Steps Nurturing Center-Gulfton

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

“Based on the information obtained, it was determined supervision was not maintained when a two-year-old child left the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2025. Correction verified: Nov 10, 2025.

Storage of Medication - Inaccessible to Children

“During today’s inspection I observed a bottle of medication stored on a counter that was accessible to children. Note: This was corrected during inspection.”

Rule 746.3807(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 6, 2025.

Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical treatment information is needed for five children who are transported.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 9, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A parent signature is needed on one child’s food allergy emergency plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 9, 2025.

Requirement of Gas Leak Inspection

“The last gas leak inspection was conducted on 2/7/2023.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 8, 2025.

Electronic CO Detection Sys Connected to Alarm/Smoke Detection Sys-Test Documentation Available During Hours of Operation

“The operation does not have documentation showing the carbon monoxide detection system was tested.”

Rule 746.5537(b)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 8, 2025.

Children’s Products- Annual Certification

“The annual certification was last completed 01/22/2024 Note: This was corrected during inspection.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 6, 2025.

Children’s Records Maintained

“Records were evaluated for eight children enrolled and the following was determined: Three children needed a statement of special needs. Two children needed an address for the emergency contact. One child needed emergency care information such as name, address, and phone number of the child’s physician or emergency care facility. One child needed authorization for emergency medical treatment.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 9, 2025.

Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

“While evaluating eight personnel files, I observed several files missing signed and dated statement from the employee/trainer.”

Rule 746.1329(d). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 9, 2025.

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

“Observed a caregiver in the Three’s classroom who had direct access to children in care. The caregivers background check is pending and the operation has not received an eligiblity notification from CBCU stating the caregiver can be present.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2024. Correction verified: May 22, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“Multiple caregivers did not know the number of children they were responsible for during the inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2024. Correction verified: May 29, 2024.

Smoke Detectors Testing

“Documentation showing the smoke detector and carbonoxide detectors have been tested within the last month was not available for review.”

Rule 746.5319. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2024. Correction verified: May 22, 2024.

Required Equipment in Vehicles - Emergency Medical Information

“Authorization for emergency medical treatment for children was not observed in the vehicle used to transport children.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2024. Correction verified: May 22, 2024.

Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us

“Documentation stating a sanitation inspection is not required was not available for review during the inspection.”

Rule 746.3401(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2024. Correction verified: Jul 16, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy emergency plan forms for 2 children with documented food allergies was not signed by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2024. Correction verified: May 22, 2024.

First Aid Kit Incomplete - Thermometer, preferably non-glass

“The operation did not have a thermometer in the first aid kit in van used to transport children. Note: The provider obtained an extra thermometer and placed it in the first aid kit in the van during the inspection.”

Rule 746.4003(a)(7). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 14, 2024.

Cots, Beds, Mats Labeled With Child’s Name

“Nap mats were missing labels during the inspection.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: May 29, 2024.

Training Criteria - Certificate

“Training certificates in the following topics were not available for review for 2 staff: Handling, Storing and Disposing of Hazardous Materials Emergency Preparedness”

Rule 746.1317(c)(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: May 22, 2024.