Language and Art Centers

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

“One infant who is 9 months of age was observed sleeping on a U-shaped pillow in the crib. A toy was observed placed in the infants crib while they were sleeping. The Director addressed no medical conditions with this child/infant.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Sep 15, 2022.

Training Requirements for Directors 30- Annual Training

“Although a total of 30 annual hours were observed for the Director, the required topics were not observed: SIDS, guidance and discipline, building and physical premises, handling, storing, disposing of hazardous materials, and preventing and responding to emergencies due to food allergies.”

Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2022. Correction verified: Sep 15, 2022.

Pre-service Training for Caregivers of Children Under 24 Months

“One caregiver observed in the infant classroom did not have the required pre-service training related to shaken baby syndrome, and/or SIDS. The caregiver was observed in the infant classroom with 3 infants, 8-12 months of age. Orientation document was observed, which did not include the SIDS topic. The hire date is documented as 08/26/2021.”

Rule 746.1305(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 15, 2022.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“Infant feeding instructions for three infants in care were not available for review. The operation states they were not aware that they needed infant feeding instructions. Based on the information obtained, the infants present are not yet ready for table food.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 15, 2022.

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

“A caregiver was allowed to have direct access to the children prior to receiving the results of the FBI background check. A staff member was also allowed to have direct access to the children prior to having an FBI background check ran. Note- This was corrected during the inspection when both the caregiver and staff were sent home until the results of the background checks are received.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 1, 2022.

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

“Three infants were allowed to lay down to sleep in their cribs with bottles. Note- This was corrected during the inspection when the bottles were removed from the infants.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 1, 2022.

Adequate Lighting During Naptime

“The toddler classroom did not have adequate lighting during nap time. Note- This was corrected during the inspection when the bathroom door was opened to allow for adequate lighting.”

Rule 746.2911. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 1, 2022.