Angels on Earth Learning & Adventure Center

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“During the inspection an infant/toddler classroom was in reduction. Two caregivers were needed, but 1 was present with 7 children. Another caregiver came into the classroom during the inspection.”

Rule 746.1613(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2023. Correction verified: Aug 1, 2023.

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

“The operation allowed a caregiver to care for children before receiving a background check determination of Eligible, Provisional Eligibility with Conditions, or Eligible with Conditions.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Aug 26, 2022.

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

“The operation allowed a child under 12 months to have a blanket in a crib to prop a bottle while the child was asleep.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

Requirements for Feeding Infants - Never Prop Bottles

“An infant was asleep in their crib with a bottle propped by a blanket.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

Infant Daily Report - Share with Parent

“The operation has not been documenting daily sheets for any infant in care.”

Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

Required Records Storage

“At the time of the inspection, two children who no longer attend the center did not have immunization information in their storage record.”

Rule 746.803(a). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

AP Report a Child In Care Showing Signs and Symptoms of Illness Requiring Hospitalization

“Caregivers were aware that a child was hospitalized for a medical illness and did not report it to Regulation.”

Rule 746.305(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

Licensing Incident/Illness Report Form - Illness Requiring Hospitalization

“The operation did not document an illness on an illness report form after becoming aware that a child had been hospitalized after being in their care. The program was aware that the child did not feel well earlier during the day.”

Rule 746.701(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 1, 2022.

Safety - Areas Free From Hazards

“This rule was evaluated with regard to an investigation and a deficiency of the Minimum Standard Rule was found. Based on the observations, it was observed that boxes were being stacked on the floor in the gym and the gym is used for the children and these boxes could fall onto the children. In addition, there is a broken door observed that was coming from one of the restroom in the gym.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2022. Correction verified: May 10, 2022.

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

“At the time of the inspection, a caregiver did not have current CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 1, 2022. Correction verified: Mar 25, 2022.

Required Admission Information-Completed Food Allergy Plan

“At the time of the inspection, three children with noted food allergies did not have completed food allergy plans.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2022. Correction verified: Apr 18, 2022.