Millenium Kids Academy

Children’s Records - Immunizations

“Two out of eight children’s files reviewed are missing immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2023. Correction verified: Aug 14, 2023.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“An infant age-child was observed in a crib awake inside a crib for 31 minutes. Note: Child was removed from crib, a rug was brought to the classroom to allow child to move freely around the room.”

Rule 746.2417(2)(B). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 11, 2023.

Responsibilities of Caregivers - Know Children’s Names and Ages

“Staff was not familiar with the ages of four children napping in the multi-purpose room. Staff supervising the toddler and prek children did not know how many children were in care.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Jan 11, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was supervising a group of eight napping children ages 12mo, 12mo, 14mo, 15mo, 18mo, 18mo, 18mo and 19mo.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Jan 11, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One staff member was caring for five children ages 6 weeks, 7mo, 9mo, 11mo and 14mo. Classroom was over ratio by one child.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2022. Correction verified: Sep 7, 2022.

Responsibilities of Caregivers - Supervision of Children

“A toddler age child was observed unsupervised outside the child’s classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 30, 2022.

Child/ Caregiver Ratio - 13 or More Children

“One staff member was caring for five children ages 6 weeks, 6mo, 7mo, 9mo and 14mo. Classroom was over ratio by one child.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 30, 2022.

Safety - Areas Free From Hazards

“Outdoor fence had two loose planks of wood; one of them had nails sticking out. Another area of the fence had three protruding screws. There is a TV in the prek room and another one in the school-age room. Both TV are on top of cabinets and not anchored nor mounted. Note: Fence was fixed during inspection when provider nailed the nails and screws.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 19, 2022.

Documented Annual Training- Required Content

“Six staff training record were reviewed. One staff members CPR training expired on 3/31/2022. A second file is missing trainings on transportation, abuse/neglect, safe sleep / shaken baby/ early brain development, hazardous materials, food allergies, medications, emergency preparedness, building and physical premises safety and communicable diseases. A third file is missing trainings on hazardous materials, food allergies, medications, emergency preparedness, building and physical premises safety and communicable diseases.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2022. Correction verified: Aug 19, 2022.

Written Activity Plans - Plan Followed by Caregiver

“Written lesson plans and daily schedules were observed posted in all classsrooms. However some of the caregivers were not aware of the planned activitties and schedule was not being followed. One of the of five groups of children present was observed participating in the planned activity listed in the lesson plan. Infant children do not participate in outdoor play and a child was observed using a tablet to play a game.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2022. Correction verified: Aug 19, 2022.

Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

“The todddler and multi-purpose rooms are regularly used for prek age children. These rooms do not have well defined interest centers.”

Rule 746.2605(1)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 19, 2022.

Children’s Records Maintained

“One of out six children’s records reviewed is missing medical care information, permission to transport, parent/child address, emergency contact address and special care statement.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 19, 2022.

Required Personnel Records

“Two staff files are missing 1-7 hours of pre-service training. A third file is missing copy of ID, employment date and high school diploma/GED. A fourth file is missing orientation statement.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 19, 2022.

Child/Caregiver Ratio - 18 Months Difference in Age

“Fifty children ages 8mo to 11yo were combined in the school-age classroom for a party. Party lasted over an hour.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: May 18, 2022.

Space Requirements - Under 18 Months of Age Activity Area

“Fifty children were combined in the schooll-age classroom. School-Age classroom is licensed for twenty one children.”

Rule 746.4205(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: May 18, 2022.

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

“Based on the information obtained during the course of the investigation, a staff member encouraged a child to hit a child back.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2022. Correction verified: Jun 1, 2022.

AP Ensure total number of children both at & away from center within capacity

“Based on the information obtained during the course of the investigation, operation was over capacity by up to 11 children for four days between the hours of 3:30 - 6:15PM.”

Rule 746.201(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2022. Correction verified: Jun 1, 2022.

Required Equipment in Vehicles - Emergency Medical Information

“Binder taken during transportation routes is missing emergency medical transport and treatment authorization forms for each child being transported.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2022. Correction verified: Feb 14, 2022.

Infant Care Area - Crib Placement

“There is no space in between three cribs in the infant room. Note: This was corrected at inspection when cribs were re-arranged.”

Rule 746.2403(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2022.

Diapering Procedures - Wash Infant’s Hands

“A caregiver was observed changing three children’s diapers; in between changes caregiver nor children washed hands.”

Rule 746.3505(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2022. Correction verified: Feb 14, 2022.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver was observed changing three children’s diaper without sanitizing changing mat in between children.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2022. Correction verified: Feb 14, 2022.

Additional Surfacing Requirements for Indoor Active Play Equipment

“There are two slides with a height of 22 inches without the required surfacing. One slide is in the infant room and the second one in the school-age room. Note: This was corrected at inspection when slides were removed from operation.”

Rule 746.4915. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2022.