St. Paul Lutheran Early Childhood Center

Requirements for Feeding Infants - Fed in Safe Manner

“An infant was drinking their bottle while laying down on their back in the crib. This was corrected at inspection when the infant was removed from the crib and was held to continue feeding.”

Rule 746.2419(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2026. Correction verified: Sep 2, 2026.

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

“Upon review of video footage, it was observed that four children were present in the classroom without a caregiver present.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2026. Correction verified: Sep 2, 2026.

Safety - Electrical Outlets Covered

“A child was sleeping under a uncovered electrical outlet. This was corrected at the inspection when the caregiver placed a outlet cover on the exposed outlet.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 8, 2026.

Required Admission Information - Date of Admission

“There were four children files out of the six that were viewed, that did not have the date of the child’s admission. Note: This was corrected at inspection with the director added in those dates to each of the children’s files.”

Rule 746.605(3). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2025.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“Conditions that were placed on a caregivers background check was not being followed. This was corrected when the caregiver was placed in a different room with another caregiver without conditions. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Requirements for Feeding Infants - Label Bottles/Cups

“I observed bottles in a refrigerator that were not labled with the infants first name and last initial. The bottles were labled during the inspection”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2024.

Maintenance of Building, Grounds and Equipment

“A bathroom that is counted in the operations capacity was being used as storage. I spoke to the director about keeping the restroom usable for the children as it is part of their capacity. The restroom was cleared out. A toddler playground was not being used due to maintanence that was needed on the playground. There was fencing around the AC that was cracked and the toys were knocked over, and the cover for the sanbox was in the sanbox bunched up which could cause a tripping hazard.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2024. Correction verified: Feb 12, 2024.

Fire Drill Monthly - Exit in 3 Minutes

“A fire drill was not completed in January 2024. A fire drill was completed during the inspection and that children and staff were able to exit in 2 minutes and 41 seconds.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2024.