The Kid’s Garden Learning Center

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

“An infant was asleep in a crib with a bottle in the crib. This was corrected during the inspection when the bottle was removed from the crib.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 12, 2023.

Safety - Play Materials and Equipment Safe

“A stationary outdoor equipment item has a broken board that is sharp, and splinted.”

Rule 746.3701(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2023. Correction verified: Oct 26, 2023.

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 information gathered there was a child found outside in the front parking lot of the operation.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2023. Correction verified: Mar 20, 2023.

Immunization Records, Exceptions, and Exemptions Current

“There was not an updated immunization record available in one child’s record out of the eight that were viewed during the time of inspection.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Sep 2, 2022.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“There was one employee that did not have a current CPR and First Aid card available for review.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Jul 15, 2022.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“There was a trash can in the toddler classroom that had no lid. There was garbage from that mornings breakfast in the trash can. Additionally there were trash cans located in the bathrooms that had soiled diapers thrown in them, that had no lids on.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2022. Correction verified: Jul 15, 2022.

Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation

“There was no documentation recorded of the carbon monoxide detection systems, smoke alarms, and fire extinguishers being checked monthly. The last date that was recorded was 3/16/2022 that these systems were last checked.”

Rule 746.5537(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 5, 2022.

Immunization Records, Exceptions, and Exemptions Current

“There was one child file out of eight that were viewed that did not have an updated immunization record available for review.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 5, 2022.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“There was no lid on the trash can located in the toddler room. Note: The director placed a lid on the trash can during the inspection.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 17, 2022.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“There was a tear in the diaper changing mat, in the infant classroom.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2022. Correction verified: Mar 4, 2022.

Safety - Areas Free From Hazards

“There was a piece of playground equipment that had broken. These broken pieces appeared to be sharp.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2022. Correction verified: Mar 4, 2022.

Requirements for Feeding Infants - Never Prop Bottles

“There was an infant that was sitting up with a bottle propped up by a pillow with a towel on top of it. Note: This was quickly corrected at inspection when the caregiver picked up the bottle and started feeding the infant.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2022. Correction verified: Feb 11, 2022.

Director Responsibilities - Operate in Compliance

“The director did not ensure the operation was in compliance with minimum standard rules when a caregiver was left out of ratio, a playground gate was not checked to ensure it was properly closed allowing a child to leave and by allowing caregivers to be in direct care of children for more than 10 hours a day.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

Director Responsibilities - Direct Care for No More Than 10 Hours

“It was determined that caregivers were in direct care of children for more than 10 hours a day.”

Rule 746.1003(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“During the course of an investigation conducted by DFPS, it was determined that a 2 year old child was neglectfully supervised by a caregiver. This allowed the child to leave the playground area and walk into the busy street that the daycare is located on.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“A two year old child was able to leave the playground area without the caregivers knowledge. The child was gone for approximately 15 minutes. The caregiver only realized what happened when the child was returned to her care.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

Responsibilities of Caregivers- Supervision of Children

“It was determined that a caregiver failed to adequality supervise the children in care, when a child was able to walk out of the playground gate onto a busy street.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

Child/ Caregiver Ratio - 13 or More Children

“It was determined that a classroom with a specified age group of 2 years old had 13 children with 1 caregiver. The caregiver to child ratio for this specified age group is 1 caregiver to 11 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.

Maintenance Procedures for Active Play - Inspect Daily

“It was determined that the director did not inspect the playground area including the gate to the playground. The gate to the playground was unlocked and not latched which allowed a child to leave the playground space and walk to a busy street.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 17, 2022.