Tlw Childrens Development Center

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

“There were 2 caregivers, present and caring for children, that did not have a completed initial background check. One of the caregivers’s background check was inactive since 10/12/22. This was corrected when both caregivers left the operation.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 1, 2023.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Two caregivers did not have documentation showing the orientation training was completed.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2023. Correction verified: May 19, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“Two of the caregivers did not have documentation showing that preservice training was completed.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2023. Correction verified: May 18, 2023.

Required Admission Information - Emergency Medical Authorization

“One of the four children’s files reviewed did not have the medical authorization information filled out on the admissions form.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2022. Correction verified: Dec 5, 2022.

Children’s Records - Health Statement

“Three of the four children’s file reviewed did not have a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 5, 2022.

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

“Based on the evidence obtained by CCI, a childcare center employee was found Reason to Believe for Physical Abuse of a child.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 28, 2022. Correction verified: Jan 10, 2023.

Prohibited Punishments - Hitting with Hand or Instrument

“Based on the evidence received during the DFPS investigation, a childcare center employee used her hand to discipline a child for wetting on themselves.”

Rule 746.2805(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 28, 2022. Correction verified: Jan 11, 2023.

Report Outbreak of Communicable Illness

“During the investigation, the owner admitted that she forgot to notify licensing that staff and children had tested positive for covid-19.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 28, 2022.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“A slide was placed on the playground without the proper amount of loose-fill surfacing being installed in the use zone. This was corrected at inspection when the slide was removed from the playground.”

Rule 746.4901(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2021.

Written Activity Plan - Outdoor Play Opportunities

“The children were not given two opportunities for outdoor activities. Toddler children must have 60 minutes of outdoor activities daily.”

Rule 746.2206(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2021.

Screen Time Activities - Not Used for Under Two

“A child under the age of 2 was watching a video. Screen time is not allowed for children under the age of 2. This was corrected at inspection.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2021.