As We Grow Learning Center - East

Prohibited Punishments - Corporal Punishment

“A caregiver used an object to hit a child.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 23, 2026.

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

“Three caregivers did not have first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 2, 2025.

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

“Three caregivers did ot have CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 25, 2025.

Maintenance of Building, Grounds and Equipment

“The play strructure on the playground had broken parts.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 17, 2025.

Measurement of Use Zone for Slides - in Front of Access and on Sides

“The play structure’s did not have a use zone of six feet, the play structure is only 3 ft and 3 inches from the barrier.”

Rule 746.4805(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 17, 2025.

Documented Annual Training Area - 24 Hours Required

Rule 746.1309(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 2, 2025.

Written Operational Policies - Parent Rights

“The operational polices did not have information on Parent Rights.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 2, 2025.

Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website

“The operation did not have the most updated information on how parents can access the Minimum standards online or the HHS web site.”

Rule 746.501(a)(23). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 2, 2025.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“The caregiver did not intervene when a child was seen choking from a string wrapped around their neck.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jul 2, 2025.

Report Situation Placing Children at Risk

“The operation failed to make a report when a child was placed at risk.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jul 2, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“A caregiver was using a cell phone while tasked with supervision of children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jul 2, 2025.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“The operation did not provide an incident report when a parent made an allegation that a child was place at risk.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2025. Correction verified: Jul 2, 2025.

Food Service and Preparation Requirement - Safe and Sanitary

“During the follow-up inspection it was observed that sippy cups, a jug of milk, and a box of crackers, were all sitting on the changing table while the caregivers passed out snack and filled up the children’s sippy cups. This was corrected at inspection when the caregivers were asked to move the snack supplies onto a shelf rather than the changing table, and they did.”

Rule 746.3317. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 20, 2025.

Employee Handwashing After Removing Gloves

“During the inspection it was observed that a caregiver removed their gloves after changing a diaper and did not wash their hands before moving on to the next child.”

Rule 746.3415(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Children Handwashing After Toileting or Diapering

“During the inspection it was observed that a child’s diaper was changed and the caregiver did not wash their hands afterwards.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Diapering Procedures - Sanitizing Diaper Changing Area

“During the inspection it was observed that the changing pad was not sanitzed between each diaper change.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Maintenance Procedures for Active Play - Inspect Daily

“During the investigation inspection it was found that the operation was not able to show records that they have been conducting their daily or monthly inspections to ensure the safety of the building and grounds for the children present.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2025. Correction verified: Mar 20, 2025.

Operation Open to Parents At All Times

“During the inspection it was observed that parents were not being allowed access into the main part of the operation while picking up their children. They were stopped in the front office and their children were brought out to them.”

Rule 746.201(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Screen Time Activities - Not Used for Under Two

“During the inspection it was observed that 4 infants were having screen time, using their caregiver’s tablet, sitting in highchairs.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Location of Handwashing Sink

“During the inspection it was observed that the toddler sink was not equipped with soap and the school age toilet was not equipped with toilet paper.”

Rule 746.4405. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

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

“During the investigation it was found that the operation had been deficient in supervision when caregivers were unaware of some of the school age children’s behaviors and actions.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 20, 2025.

Child/ Caregiver Ratio - 13 or More Children

“During the investigation it was found that the operation is sometimes out of compliance with state required caregiver to child ratios. One caregiver will be left responsible for a higher number of children than they should have by themselves. This has occurred with the infants, toddlers, and school age children at different times in the past month.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 20, 2025.

Center Heated, Lighted and Ventilated Properly

“During the investigation it was found that there was a 2-3 day period in February 2025 in which the operation did not have their air conditioner running and this caused the operation to be too hot inside for ideal and/or safe conditions for the children present.”

Rule 746.3407(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 20, 2025.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“During the inspection dead roaches were observed in the building and garbage was observed on the playground.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 20, 2025.

Safety - Areas Free From Hazards

“During the investigation inspection it was found that the operation had a broken toilet lid, with broken porcelain, accessible to the children in care. It was also found that the changing table in the infant room has a broken strap and is unstable, causing the potential of a baby sliding off. In it’s current state, it is not suitable for use and presents a safety hazard.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2025. Correction verified: Mar 20, 2025.

Infant May Not Sleep in a Restrictive Device

“During the follow-up inspection an infant was observed sleeping in a bouncer seat.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2024. Correction verified: Dec 23, 2024.

Child/ Caregiver Ratio - 13 or More Children

“During the inspection it was observed that the infants had one caregiver with seven infants present. This classroom was over ratio by two infants. It was also observed that there was one caregiver with 12, two year olds. This classroom was over ratio by one toddler.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2024. Correction verified: Dec 23, 2024.

Screen Time Activities - Not Used for Under Two

“During the follow-up inspection it was observed that a classroom with children under the age of two were having screen time on the caregiver’s cell phone.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2024. Correction verified: Dec 23, 2024.

Children Handwashing After Toileting or Diapering

“During the inspection it was observed that a caregiver changed a child’s diaper and then sat them at the table and served them a cup of milk without washing their hands or the child’s hands first.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2024. Correction verified: Dec 18, 2024.

Screen Time Activities - Not Used for Under Two

“During the inspection it was observed that a classroom with children under the age of two were watching a children’s show on the classroom’s tablet.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2024. Correction verified: Dec 18, 2024.

Location of Toilets

“During the inspection it was observed that the toilet in the toddler classroom was not equipped any toilet paper as required for independent use.”

Rule 746.4409. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2024. Correction verified: Dec 18, 2024.

Maintenance of Building, Grounds and Equipment

“There are photographs that show pests in the director’s office.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2024. Correction verified: Sep 4, 2024.