Spanish Grove Academy- Edquisitive Montessori

Responsibilities of Caregivers - Know number of children responsible for

“During the walkthrough, a staff member did not know how many children were in their care. *Note, this was corrected when the staff member counted the children in the room.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 8, 2026. Correction verified: Oct 19, 2026.

Written Operational Policies - Emergency Preparedness Plans

“The Emergency Preparedness Plan was found to be incomplete.”

Rule 746.501(a)(24). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Seven staff files did not have training certificates in the required HASA topics for review at the time of the inspection.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a diagnosed food allergy did not have a FARE form on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 19, 2026.

First Aid Kit - Available in Each Building, on Field Trips, during Transportation

“The first aid kit was incomplete at the time of the inspection. NOTE: This was corrected at inspection when the missing components were located and placed in the kit.”

Rule 746.4001. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 8, 2026.

Immunization Records, Exceptions, and Exemptions Current

“Two chilidren did not have current immunization records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2026.

Required Personnel Records

“Six staff members did not have operational policy and staff policy acknowledgment forms available for review.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 19, 2026.

Administering Medication - Not After Expiration date

“The staff administered expired medication to child. *Operation admitted this after realizing that it happened*”

Rule 746.3805(b)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2026. Correction verified: Sep 8, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“During the investigation process, it was determined that the parent did not sign the food allergy plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 3, 2026. Correction verified: Sep 8, 2026.

Documented Annual Training- Required Content

“During the investigation process, it was determined a caregiver did not have administering medication training.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 8, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“An infant not yet on table food did not have updated feeding instructions. This was corrected at inspection when updated instructions were sent to the operation.”

Rule 746.2421(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 4, 2025.

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

“The diaper-changing mat that was ordered does not meet the requirements or the needs of the children.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2024. Correction verified: Dec 12, 2024.

Child/Caregiver Ratio - 18 Months Difference in Age

“During the walk-through, there was a 12-month-old child in the classroom with a 3-year-old. Exceeding the 18-month age requirements.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Dec 6, 2024.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“Diaper cream was expected in the toddler restroom. Diaper cream was moved to children’s cubbies that were out of the reach of the children.”

Rule 746.3501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Dec 6, 2024.

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

“In one of the toddler classrooms, there was not a changing mate for diaper changing.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Dec 6, 2024.

Maximum Height - Under Age 2

“Children ages 14 months - 20 months were playing on a play structure over the allocated height required. The height was 46 inches.”

Rule 746.4607(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2024. Correction verified: Dec 6, 2024.