Primrose School of Georgetown

Written Feeding Instructions - Review and Update Every 30 Days

“There were 4 infants that did not have updated infant feeding instructions on file.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Nov 10, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Based on the preponderance of evidence, a caregiver did not use good judgement when they did not provide the full details of the child’s injuries on the incident and did not inform the parent or director when the child’s injuries became worse.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2022. Correction verified: Nov 3, 2022.

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

“During a walk through of the operation, two caregivers were in the same classroom and both of the caregivers had conditions stating that they could only be supervised by other persons without conditions. This was corrected when one caregiver was moved into another classroom.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 22, 2022.

Infant May Not Sleep in a Restrictive Device

“Observed 2 infants sleeping in restrictive devices. This was corrected when the caregivers removed the infants.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 22, 2022.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“A child was placed in a restrictive device (high chair) for discipline. It was explained to the caregiver that highchairs cannot be used for time out. The child was removed from the high chair”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 22, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“Observed one caregiver past their 90 days of employment with CPR training that was completed online. I explained that within 90 days of employment, CPR must be completed and the training must utilize the use of a manikin. This was corrected, as the employee no longer works at the operation.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Responsibilities of Caregivers- Supervision of Children

“A child was left outside without supervision from an caregiver.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2022. Correction verified: Apr 14, 2022.

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

“An incident report was not completed for the incident until 4/13/2022. The incident occured on 4/11/2022.”

Rule 746.701(5). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 13, 2022.

Report Number of Employees

“A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Feb 28, 2022.