Reliable Child Care

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Two infant caregivers did not obtain training related to SIDS/Shaken baby syndrome. The caregivers were observed caring for infants during the annual inspection.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2023. Correction verified: Oct 6, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“One staff CPR/First-Aid certification did not adhere to the guidelines of skill-based training or consist of a curriculum that incudes use of a CPR manikin. The staff obtain CPR certification online. Next appointment scheduled, 10/14/2023.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2023. Correction verified: Oct 17, 2023.

Required Admission Information - Reasonable Accommodations or Modifications

“The childcare facility did not update the children files to portray the updated required information. The files observed did not include an updated special needs section, modifications, and/or water activity permission.”

Rule 746.605(13)(B)(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Oct 17, 2023.

Documented Annual Training Area - 24 Hours Required

“Three staff records observed did not have their total training topics/hours available for review. Staff lacked topics related to food allergies, emergency preparedness, SIDS/Shaken baby syndrome, communicable disease, and handling, storing, and disposing of hazardous materials. Staff one file contained 16 out 24 hours. Staff two file contained 15 out 24 hours. Staff three file contained 14 out 24 hours.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2023. Correction verified: Oct 6, 2023.

Director Annual Training 30 Hours Required

“The designated director had zero hours for the current training year available for review. The most recent training topic observed was titled health and safety and dated April 2, 2022. The Director start date is documented on file as 07/01/2021.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2023. Correction verified: Oct 6, 2023.

Children’s Products- Annual Certification

“The annual children’s product certification was dated, 1/26/2022.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2023. Correction verified: Apr 5, 2023.

Responsibilities of Caregivers - Free of other activities

“One caregiver in the Toddler classroom was observed on her cell phone during nap time. One caregiver in the Pre-K classroom was observed on her cell phone during naptime. Both caregivers were observed utilizing social media while supervising children.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2022. Correction verified: Sep 20, 2022.

Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

“A caregiver in the school-age classroom did not have the required pediatric first aid with rescue breathing. The employee hire date is 07/20/2022. The caregiver was observed during the initial inspection with unsupervised contact with children.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2022. Correction verified: Sep 19, 2022.

Administering Medication - Original Container with Child’s Name, Date

“One out of two epi-pen were not observed in it’s original container. The epi-pen observed did not include the child’s full name, or the date brought to the operation.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2022. Correction verified: Sep 13, 2022.

Children’s Products-Posting of CPSC website

“The CPSC form was not post, and/or avaible for Licensing to review. A 2885 Form was provided to operation via email in order to review current recalls and post for parents to review.”

Rule 746.4135(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2022. Correction verified: Aug 9, 2022.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“A bottle of bleach and water was within the reach of children three years through four years of age. Note- This was corrected during the inspection when the bottle of bleach and water was moved out of the reach of the children.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 23, 2022.

Child/ Caregiver Ratio - 13 or More Children

“A classroom with a specified age group of 12-17 months had six children to one caregiver which put the classroom over ratio by one child. Note- This was addressed during the inspection when one infant was moved to the infant classroom to maintain child/caregiver ratios.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Mar 24, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“Four infant bottles were not labeled with the infant’s first name and last initial. Note- This was corrected during the inspection when the infant bottles were properly labeled.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 23, 2022.

Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list

“The operation has never validated their background check list. Note- This was corrected during the inspection when the director validated the background check list.”

Rule 745.651(2)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 23, 2022.

Documentation of Drills

“The operation did not document their February 2022 fire drill. Note- This was corrected during the inspection when the director documented the fire drill.”

Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 23, 2022.

Policies Comply with Rules

“The operational policies did not contain policies on Immunization Requirements, Hearing and Vision Screening Requirements, Procedures for Parents to Participate in Center Activties, Statement that Parents can Visit the Center at Anytme, Vaccine Preventable Diseases for Employees, Promotion of Physical Activity, and a Comfortable Place for a Mother to Breastfeed.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Mar 23, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with a diagnosed food allergy does not have a Food Allergy Action Plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Mar 16, 2022.

Immunization Records, Exceptions, and Exemptions Current

“One out of ten children’s records evaluated did not have up-to-date immunization records on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Mar 16, 2022.

Screen Time Activities - Not Used for Under Two

“An 18-month-old toddler was allowed to watch the television. Note- This was corrected during the inspection when the television was turned off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 9, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infants, who are not yet on table food, did not have updated infant feeding instructions. The three infant feeding instructions have not been updated since December 2021.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 16, 2022. Correction verified: Mar 16, 2022.

Children’s Records - Admission Information

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 16, 2022. Correction verified: Mar 16, 2022.

Health Statement on File within 1 Week of Admission

“Four out of ten children’s records evaluated did not have a health statement on file.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Mar 16, 2022.

Required Personnel Records

“One out of five caregiver records did not have a notarized affidavit on file. One out of five caregiver records did not have a photo ID.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 16, 2022. Correction verified: Mar 16, 2022.

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

“A caregiver with a provisional background check was not following the conditions of the background check when they were left alone with a group of children. Note- This was corrected during the inspection when another caregiver with an eligible background check took over the classroom.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2022.

Children’s Products- Annual Certification

“The operation did not have a Children’s Product Safety Annual Certification. Note- This was corrected during the inspection when the director completed the Children’s Product Safety Annual Certification.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The operation had not documented their smoke detector and carbon monoxide detector testing since October 2021. Note- This was corrected during the inspection when the director documented the testing.”

Rule 746.801(10). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2022.