America’s Choice Child Care

Responsibilities of Caregivers - Know children responsible for

“A caregiver responsible for a group of children ages 5-9 years old was unaware of the number of children responsible for. The caregiver stated 15, however 16 were present.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2023. Correction verified: Aug 10, 2023.

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 checks was observed in caring for a group of 8 children ages 4-7 years old. The group did not have another caregiver present.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2023. Correction verified: Jun 23, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed with five children ages 5 months, 8 months, 10 months, 13 months, and 13 months. The specified age group is 0-11 children which allows one caregiver to supervise four children. The caregiver was over ratio by one child. Note: An additional caregiver was added to the room during inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2023. Correction verified: Jul 6, 2023.

Sign-in and Sign-out Tracking System

“During this inspection the classroom sign in and out logs were reviewed. The toddler sign in and out log showed ten children signed in however nine were present. Note: This was corrected during inspection.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2023.

Children’s Records Maintained

“Records were evaluated for ten children in care and the following was determined: Two children needed a special needs statement. Two children needed an emergency contact other than the parent. One child needed a health statement signed by a physician. One child needed an updated immunization record.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2023. Correction verified: Jul 6, 2023.

First Aid Kit - Incomplete Kit

“The first aid kit in the transportation van was reviewed and the following items were needed: -Scissors -Thermometer -Cotton Balls Note: This was corrected during inspection.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 9, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“The caregiver in the Pre-K classroom was unaware of the group responsible for. The caregiver stated nine children were present, however ten were counted.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 4, 2023. Correction verified: Jan 17, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated six children were present, however seven were counted.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2022. Correction verified: Jan 3, 2023.

Sign-in and Sign-out Tracking System

“The classroom sign in and out logs were reviewed and showed six of seven children in the Toddler class were signed in. Note: This was corrected during inspection.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 22, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“The caregiver in the Toddler classroom was unaware of the group responsible for. The caregiver stated seven children were present, however eight were counted.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 22, 2022.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“An eleven month old was observed laying in a crib with a pacifier attached to the shirt.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 22, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A food allergy emergency plan is needed for one child enrolled.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 27, 2022. Correction verified: Dec 17, 2022.

Sign-in and Sign-out Tracking System

“The classroom sign in and out logs were reviewed and showed six of eight children in the Toddler class were signed in.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 22, 2022.

Chairs - Safety Straps Used if Required by Manufacturer

“During this inspection I observed a nineteen month old seated in a high chair. The safety straps were not in use.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 22, 2022.

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

“Based on the information obtained, the operation failed to ensure a child was not neglected when a child was left unsupervised on a transportation van for approximately one hour and fifteen minutes.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Responsibilities of Caregivers - Supervision of Children

“Based on the information obtained, it was determined the director failed to maintain supervision when a child was left in a van to the far left of the operation near a main street.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Report Situation Placing Children at Risk

“Based on the information obtained, the operation failed to report a child was left alone on the transportation van for approximately one hour and fifteen minutes.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Safety Precautions for Loading and Unloading Children - Account for All Children

“Based on the information obtained, the center director admitted to not entering the transportation vehicle to account for all children present.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Electronic Child Safety Alarm - is equipped in each vehicle

“Based on the information obtained, the vehicle used for transporting children was not equipped with a child safety alarm.”

Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Sign-in and Sign-out Tracking System

“Based on the information obtained, a child was not signed in at the operation after being picked up from school.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

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

“Based on the information obtained, the operation did not provide the parent with an incident report regarding a situation placing a child at risk.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 15, 2022.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Orientation training is needed for one caregiver who has unsupervised access to a children in care.”

Rule 746.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2022. Correction verified: Jun 1, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“A staff member counted in the child/caregiver ratio is in need of eight hours of pre-service training. A staff member counted in the child/caregiver ratio is in need of twenty four hours of pre-service training.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2022. Correction verified: Jun 9, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“Documentation reviewed for four of six staff members showed the Pediatric CPR training was completed online.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2022. Correction verified: May 26, 2022.

Safety - Areas Free From Hazards

“While inspecting the outdoor play area I observed broken fence pickets, trash/debris, and ant piles. Note: The operation removed the trash from the outdoor play area during inspection.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 3, 2022. Correction verified: Jun 9, 2022.

Inspect Fire Extinguishers Monthly

“The operation did not have documentation showing the fire extinguishers are checked monthly.”

Rule 746.5307(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 24, 2022. Correction verified: May 26, 2022.

Fire Extinguishers Serviced

“The fire extinguisher in the transportation van is in need of servicing.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2022. Correction verified: May 26, 2022.

Children’s Records Maintained

“Records were evaluated for ten children enrolled and the following was determined: One needed an updated immunization record. Two needed an emergency contact. One needed a health statement.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2022. Correction verified: Jun 10, 2022.

Required Personnel Records

“Personnel records were evaluated for six staff members and the following was determined: One caregiver needed documentation showing how they meet the minimum education qualifications. One caregiver needed a notarized affidavit. The director needed a current ID/Driver’s License.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2022. Correction verified: Jun 9, 2022.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“During this investigation it was determined that a caregiver used prohibited punishment such as yelling at the children.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 3, 2022. Correction verified: Jun 9, 2022.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The last fire inspection was conducted on 02/05/2021.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2022. Correction verified: Mar 10, 2022.

Safety Requirements for Cribs - Label for Each Infant

“One crib used for an infant in care needed a label. Note: This was corrected during the inspection.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 25, 2022.

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

“One staff member needed Pediatric CPR/First Aid training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2021. Correction verified: Nov 19, 2021.

Safety Requirements for Cribs - Snug Fitting Sheets

“Four cribs needed snug fitting sheets.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2021. Correction verified: Nov 19, 2021.

Maintenance of Building, Grounds and Equipment

“Two toilets and three sinks near the after schooler’s classroom needed repair. Four sinks and one toilet near the toddler classroom needed repairs.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Dec 10, 2021.

Written Feeding Instructions - Review and Update Every 30 Days

“Updated feeding instructions were needed for one infant in care.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2021. Correction verified: Nov 19, 2021.

Children’s Records - Admission Information

“Records were evaluated for ten children enrolled and the following was determined: Eight needed special needs statement Three needed immunization info Three needed a health statement One needed an emergency contact One needed school information”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2021. Correction verified: Dec 15, 2021.

Required Personnel Records

“Six personnel records were evaluated and the following was determined: One needed a copy of a current drivers license One needed a notarized Licensing Affidavit Four needed education qualifications”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2021. Correction verified: Dec 15, 2021.