A Child’s Discovery

Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

“Several mats observed in the classrooms were torn and the foam was exposed. Corrected at inspection: The torn mats were removed from the classrooms.”

Rule 746.4503(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2023.

Cots, Beds, Mats Labeled With Child’s Name

“The mats were not labeled with the name nor a number system. Corrected at inspection: The mats were labeled with the child’s name during the inspection.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2023.

Written Operational Policies - Promotion of Physical Activity

“The indoor/outdoor policy was not in the operational policies provided to the parents. Corrected inspection: The indoor/outdoor policy was added to the operational policies.”

Rule 746.501(a)(18). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2023.

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

“The fire inspection was last completed on 02/25/2022.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 10, 2023.

Annual Sanitation Inspection

“The health inspection was last conducted on 02/25/22.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 9, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Two out of six children records were lacking an updated immunization record.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2023. Correction verified: Jan 30, 2023.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Two out of six children admission forms reviewed were lacking the doctor name and address under the health statement.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2023. Correction verified: Jan 30, 2023.

Infant Daily Report - Share with Parent

“During the investigation inspection it was observed the center did not fill out the infant daily report and provide it to parents at the time of pick up.”

Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 29, 2022. Correction verified: Dec 29, 2022.

Child/ Caregiver Ratio - 13 or More Children

“A classroom with children between 2-4 years old was observed to be out of ratio. The specified age group for the classroom was 2 years old with one caregiver and there were a total of 15 children. The classroom was out of ratio by 4 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2022. Correction verified: Dec 19, 2022.

Director Responsibilities - Operate in Compliance

“The center was cited for ratios three times. The director is failing to ensure the classrooms are within ratio.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

AP Ensure total number of children both at & away from center within capacity

“The permit capacity is 52 children and there were 53 children present at the center. Corrected at inspection: A child was sent home during the inspection.”

Rule 746.201(11). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 2, 2022.

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

“A caregiver observed to be supervising child alone did not have first aid training.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2022. Correction verified: Sep 16, 2022.

Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

“A caregiver observed in a classroom supervising children alone does not have CPR training.”

Rule 746.1301(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2022. Correction verified: Sep 30, 2022.

Child/ Caregiver Ratio - 13 or More Children

“The toddler classroom had a total of 14 children in care with the specified age group of 2 years old with one caregiver. The classroom was over ratio by 3 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 16, 2022.

Center Heated, Lighted and Ventilated Properly

“The toddler classroom did not have any working lights on besides the bathroom light. Corrected at inspection: They moved the children into another room that had working lights.”

Rule 746.3407(10). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 2, 2022.

Personnel Record Storage- Location

“The personnel files were not at the center. Corrected at inspection: A person had to bring the files to the center.”

Rule 746.907(c). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 2, 2022.

Adequate Lighting During Naptime

“The centers second building had all the lights off including the classroom and hallway lights. Corrected at inspection: The lights were turned on during the inspection.”

Rule 746.2911. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 12, 2022.

Safety - Areas Free From Hazards

“An old broken diaper changing station was observed in the playground area. A small homemade kitchen play area was observed to be coming apart and have a screw sticking out. Broken and rusted wheels off of a toy were also observed in the playground area. Corrected at inspection: All the broken items were removed from the playground area.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 12, 2022.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The center could not provide a filled out monthly playground checklist.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 12, 2022.

Documentation of Drills

“The center could not provide an emergency safety documentation form that indicated any fire, severe weather, or lock down drills had been conducted.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 12, 2022.

Responsibilities of Caregivers - Know Children’s Names and Ages

“A caregiver could not tell me the ages of the children in their care, they did not have a list that had the children’s name or date of birth.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2022. Correction verified: Jun 14, 2022.

Child/ Caregiver Ratio - 13 or More Children

“Recited: A classroom was observed to have 23 children in care with one caregiver. The youngest in the classroom was 16 months the oldest was 10 years old. The specified age group was 4 years old.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2022. Correction verified: Jun 14, 2022.

Written Operational Policies - Promotion of Physical Activity

“Recited: The operational policy was lacking the indoor/outdoor policy.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2022. Correction verified: Jun 14, 2022.

Child/ Caregiver Ratio - 13 or More Children

“Two classrooms were observed out of ratio. The infant classroom had 6 infants with the specified age group of 0-11 months with one caregiver. The second classroom had a total of 17 children with one classroom with the specified age group of 2 years old with one caregiver.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: Jun 1, 2022.

Infant Care Area - Separate from Older Children

“A 4 month old child was observed in a classroom with a 4 year old. Corrected at inspection: They separated the classroom.”

Rule 746.2403(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 20, 2022.

Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

“There were 6 infants in the classroom and there are only 4 cribs in the classroom. Corrected at inspection: They add pack-n-play’s into the classroom.”

Rule 746.2405(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 20, 2022.

Prohibited Equipment for Infants - Baby Walkers

“A walker was observed in an infant classroom. Corrected at inspection: It was removed from the classroom.”

Rule 746.2415(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 20, 2022.

Screen Time Activities - Not Used for Under Two

“A class was observed watching a cartoon and there were infants in the classroom. Corrected at inspection: They turned off the television and moved the infants into another classroom.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 20, 2022.

Written Operational Policies - Promotion of Physical Activity

“The operational policy was lacking the indoor/outdoor policy.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2022. Correction verified: Jun 1, 2022.

Infant Care Area Furnishings and Equipment - Hand-washing Sink

“An infant room did not have a sink.”

Rule 746.2405(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2022. Correction verified: Mar 24, 2022.

Children’s Products- Annual Certification

“The CPSC certificate was not signed or posted.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2022. Correction verified: Mar 24, 2022.