Starting Point Childrens Center

Required Immunizations

“Of the 10 children’s records evaluated, five were behind with immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 9, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“Of the 10 personnel records evaluated, 7 have not completed 24 clock hours of pre-service training. These staff are being counted in the child/staff ratio. Additionally, one staff that just started on the day of the inspection was counted in the child/staff ratio without the 8 clock hours of pre-service training being completed. This staff needs to complete the 8 clock hours of pre-service training by 10/16/23.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2023. Correction verified: Nov 16, 2023.

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

“Of the 9 personnel records evaluated, 7 staff did not complete 24 clock hours of annual training for their respective training year. The staff will need to receive make-up training hours that will not count towards the current training year.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 15, 2024.

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

“The director received 6 of the 30 clock hours of required annual training for the March 2022-March 2023 training year. The director will need to receive 24 clock hours of make-up training that will not count towards the current training year.”

Rule 746.1301(a)(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 15, 2024.

Training Requirements for Employees, Caregivers, and Directors - Transportation training

“The director has not completed a Transportation Safety training course.”

Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Jan 15, 2024.

Employee Handwashing After Diapering a Child

“A caregiver is not washing their hands with running water and soap after diaper changes,”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Nov 9, 2023.

Emergency Preparedness Plan-Continuity of Care Until Children Released

“The Emergency Preparedness Plan does not state how children will be cared for during the emergency.”

Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 9, 2023.

Required Admission Information - Special Needs Statement

“All 10 of the children’s records lacked information regarding special needs.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

Required Admission Information - Emergency Contact

“Of the 10 children’s records evaluated, one lacked the address of the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Of the 10 children’s records evaluated, one record lacked the original exemption form for the child.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 1, 2023.

Written Activity Plan - Outline Daily Activities

“Three classrooms (Infant Two and Pre-K) do not have activity plans that state the specific daily activities.”

Rule 746.2205(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

First Aid Kit - Incomplete Kit

“The First Aid Kit in one van did not have Band-Aids or antiseptic solution/wipes.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Nov 9, 2023.

Written Operational Policies - Promotion of Physical Activity

“The parent handbook does not inform parents of the benefits of physical activity and outdoor play, the duration of phys cai activity and outdoor play, types of physical activities the children will participate in, the setting of the activities, the criteria used when there is extreme weather and the plan for children to still receive physical activity when weather prevents them from going outside.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

Written Operational Policies - Support inclusive services

“The parent handbook does not inform parents of the procedures that will take place for inclusive child care for any child with special care needs.”

Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 9, 2023.

Required Admission Information - Physician Information

“Of the 10 children’s records evaluated, one lacked the name, address and phone number of the child’s doctor.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

Health Statement on File within 1 Week of Admission

“Of the 10 children’s records evaluated, three lacked a health care statement,”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Nov 9, 2023.

Children’s Records - Vision and Hearing Screening

“Of the 10 children’s records evaluated, one did not include the results of a vision and hearing screening.”

Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 1, 2023.

Responsibilities of Caregivers - Know children’s names and ages

“A caregiver for a toddler classroom did not know the ages of children she was responsible for.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Oct 11, 2023.

Child/ Caregiver Ratio - 13 or More Children

“A toddler classroom was of compliance with child/staff ratios. There were 12 children, ages 22 months to 2 years old with one caregiver. The specified age group was 2 years old.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Oct 11, 2023.

Maximum Group Size 13 or More Children

“The school-age classroom was not in compliance with the maxium group size. There were 36 children, ages 5-12 years old, with two caregivers. The specified age group was 7 years old.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Oct 11, 2023.

Safety - Electrical Outlets Covered

“There were uncovered outlets in a pre-k classroom.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2023. Correction verified: Oct 11, 2023.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Grass has overgrown the loose-fill surfacing in several areas of the playground; therefore, the loose-fill surfacing is not being maintained at the proper depth of 6 inches.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 11, 2023.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“The background check staff that is no longer employed by the center was not inactivated within the 7 days. This was corrected at inspection.”

Rule 745.651(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2023.

Screen Time Activities - Related to Planned Activities

“The school age chuldren were watching a show that was not educational and not related to planned activities. This was corrected at inspection.”

Rule 746.2207(c)(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“One child, 12 years of age was observed on the entryway stairs of the school-age area, which was separate from the remainder of the classroom. An 11-year-old child was observed walking from the upstairs area unsupervised, and into the hallway of the main childcare facility. No caregiver was observed with the child, and/or in the hallway.”

Rule 746.1205(a)(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“One infant, 5 months of age was observed covered with a blanket during naptime. One infant, 12 months of age was observed with a bottle in the crib during naptime. Caregivers were advised to remove extra objects from all infant cribs.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jul 5, 2023.

Safety - Electrical Outlets Covered

“Three outlet plugs were uncovered, and/or misplaced in the Preschool 3 classroom. The assistant Director was able to replace the outlet covers during the inspection.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.