Miles of Smiles Childcare

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

“During inspection a caregiver left a group of children unsupervised for a few moments.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2023. Correction verified: Jun 26, 2023.

Using, Storing and Disposing of Hazardous Materials

“During inspection, hand sanitizer, Lysol, and disinfecting wipes were observed in reach of children.”

Rule 746.3407(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2023. Correction verified: Jun 26, 2023.

Notification of Change in Space

“During inspection a room was being used for care that is not on the permit.”

Rule 746.301(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 13, 2023.

Safety - Areas Free From Hazards

“During an inspection broken toys and riding toys were observed on the playground. These toys were removed during the inspection. A broken window was observed on the building that is accessible from the toddler playground.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 21, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“Four staff files were reviewed. #2, #3, #4 need 8 hours of preservice training and CPR/1st aid training. All need Abuse/Neglect Training #1 and any other employees who work in the infant room need SIDS/Abusive Head Trauma/Brain Development Training.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 26, 2022.

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

“During inspection four records were reviewed: #2, #3, and #4 do not have current CPR/1st aid training.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 26, 2022.

Required Admission Information - Emergency Contact

“Four records were reviewed during inspection: #2 Address and phone for doctor; healthcare provider statement #4 needs an updated shot record.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 26, 2022.

Storage for Individual Belongings

“During inspection it was found that all cubbies or hooks need to be labeled.”

Rule 746.4505. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 15, 2022.

Required Personnel Records- Current Driver’s License

“Four records were reviewed and all four need a copy of a photo ID. The director needs a copy of current driver’s license.”

Rule 746.901(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 15, 2022.

Required Personnel Records - Dates of Employment

“Four records were reviewed: Staff #2, #3, and #4 do not have completed personnel form such as Employment begin date Date of Birth Employee statement about center and personnel policies Checked that orientation was received and signed by employee and director”

Rule 746.901(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 22, 2022.

Required Personnel Records - Required Affidavit

“Four records were reviewed and #3 and #4 are missing an affidavit of employment.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 15, 2022.

Written Operational Policies - Emergency Preparedness Plans

“The Emergency Preparedness Plan is incomplete and lacking information.”

Rule 746.501(a)(24). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: May 31, 2022.

Floors, ceilings and Walls in Good Repair and Clean

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 9, 2022.

Safety - Areas Free From Hazards

“The air conditioning unit on the playground must be inaccessible to children. The grass needs to be maintained to prevent unwanted animals from hiding in tall grass and weeds. Mow, weed eat, and pull up plants that are poisonous. Trim Tree if desired to help with shade. Remove Wiring in large room.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 9, 2022.

Emergency Evacuation and Relocation Diagram - Floor Plan

“Diagrams showing all the required components of the evacuation plan was not available.”

Rule 746.5207(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 9, 2022.

Storage for Individual Belongings

“Individual storage for children is not available.”

Rule 746.4505. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 9, 2022.

Written Operational Policies - Immunizations

“The Parent Handbook does not have information about required immunizations.”

Rule 746.501(a)(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: May 31, 2022.

Written Operational Policies - Vision and Hearing Screening

“The Parent Handbook does not have information about required vision and hearing testing.”

Rule 746.501(a)(12). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: May 31, 2022.

Written Operational Policies - Promotion of Physical Activity

“The Handbook is missing information about Promotion of indoor and outdoor active Play The benefits of active play The duration of active play that will be provided Examples of active play provided Where active play will occur And how active play will be provided during extreme weather.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 2, 2022.

Written Operational Policies - Procedures for Parent Participation

“Procedures for how parents can participate in activities at the center is not provided in the handbook.”

Rule 746.501(a)(21). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jun 2, 2022.