The Playhouse Daycare

Infant May Not Sleep in a Restrictive Device

“An infant was asleep in a bouncy/rocker seat for 15 minutes. This was corrected at inspection when the caregiver was prompted to move the infant to the crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2023. Correction verified: Aug 15, 2023.

Prohibited Punishments - Placing Child in Locked or Dark Room

“A child was napping in a restrictive device becuase the child will not sit still. This was corrected at inspection when the caregiver released the child.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Three new employees recently hired, and left alone with children still do not have at least eight hours of preservice training.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Aug 25, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“The staff CPR certification was completed on line and has not been updated to in person training.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 15, 2023.

Child/ Caregiver Ratio - 13 or More Children

“This standard was reevaluated and continues to be out of compliance. The infant caregiver had six infants ages 4 months to 16 months and the specified age group is 12 - 17 months, which allows 5:1 ratio. This was corrected at inspection when a second caregiver entered the infant room later.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

AP Parental Notification of Deficiency as described in 746.309 within 5 Days

“The operatio did not notify parents of a safe sleep deficiency incurred on 7/19/23 within five days of the deficiency, 724/23. The deficiency was shown delinquent on 7/26/23.”

Rule 746.311(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

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

“A child ran down the hall from the preschool room to the toddler room without supervision to talk to a staff. The infant caregiver left the infant room to close the door to an adjoined room.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2023. Correction verified: Aug 1, 2023.

Infant May Not Sleep in a Restrictive Device

“An infant was asleep in a bouncy/rocker seat for 15 minutes. This was corrected at inspection when the caregiver was prompted to move the infant to the crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2023. Correction verified: Aug 1, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Three new employees recently hired, and left alone with children do not have at least eight hours of preservice training.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2023. Correction verified: Aug 1, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“The staff CPR certification was completed online.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2023. Correction verified: Aug 1, 2023.

Child/ Caregiver Ratio - 13 or More Children

“A caregiver with four infants had an addtional three year old child in the room. Specified age group is 0-11 months which allows 4:1 ratio. This was corrected at inspection when the older child was moved to the toddler class.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2023. Correction verified: Aug 1, 2023.

Required Personnel Records

“Personnel records are missing various required records, affidavis, receipt of operational/personnel policies.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2023. Correction verified: Aug 1, 2023.

Immunizations-Immunization record must include the child’s name and birth date

“Four children did not have current immunizations in their files.”

Rule 746.623(1)(A). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Aug 1, 2023.

Infant May Not Sleep in a Restrictive Device

“This standard was evaluated and found to be out of compliance when a three-month-old infant was allowed to sleep in a bouncy/rocking seat.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2023. Correction verified: Mar 29, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“The Tv was on a movie during nap time.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Dec 14, 2022.

Notification of Additional Services Offered

“This standard was evaluated and found to be out of compliance. The operation staff added a transportation service prior to notifying Child Care Regulation.”

Rule 746.301(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2022. Correction verified: Dec 14, 2022.

Prohibited Equipment - Allows Children To Fall Inside Structure Onto Other Parts

“The operation has climbing geometric dome on the playground, which poses risk of injury to children.”

Rule 746.4603(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 29, 2022.

Annual Sanitation Inspection

“The operation has not had an initial inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 27, 2022.

Diaper Changing Equipment - Hand-washing Sink in Diaper Changing Area

“There is not a hand washing sink in the diaper changing room in the 18 - 24 month classroom.”

Rule 746.3503(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 29, 2022.

Gas Leak Inspection - Natural Gas

“The operation uses gas for water heater and has not had a gas line test conducted.”

Rule 746.5403(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2022. Correction verified: Jun 27, 2022.