First Steps Montessori Learning Center

CPR Training and Recertification Adhere to Guidelines-skill based

“Three staff members had CPR training that was taken online, therefore does not adhere with the guidelines for American Heart Association.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 9, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“Two infant bottles were not labeled with child’s name. Note: Corrected at Inspection when caregiver labeled bottles.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 17, 2026.

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

“Based on information gathered during the investigation, caregivers failed to properly supervise a child when the child was able to wander outside the daycare alone.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2026. Correction verified: May 20, 2026.

Report Situation Placing Children at Risk

“Based on information gathered during this investigation, the operation did not report to Child Care Regulation that a child wandered away from the daycare unsupervised.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2026. Correction verified: May 20, 2026.

Incident/Illness Report Form Shared with Parent

“Based on information gathered during this investigation, the operation did not provide the parent of the child who wandered outside unsupervised with an incident report.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2026. Correction verified: May 20, 2026.

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

“This standard was found deficient as part of a DFPS investigation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 4, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“During an investigation, it was determined that the caregivers did not know how many children were in their care on the day of the incident.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 4, 2026.

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

“During an investigation, it was determined that a child was left unsupervised on the playground for approximately three hours.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 4, 2026.

Report Change in Director

“During the inspection, it was learned that the operation did not notify Child Care Regulation of the change in director. Note: This was corrected at inspection when the director provided me with their qualifications.”

Rule 746.303(a)(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 27, 2026.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“The primary caregiver in the toddler classroom has provisional conditions and was caring for the children alone. Note: This was corrected when another caregiver was added in the classroom.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 26, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“One caregiver that provides care for children younger than 24 months of age, does not have the required training. One clock hour of the annual training hours must cover the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2025. Correction verified: Mar 3, 2025.

Director Annual Training - Additional required topics

“The Director does not have the required training in the following topics: Preventing and responding to emergencies due to food or an allergic reaction; and Administering medication, if applicable, including compliance with ?746.3803 of this title (relating to What authorization must I obtain before administering a medication to a child in my care?)”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2025. Correction verified: Feb 27, 2025.