Kreative Kids Childcare

Smoke Detectors Testing

“Last documented smoke detector test was dated for 4/2023. This was corrected at inspection.”

Rule 747.5115. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 13, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“Operation did not complete a June 2023 fire drill. This was corrected at inspection.”

Rule 747.5005(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 13, 2023.

Electric or Battery Operated CO System-Test Monthly

“Last documented carbon monoxide test was dated for 4/2023. This was corrected at inspection.”

Rule 747.5337(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 13, 2023.

Diapering Procedures - Use Disposable Gloves

“Caregiver did not discard gloves after each diaper change and wash your hands with soap and running water. This was corrected at inspection.”

Rule 747.3307(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2023.

Diapering Procedures- Sanitizing the Diapering Area

“Caregiver did not sanitize the diapering-changing surface after each use. This was corrected at inspection.”

Rule 747.3307(d). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2023.

Primary Caregiver Routinely Present During Operating Hours

“Primary caregiver is not routinely present at the childcare home.”

Rule 747.205. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2023. Correction verified: Feb 21, 2023.

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

“The operation allowed a caregiver with a provisional background check to be left at the operation alone with children unsupervised.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2023. Correction verified: Feb 13, 2023.

Caregiver Handwashing After Diapering a Child

“Caregiver did not wash hands before changing another child. This was corrected at inspection by having the caregiver wash her hands.”

Rule 747.3211(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2023.

Children Handwashing After Toileting or Diapering

“Caregiver did not wash the children’s hands after diapering. This was corrected at inspection by washing the children’s hands.”

Rule 747.3213(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 26, 2023.

Responsibilities of Employees and Caregivers -Competency, Good Judgment, Self-control

“The substitute caregiver left an infant on the changing table unattended and the infant fell off the changing table.”

Rule 747.1501(c)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 26, 2023.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“An 11 month old was in a restrictive device (bouncer) over 30 minutes. This was corrected at inspection by removing the infant from the device.”

Rule 747.2317(2)(B). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 13, 2023.

Written Operational Policies - Emergency Preparedness Plan

“Operational policies lacked emergency preparedness plan.”

Rule 747.501(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

“Primary caregiver CPR first aid certificate is expired with a date of 5/5/2020 for completion date.”

Rule 747.1313(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Jan 13, 2023.

Pediatric First-Aid and Pediatric CPR Training -skill based and hands on

“Subsitute caregiver informed that current CPR training was 100% online and did not involve the use of a mankin.”

Rule 747.1313(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Jan 18, 2023.

Safety Requirements for Play Yards - Use and Clean According to Manufacturer’s Instructions

“The substitute caregiver placed a child in play yard with no mattress. There was cardboard and board of wood under the sheet. The play yard did not have manufactures mattress.”

Rule 747.2311(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Children Handwashing Before Eating

“Substitute caregiver served food to youth before hand washing. This was corrected at inspection by completing hand washing.”

Rule 747.3213(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 13, 2023.

Animals at Center - Documentation of Vaccinations

“4 pets in the home had expired rabies vaccinations with the due date of 8/21/2022.”

Rule 747.3703(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 26, 2023.

Written Operational Policies - Safe Sleep for Infants

“There is no safe sleep policy in operational policies.”

Rule 747.501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Required Admission Information - Emergency Contact

“4 children’s files lacked the address to the emergency contact.”

Rule 747.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 26, 2023.

Animals at Center - Statement of Health from Veterinarian

“2 of the dogs in the home lacked health statements.”

Rule 747.3703(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Children’s Products- Posting of CPSC website

“The children products certification form was located in the primary caregivers file in a binder. It was not posted in a publicly accessible place for parents. This was corrected at inspection by placing the new cpsc form with the date of 1/3/2023 over the cpsc form posted with a date of 1/5/2021.”

Rule 747.3935(c). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 13, 2023.

Posting Requirements-Inspection Report

“Inspection report posted has a date of 3/12/2019. This is not the most recent inspection report.”

Rule 747.401(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 16, 2023.

Posting Requirements-Keeping Children Safe Poster

“Caregiver does not have Keeping Children Safe notice posted.”

Rule 747.401(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 16, 2023.

Written Operational Policies - Procedures for Parents Review Licensing Rules and Reports

“Policies lacked procedures for parents to review a copy of the child-care home’s most recent Licensing inspection report and how the parent may access the minimum standards online”

Rule 747.501(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 13, 2023.

Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline

“Policies lacked instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website.”

Rule 747.501(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 13, 2023.

Written Operational Policies - Animals

“There is no animal policy regarding the dogs in the home.”

Rule 747.501(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Children’s Records - Health Statement

“4 children’s files lacked health statements.”

Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 17, 2023.

Required Admission Information - School Information for School-age Child

“School information was not included in admission information.”

Rule 747.605(14). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 26, 2023.

Records Maintained and Made Available - Proof of Liability Insurance

“Only 2 children’s files had notice of lack of liability insurance.”

Rule 747.801(14). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 26, 2023.

Records Maintained and Made Available - Infant Feeding Instructions

“11 month old infant did not have infant feeding instructions in the file.”

Rule 747.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 13, 2023.

Posting Requirements-List of Employees

“Caregiver does not have a list of employees posted.”

Rule 747.401(a)(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 20, 2023.

Personnel Records - Required Affidavit

“Substitute caregiver’s file lacked affidavit for applicants for employment form.”

Rule 747.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 26, 2023.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“The operation has a person in the home that has a pending background check. The person has access to the children.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2022. Correction verified: Dec 6, 2022.

Safety Requirements for Play Yards - Use and Clean According to Manufacturer’s Instructions

“During nap time the play yards were covered with blankets on the sides blocking inside and outside view.This was corrected at inspection by removing the blankets.”

Rule 747.2311(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 29, 2022.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“During naptime one infant was sleeping in a pack and play with a bottle.”

Rule 747.2319(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 29, 2022.

Sanitation of Building, Grounds and Equipment

“Several piles of dog feces was observed in the backyard. Three fence panels were observed to have large holes with one panel containing a protrusion hazard.”

Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 6, 2022.

Screen Time Activities - Not Used for Under Two

“A caregiver turned on the television while supervising children under the age of 24 months.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 29, 2022.

Additional Responsibilities of Caregivers- Supervision of Children Adjusting Appropriately for Different Ages and Abilities

“The caregiver was unaware that a child was left unattended in a bathroom. The caregiver did not know the ages of the children that they were supervising. The caregiver did not know the names of the children that they were supervising.”

Rule 747.1501(c)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 29, 2022.

Training Requirements for Caregivers - Orientation

“The substitute caregiver did not have required trainings available at the time of inspection.”

Rule 747.1303(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Nov 29, 2022.

Sanitation of Building, Grounds and Equipment

“Several piles of dog feces was observed in the backyard. Three fence panels were observed to have large holes with one panel containing a protrusion hazard.”

Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Nov 29, 2022.

Caregiver Handwashing After Diapering a Child

“A caregiver did not wash their hands after changing two children’s diapers.”

Rule 747.3211(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 29, 2022.

Children Handwashing Before Eating

“Two children’s hands were not washed before eating and after diaper changes.”

Rule 747.3213(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 29, 2022.

Mounting of Fire Extinguishers

“The fire extingusher was not mounted nor fully charged.”

Rule 747.5105. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2022. Correction verified: Nov 29, 2022.

Screen Time Activities - Not Used for Under Two

“A caregiver turned on the television while supervising children under the age of 24 months.”

Rule 747.2105(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 29, 2022.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“There were two ladies at the home with pending background checks with 8 children in care,”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Aug 31, 2022.

Training Requirements for Caregivers Licensed -24 hours Annual Training

“A household memeber was left in charge completing a substitute duties. The caregiver is missing a total of 24 hours of training in the following topics: Child abuse, Child growth and development, postiive guidance and discpline, age appropriate currciculum, infection control, sids, injury prevention, poison prevention, and emergency planning.”

Rule 747.1303(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 22, 2022.

Primary Caregiver’s Absence - Qualified Caregiver in Charge

“A household memeber was seen left alone with children in care.”

Rule 747.203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 22, 2022.

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“There were two people seen at the home without a cleared background check. -One lady left the home at the home at the time of inspection. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. An additional penalty in the amount of the daily maximum will be recommended for each day past the Compliance Date that the deficiency is not corrected. It is your responsibility to notify Licensing when you have corrected the deficiency”

Rule 745.621(a)(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 5, 2022.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“There were two training cups and a bottle seen on the counter not labeled.”

Rule 747.2405(4)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 5, 2022.

Maintain Menus

“The menu observed at the operation was for infants and was only completed for lunch,pm snack, and super.”

Rule 747.3113(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 8, 2022.

First Aid Kit - Complete Kit

“A first aid kit was seen at the home incomplete. The first aid kit was missing: A pair of gloves, assorted sized bandaids,guaze that are enclosed, antescpetic that is useful ( The antesceptic was dry) , Tape, and a thermometer.”

Rule 747.3803(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 12, 2022.

Children’s Products- Annual Certification

“The children’s product certification verification form was last completed on 1/5/2021.”

Rule 747.3935(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 5, 2022.

Cots, Beds, Mats Labeled With Child’s Name

“There were mats seen at the home, but did not have the labels of the children name on the mats.”

Rule 747.4303(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 10, 2022.

Written Operational Policies - Duration of Physical Activity

“-The operational policies did not have information on how parents can contact licensing or the abuse and neglect hotline. -The operatinoal policies did not have information on vaccine preventable diseases for the employees.”

Rule 747.501(8)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 10, 2022.