Mama Bear Learning Center

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“Four of the staff files evaluated had online CPR training from the National CPR Foundation.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2026. Correction verified: Sep 30, 2026.

Children Handwashing After Toileting or Diapering

“In the baby bear room #2, the teacher was observed not washing the child’s hands after a diaper change. NOTE: This was corrected at inspection.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 10, 2026.

Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

“Down the hallway outside of the infant classroom were two open trash cans with exposed dirty diapers.”

Rule 746.3505(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 25, 2026.

Annual Fire Inspection - Conducted by Fire Marshal

“At the time of the inspection, the fire inspection was not available for review.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2026. Correction verified: Sep 25, 2026.

Medication No Longer Used

“The EpiPen at the operation was observed expired, dated 8.31.26.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 25, 2026.

Medication Authorization - Signed and Dated

“Based on information gathered through a DFPS investigation, it was discovered that two children in care were administered medication before receiving authorization from their parents.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2026. Correction verified: Jul 28, 2026.

Medication Records - Date, Time and Amount Given

“Based on information gathered through a DFPS investigation, it was discovered that medication was administered to two children in care, and the documentation was not available for review by Child Care Regulation.”

Rule 746.3805(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2026. Correction verified: Jul 28, 2026.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“A child was observed sitting in a restrictive device. Note: This was correct at inspection when the caregiver removed the child from the restrictive device.”

Rule 746.2805(10). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2026.

Child/ Caregiver Ratio - 13 or More Children

“During the inspection, a classroom was observed to be over ratio by one child.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 4, 2026.

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

“During the investigation, it was discovered that a staff member did not use good judgment when purchasing medication to administer to children in care.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jun 18, 2026.

Medication Authorization - Signed and Dated

“During the investigation, it was discovered that a child in care was administered medication prior to receiving authorization from their parents.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jun 18, 2026.

Medication Records - Date, Time and Amount Given

“During the investigation, it was discovered that medication was administered to a child in care and the documentation was not available for review by Child Care Regulation.”

Rule 746.3805(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jun 18, 2026.

Safety Requirements for Active Play Equipment - No Entrapment Openings

“Four toys on the playground were broken. Note: This was corrected at inspection when the toys were removed.”

Rule 746.4601(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 17, 2025.

Prohibited Punishments - Placing Child in Locked or Dark Room

“Based on information gathered during the investigation, a caregiver placed a child in a dark closet.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2025. Correction verified: Apr 23, 2025.

Employees Discipline Own Children

“Based on the information gathered during the investigation, an employee inappropriately disciplined her child who is enrolled at the daycare.”

Rule 746.2807. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2025. Correction verified: Apr 23, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver in the toddler classroom gave the incorrect number of children in her classroom. She stated she had eight toddlers, when there were nine children in her classroom.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Apr 10, 2024.

Requirements for Feeding Infants - Never Prop Bottles

“An infant was observed in a bouncer drinking milk from a bottle that was propped on their chest with a blanket.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Apr 10, 2024.

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

“Three of seven infants were walking freely in the classroom while holding and drinking water from their bottles.”

Rule 746.2419(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Apr 10, 2024.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“Caregiver was observed rinsing a bottle in the hand-washing sink to give an infant water in the same bottle.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Apr 10, 2024.

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

“An employee with a provisional background check status was placed in charge of the toddler class by herself.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2024. Correction verified: Apr 4, 2024.

Required Personnel Records- Training Hours

“Five of the nine staff files did not have their required training hours completed.”

Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: Apr 30, 2024.

Report Number of Employees

“The operation did not submit the required number of employees lost during the year 2023, by the due date of 1/15/24.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2024. Correction verified: Jan 19, 2024.