Little Buffalos

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The operation was utilizing a daily grounds checklist but has not utilized this since July 12, 2023.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2023. Correction verified: Oct 16, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A 7-month-old infant was was observed sleeping in a crib with a blanket and intant toys. This was corrected when the blanket and toys were removed during this inspection.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 28, 2023.

Maintenance of Building, Grounds and Equipment

“The toilets had dried urine around the base, there was no toilet paper in the bathrooms, the sinks were dirty.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2023. Correction verified: Apr 12, 2023.

Sign-in and Sign-out Tracking System

“The daily sign in sheets shows 5 children in the toddler group, and 7 on the preschool class. There were only a total of 11 children in care. The sign in sheets for the 13th were missing for the preschool class.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 21, 2023.

Placement of Groups - Not Exceed Room Capacity

“During this investigation, it was determined that the operation is routinely exceeding the room capacity of 7 children. This was corrected during inspection dated 4-6-23, when the operation was advised of the rules regarding room capacity.”

Rule 746.1505(3). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 27, 2023.

Written Activity Plan - Outdoor Play Opportunities

“The operation did not have a policy in place that all caregivers knew and were following for taking children outside based on weather conditions. Therefore, children were not being provided proper outdoor play opportunities as shown on the activity plans.”

Rule 746.2206(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2023. Correction verified: May 5, 2023.

Safety - Televisions Anchored to Prevent Tip Over

“A tv was on a shelf in a classroom and was not achcored. This was fixed during the inspection when the tv was removed from the classroom.”

Rule 746.3701(10). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 2, 2023.

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

“During the investigation it was determined that the operation had a caregiver providing unsupervised care while the caregiver has provisional conditions attached to the background check.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2023. Correction verified: Mar 27, 2023.

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

“It was determined that 2 school aged children, who are homeschooled are at the operation daily, and are allowed to be in the school age classroom unsupervised on a regular basis.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2023. Correction verified: Apr 6, 2023.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“A caregiver did not have a high school diploma, GED or certificate of completion. This was cited under 746.201(9). The caregiver was sent home pending completion of this requirement.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2023. Correction verified: Apr 6, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“Based on records reviewed, staff’s pre-service training did not meet the requirements of mimimum standards. What training was provided, was presented by a person not qualified to present the training per 746.1317.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 6, 2023.

Complying with Laws and Rules

“As a result of this investigation, it was determined the operation knowingly hired an employee as a caregiver who did not have a high school diploma or GED as required in 746.1107, and allowed the employee to perform caregiver duties with and without supervision of a qualified caregiver. The operation created a high school diploma in the caregivers name to keep in the file in an attempt to satisfy standard 746.1107 pending the caregiver meeting standard 746.1107 at a later date.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2023. Correction verified: Apr 6, 2023.

Written Activity Plans - Plan Followed by Caregiver

“Based on observations and interviews with staff, activity plans are not being followed.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 6, 2023.