Akkis Little Angel Infant Academy

Requirements for Feeding Infants - Label Bottles/Cups

“Several bottles in the younger infant classroom were not labeled. This was corrected during the inspection when the bottles were labeled.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 7, 2026.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“A caregiver was observed washing hands in the sink used for bottle washing after a diaper change.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2026. Correction verified: Oct 16, 2026.

Medication Authorization - Signed and Dated

“Three children were missing signed medication authorizations from the parents authorizing the staff to give certain medications.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2026. Correction verified: Oct 16, 2026.

Infant Daily Report - Infant’s Mood

“Moods and a summary of daily activities were not being recorded each day in Procare for the younger infant class.”

Rule 746.2431(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2026. Correction verified: Oct 16, 2026.

Infants sleep in Designated Crib, Cot, Bed, or Mat

“An infant was observed sleeping on a boppy pillow on the floor. This was corrected during the inspection when the infant was moved to their crib.”

Rule 746.2424. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2026. Correction verified: Aug 12, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Two caregivers had a group of seven children ages 4-12 months old, and one of the caregivers stepped out of the room to answer the door, leaving the remaining caregiver out of ratio. Groups of children with a specified age of 12-17 months can only have five children to one caregiver. This was corrected during the inspection when another caregiver came back from break and joined the classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2026. Correction verified: Aug 12, 2026.

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

“Two infants were observed sleeping with their bottles. This was corrected during the inspection when the bottles were taken away.”

Rule 746.2419(7). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 10, 2026.

Safety - Electrical Outlets Covered

“One of the outlets in the younger infant room did not have a cover. This was corrected during the inspection when an outlet cover was placed in the outlet.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 10, 2026.

Additional Minimum Qualifications for Caregivers - Age Requirement

“It was found that a caregiver under the age of eighteen was caring for children and counted in a classroom’s ratio during the last monitoring inspection.”

Rule 746.1107(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 10, 2026.

Policies Comply with Rules

“The parent handbook was missing procedures for how to contact the director if parents have concerns or complaints, the benefits of physical activity for children, what kind of bad weather will prevent children from going outside and a plan for children to get their physical activity inside if they can?t go out, information on how parents can access the minimum standards online, and a list of parent?s rights.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 13, 2026.

Required Admission Information - Emergency Medical Authorization

“Out of four children’s files reviewed, one child’s parent had not signed to give the operation permission to obtain emergency medical treatment for the child.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jun 25, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Out of four staff files reviewed, all four were missing training in food allergies and medication administration.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2026. Correction verified: Jun 30, 2026.

Administering Medication - Original Container with Child’s Name, Date

“Three medications were not labeled with a child’s name. This was corrected during the inspection when the medications were disposed of.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2026.

Posting of Activity Plan

“The younger infant room did not have an activity plan posted.”

Rule 746.2209. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2026. Correction verified: Jun 30, 2026.

Medication No Longer Used

“There were several medications that were expired or no longer needed by the child that were stored in the medication bin. This was corrected during the inspection when the medications were disposed of.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2026.

First Aid Kit - Incomplete Kit

“The first aid kit was missing tweezers, gloves, and adhesive tape.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 1, 2026.

Required Postings-Licensing notices with instructions to post

“The operation’s permit renewal letter was not posted. This was corrected during the inspection when the permit renewal letter was printed and posted.”

Rule 746.401(11). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2026.

Required Personnel Records

“Out of four staff files reviewed, one staff had not signed a statement that they receivied copies of the personnel and center policies. This was corrected during the inspection when the staff member completed the required statements.”

Rule 746.901. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2026.

Administering Medication - Original Container with Child’s Name, Date

“Several medications did not have the child’s name and date on them.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2025. Correction verified: Aug 5, 2025.

Infant Daily Report - Infant’s Mood

“The infant reports in ProCare did not have the infants’ mood and summary of daily activities.”

Rule 746.2431(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2025. Correction verified: Aug 5, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“Feeding instructions for infants 0-11 months had not be updated by parents in the last 30 days. New forms were generated for parents to complete at pick up.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Oct 30, 2024.