Cairos Development Center for Early Learners

Maintenance of Building, Grounds and Equipment

“During the follow-up inspection it was observed that the grass was overgrown on the playground, about 2 feet high.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Oct 23, 2023.

Infant May Not Sleep in a Restrictive Device

“During the 3rd initial inspection a 4 month old infant was observed sleeping in a restrictive device. a bouncer, which was placed into a crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 20, 2023.

Food Service and Preparation Requirement - No Foods That Present Choking Risk

“During the monitoring inspection it was observed that the children ages 16 months - 23 months were served hot dogs that had only been cut in half, still circular in shape.”

Rule 746.3317(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 20, 2023.

Diapering Procedures - Wash Infant’s Hands

“During the initial inspection it was observed that a caregiver did not have the children wash their hands after their diaper was changed.”

Rule 746.3505(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 20, 2023.

Diapering Procedures - Use Disposable Gloves

“During the initial inspection a caregiver was observed changing four children’s diapers, one after another, without washing their hands or changing out their gloves between each diaper change.”

Rule 746.3505(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 20, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“During the initial inspection it was observed that a caregiver changed 4 children’s diapers, one after another, and did not sanitize the changing table pad between each use.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 20, 2023.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“During the 2nd initial inspection the trasnportation vehcile was reviewed and found that the electronic safety alarm was not functioning properly, and was not installed in the back of the van.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Aug 21, 2023.

Health Statement on File within 1 Week of Admission

“3 out of the 5 files reviewed did not have health statement forms, from parents or pediatricians, on file.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2023. Correction verified: Aug 24, 2023.

Child/ Caregiver Ratio - 13 or More Children

“During the 1st initial monitoring inspection it was observed that the operation was over ratio on two occasions. During opening hours the specified age group was 2 years old and the operation was in a 1/12 ratio, and should have been 1/11. Later into the inspection a caregiver was with infants in a 1/6 ratio and should have not had more than 5 infants without a 2nd caregiver present.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 17, 2023.

Employee Handwashing After Arriving at the Facility

“During the 1st initial inspection it was observed that two caregivers arrived at the operation and did not wash their hands after arriving.”

Rule 746.3415(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 14, 2023.

Maintenance Procedures for Active Play - Inspect Daily

“During the 1st initial inspection it was found that the operation had not been conducting their daily grounds and safety checklist.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jul 17, 2023.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“During the monitoring inspection it was observed that there was no loose fill under the spring rockers or at the bottom of the slide in the playground area.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2023. Correction verified: Jul 17, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“During the 1st initial monitoring inspection it was found that the operation had not conducted a fire drill since their first opening day May 15, 2023. This was corrected at inspection when a fire drill was conducted and documented.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 30, 2023.

Posting Requirements - Activity Plans for each group of children in the child care center

“During the 1st initial inspection postings were reviewed and the operation did not have an activity plan for each group of children in the child-care center.”

Rule 746.401(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2023. Correction verified: Jul 14, 2023.

Children’s Products- Annual Certification

“During the 1st initial inspection it was observed that the operation did not have the children’s product annual certification completed.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2023. Correction verified: Jul 14, 2023.

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“During the 1st initial inspection postings were reviewed and the operation did not have a current employee list posted. This was corrected at inspection when an employee list was posted.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 30, 2023.