Creme School of Cedar Park

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation has not had a fire inspection from the local fire department since 9/2024.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2026. Correction verified: May 29, 2026.

Children’s Records - Immunizations

“One child did not have a current immunization record on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2026. Correction verified: Jun 2, 2026.

Administering Medication - Only to Child for Whom Intended

“A child was given medication that was not prescribed to them.”

Rule 746.3805(b)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2026. Correction verified: May 7, 2026.

Requirement of Gas Leak Inspection

“The operation does not have a current gas inspection.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2025. Correction verified: Jun 10, 2025.

Required Records Maintained and Made Available - Sanitation Inspection Report

“The operation did not have the current sanitation inspection available for review during the inspection on 5/12/25.”

Rule 746.801(12). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2025. Correction verified: Jun 12, 2025.

Prohibited Punishments - Grabbing and Pulling

“Information obtained throughout the investigation shows that two caregivers grab and pull children by their arms and hands as a form of punishment.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 12, 2025.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Information obtained throughout the investigation shows that two caregivers yell at children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 12, 2025.

Positive Methods of Discipline and Guidance - Use Clear, Positive Statements

“Information obtained throughout the investigation shows that caregivers tell children they will not be able to play outside due to their behavior.”

Rule 746.2803(4)(B). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 12, 2025.

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

“A child was left unsupervised during a transition from inside to outside. The child was left alone for approximately 30 seconds.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Apr 1, 2025.

Report Situation Placing Children at Risk

“The operation failed to notify Child Care Regulation of a situation that placed a child at risk within the required 2 day time frame.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 19, 2025.

Parental Communication - Situation that Placed a Child at Risk

“The operation failed to notify parents immediately of a situation that placed their child at risk.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2025. Correction verified: Mar 19, 2025.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“The operation failed to complete an incident report for a situation that placed a child at risk. The operation completed an incident report during the inspection.”

Rule 746.701(5). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 19, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Information obtained throughout the investigation shows that a caregiver did not have current training in pediatric first aid when a child sustained an injury requiring medical treatment.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2025. Correction verified: Feb 19, 2025.

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

“Information obtained throughout the investigation shows that a caregiver does not have current training in pediatric CPR.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2025. Correction verified: Feb 19, 2025.

Incident/Illness Report Form Shared with Parent

“Information obtained throughout the investigation shows that the operation failed to share an incident report with the child’s parent within 2 days of when a child sustained an injury requiring medical treatment.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 7, 2025.

Special Diets - Employees given information

“There is enough evidence to support that the operation was not following Minimum Standards regarding providing all employees who prepare and serve food special diet requirements of the children in care.”

Rule 746.3311(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.