Creme School of Mckinney

Employee Handwashing After Diapering a Child

“A caregiver did not wash a young child’s hands with soap and running water after a diapering. When CCR brought it to the caregivers attention, the deficiency was corrected by redirecting the child to the hand washing sink to assist the child with washing their hands with soap and running water.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 11, 2025.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“Based on information obtained during a DFPS investigation it was determined that a caregivers could adequately supervise children and immediately intervene when needed children while sitting down during outdoor at activities pose a risk to children.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2025. Correction verified: Sep 11, 2025.

Prohibited Punishments - Grabbing and Pulling

“Based on information obtained during a DFPS investigation it was determined that a caregiver grabbed and pull a child to redirect their behavior.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2025. Correction verified: Sep 11, 2025.

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

“The operation does not have a current fire inspection on file. The last inspection was conducted 4/23/2023.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2024. Correction verified: Oct 7, 2024.

Children’s Records - Health Statement

“A child did not have a health statement on file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2024. Correction verified: Oct 7, 2024.

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

“Based on interviewing with staff and a parent, the operation was found not to be in compliance with the standard evaluated. A child was left on the playground unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Oct 10, 2024.

Report Situation Placing Children at Risk

“Based on interviews with management, management did not report to CCR a situation that placed a child at risk .”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Oct 10, 2024.

Parental Communication - Situation that Placed a Child at Risk

“Based on interviews with the parent and staff, the operation was found not to be in compliance with the standard evaluated. Management did not notify a parent that placed a child at risk.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Oct 10, 2024.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“The standard was evaluated for a standard investigation and was not found compliant. Staff did not share with other caregivers that the gym area was closed due to safety hazard which resulted in a caregiver transition a group of children to the gym area causing a child to sustain an injury.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 1, 2024.

Floors, ceilings and Walls in Good Repair and Clean

“The standard was evaluated for a standard investigation and was not found compliant. Based on a photo, a video, and interviews with collaterals, it was determined that a caregiver transition a group of children into the gym with glass on the floor that was not completely cleaned up which resulted in a child obtaining a small piece of glass in their knee.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 1, 2024.