The Nest School Towne Lake

Emergency Evacuation and Relocation Diagram

“An evacuation diagram was not posted in one of the classrooms used by children. Note: The operation posted the diagram during the inspection.”

Rule 746.5207(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 7, 2026.

Responsibilities of caregivers-Set appropriate behavior expectations

“Based on the information obtained, a caregiver did not set appropriate behavior expectations.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2025. Correction verified: Nov 24, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Based on the information obtained, there was sufficient evidence to show that a caregiver did not practice good judgment when walking a child to their nap mat inappropriately.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2025. Correction verified: Nov 25, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the correct number of children they were responsible for during the inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2025. Correction verified: Oct 17, 2025.

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

“Based on the information obtained, caregivers did not intervene to guide a child when a child stood at the bottom of a slide and jumped off of the slide and injured themselves.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Oct 6, 2025.

Required Personnel Records

“As of today, 7/24/25 the provider has not submitted education documents showing how a caregiver meets minimum educational requirements.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2025. Correction verified: Jul 31, 2025.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“An infant was observed in a high chair and the safety straps were not fastened. Note: Caregiver fastened the straps during the inspection.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 16, 2025.

Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

“The operation has not provided the annual fire inspection report that was requested on May 14th, 2025.”

Rule 746.801(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2025. Correction verified: Jun 12, 2025.

Required Personnel Records

“The provider has not submitted education documents showing how a caregiver meets minimum educational requirements.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2025. Correction verified: Jul 24, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“1 out of 10 employee files evaluated did not contain the skills-based CPR Training.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 19, 2025.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“A food allergy emergency plan was missing the parent signature.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 27, 2025.

Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

“Documentation showing the annual fire inspection report from the local fire marshal was not available to review upon request.”

Rule 746.801(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 9, 2025.

Children’s Records - Admission Information

“Children’s files evaluated were missing the following admission information: - Name, Address and Phone number of the emergency medical facility or physician. - Name, Address and Phone number of emergency contact person - Date of Admission”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 27, 2025.

Children’s Records - Health Statement

“1 out of 10 children’s files evaluated was missing a completed health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: May 27, 2025.

Children’s Records - Immunizations

“1 out of 10 children’s files evaluated was missing an immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 6, 2025.

Required Personnel Records

“Staff files evaluated were missing the following information: - Photo ID or Driver’s License - Documentation showing staff meet minimum education requirements - Education documents written in a foreign language were not translated to English - Employment Affidavit Form”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 9, 2025.

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 the information obtained, children were observed running in and out of the restroom unattended.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jul 16, 2025.

Prohibited Punishments - Grabbing and Pulling

“Based on the information obtained, a caregiver grabbed a child by the arm.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jul 16, 2025.

Responsibilities of caregivers-Set appropriate behavior expectations

“Based on the information obtained, a caregiver did not set appropriate behavior expectations when children were observed climbing on the tables and the couch and fighting with one another.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jul 16, 2025.

Parent right to review video recordings of alleged incident of abuse or neglect involving parent child

“Based on the information obtained, the operation did not provide parents the opportunity to review an alleged incident of abuse when it was requested.”

Rule 746.521(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jul 16, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“Based on the information obtained from the operation, the skill-based portion of CPR training was not completed for the director.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2025. Correction verified: May 13, 2025.

Maintenance of Building, Grounds and Equipment

“During the inspection, I observed one classroom with part of the ceiling open. I also observed another classroom with water damages to the wall and water spots on the ceiling.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2024. Correction verified: Aug 9, 2024.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“During a DFPS investigation, it was determined that a caregiver yelled at children in care.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 3, 2024. Correction verified: Sep 4, 2024.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the information obtained during this investigation, the operation will be cited for a caregiver who used prohibited punishment towards a child in care.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2024. Correction verified: Jul 23, 2024.

AP Initial background checks submitted - At the time you hire someone

“During the initial inspection a person who calls themselves the center director did not have a background check on file while present at the operation and around children in care.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2024. Correction verified: May 28, 2024.

Designating Director

“The operation failed to designate a qualified director.”

Rule 746.201(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2024. Correction verified: May 16, 2024.

Smoke Detectors Testing

“During the inspection the operation had not conducted the October monthly test of the smoke detector.”

Rule 746.5319. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2023. Correction verified: Nov 9, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“During the inspection the operation had not completed the monthly required fire drills for the month of October.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2023. Correction verified: Nov 7, 2023.

Inspect Fire Extinguishers Monthly

“During the inspection the operation had not conducted the October monthly test of the Fire Extinguishers.”

Rule 746.5307(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2023. Correction verified: Nov 7, 2023.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“During the inspection the operation had not conducted the October monthly test of the Carbon Monoxide Alarm Detector”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2023. Correction verified: Nov 7, 2023.