Meadow Oaks Academy

Children’s Records - Health Statement

“One child’s file was observed to be without a physician health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 30, 2026. Correction verified: Nov 4, 2026.

Documentation pediatric CPR-1st aid includes participant’s name, training date, training title, trainer’s name, length of training

“Documentation for one employee’s CPR training was not available at inspection”

Rule 746.1329(c)(1)(A). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2026. Correction verified: Nov 4, 2026.

Director’s Absence - Qualified Caregiver in Charge

“The director or person in charge was not available. A designated individual was not assigned in the absence of the person in charge. The director arrived during the inspection.”

Rule 746.1013(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2026.

Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

“A non-walking infant was sleeping on a mat. The Director provided compliant play yards. The infant was placed on their back in the play yard, during the inspection.”

Rule 746.2405(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2026.

Safety - Electrical Outlets Covered

“One classroom had uncovered outlets in reach of the children in the group. During the inspection, the director covered the outlets in the classroom.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2026.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“The operation has a staff member who is present at the operation without a background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: Jun 5, 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 classroom was left unattended without a caregiver present.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: Jun 5, 2025.

Required Immunizations

“There are children enrolled without immunization records on file.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 5, 2025.

Director’s Absence - Qualified Caregiver in Charge

“The director or person in charge was not available during the inspection. A designated individual was not assigned in the absence of the person in charge.”

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: Jun 5, 2025.

Adequate Lighting During Naptime

“Several classrooms in the operation had classrooms that didn’t have adequate lighting during naptime not allowing for proper supervision.”

Rule 746.2911. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: Jun 5, 2025.

Safety - Electrical Outlets Covered

“Several classrooms have uncovered outlets leaving them exposed to children.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: Jun 5, 2025.

Required Personnel Records- Meets Requirements

“The operation has several caregivers without documentation to show education qualifications.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 5, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with diagnosed food allergies does not have a parent signature for the food allergy emergency plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 2, 2024.

Medication No Longer Used

“Expired medication is maintained for a child with diagnosed food allergies.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2024. Correction verified: Dec 2, 2024.

Documentation of Drills

“Drill start times are documented, however the length of each drill is not.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2024. Correction verified: Jan 16, 2025.

Required Admission Information - Emergency Medical Authorization

“There were two files missing authorization to obtain emergency medical care.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 19, 2024.

Required Admission Information - Emergency Contact

“One file was found to be missing an emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 19, 2024.

Required Personnel Records - Required Affidavit

“Personnel files were missing Affidavits.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2024. Correction verified: Apr 19, 2024.