Xtrimkids Academy

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

“Based on the information obtained from the DFPS investigation ,the caregivers did not prevent the children from hitting, pushing, and kicking each other during the incident.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 11, 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 from the DFPS investigation , a caregiver was holding a child?s wrist to prevent her from hitting her or the other children. The caregiver failed to maintain supervision of the children while attempting to de-escalate the situation.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 11, 2025.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“The operation failed to notify Child Care Licensing about the incident.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 11, 2025.

Pest Extermination

“A pest extermination company has been scheduled for 5/16/25.”

Rule 746.3427. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2025. Correction verified: May 15, 2025.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“There was no written feeding instructions for the infants in care.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2025. Correction verified: May 15, 2025.

Basic Requirements for Infants - Never Unsupervised

“The infant caregiver left an infant unattended to open the front door. The infant caregiver walked out of the infant room and went to the toddler classroom. Both times, there was no other caregiver in the infant classroom.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 15, 2025.

Required Equipment in Vehicles - Emergency Medical Information

“Of the children transported today, only one had the emergency medical authorization in the transportation folder. This was corrected at the inspection when the director copied the medical authorization from the admission forms.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 28, 2025.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The annual transportation training had not been completed by the director. The last transportation training in the file was August 15, 2023.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2025. Correction verified: May 8, 2025.

Pest Extermination

“A roach was seen in the infant classroom. The director’s spouse indicated he has exterminated. The spouse does not meet the requirement to exterminate.”

Rule 746.3427. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2025. Correction verified: May 15, 2025.

Director Annual Training - Additional required topics

“The required annual training on the following topics had not been completed by caregivers. The required training topics are 1. emergency preparedness 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2025. Correction verified: May 8, 2025.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“There was no written feeding instructions for an infant.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: May 15, 2025.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A blanket was in the crib of an infant, who was asleep. The caregiver removed the blanket when the inspector informed her.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2024. Correction verified: Jul 11, 2024.

Child/ Caregiver Ratio - 13 or More Children

“A caregiver stepped out a classroom to obtain items from another classroom/area of the operation. This left the other caregiver in care of 13 children with a specified age group of 2 years out of child/caregiver ratio by 2 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2024. Correction verified: Jul 11, 2024.

Required Equipment in Vehicles - Emergency Medical Information

“The emergency medical authorization information for the child transported was not in the transportation binder. This was corrected during the inspection when the director made a copy of the medical authorization form to place in the transportation binder.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 1, 2024.

Fire Drill Monthly - Exit in 3 Minutes

“A fire drill was not documented as practiced during the month of March.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2024. Correction verified: Apr 4, 2024.

Required Admission Information-Completed Food Allergy Plan

“A child’s record indicated a food allergy. The document from the physician indicated food allergies. There was no emergency care plan in the child’s file.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2024. Correction verified: Mar 7, 2024.

Screen Time Activities - Not Used for Under Two

“The television was on at the inspector’s arrival in the classroom where the children were in care. There were 3 children in care under 24 months. The television was turned off when the inspector brought it to the director’s attention. The television was on in dining area/school age classroom.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2024. Correction verified: Mar 15, 2024.

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“The operational policies did not include an infant safe sleep policy.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 8, 2024.

Required Admission Information - Emergency Medical Authorization

“One child’s record lacked the emergency care authorization information.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 6, 2024.

Required Admission Information - Release Information

“One child’s record did not have release of information recorded on the admission form.”

Rule 746.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 6, 2024.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“There was no record of the pre-service training for a caregiver in care of children.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2024. Correction verified: Feb 6, 2024.

Required Admission Information-Completed Food Allergy Plan

“A child’s record indicated a food allergy. The emergency care/food allergy emergency plan on file was not signed by a physician and parent.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2024. Correction verified: Mar 1, 2024.

Required Admission Information - Emergency Contact

“One child’s record did not have an emergency contact information recorded on the admission form.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 8, 2024.

Written Operational Policies - Vaccine Preventable Diseases

“There was no vaccine policy for the operation’s employees.”

Rule 746.501(a)(28). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 8, 2024.

Children’s Records - Health Statement

“Three children’s records did not have the health statement filled out and signed by the parent.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 6, 2024.

Required Admission Information - Date of Admission

“Two children’s records did not have the admission date recorded on the admission form.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2024. Correction verified: Feb 8, 2024.

Report Number of Employees

“The operation had not submitted the total number of employees who ceased working at the operation the previous calendar year by January 15, 2024.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 22, 2024. Correction verified: Jan 19, 2024.