Children’s House at Jourdanton

Food Service and Preparation Requirement - Safe and Sanitary

“Eight children were served their afternoon snack without a sanitary holder. The children were observed eating crackers off of a bare table. This was corrected at inspection when it was addressed with the caregiver.”

Rule 746.3317. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 9, 2025.

Required Admission Information - Emergency Medical Authorization

“One out of ten child records evaluated was lacking an emergency medical authorization.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jul 10, 2025.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“One out of ten employee records evaluated were lacking 9.5 annual training hours.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 10, 2025.

Immunization Records, Exceptions, and Exemptions Current

“Five out of ten children’s records evaluated were lacking up to date immunization records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 15, 2025.

Arrangement of Napping Equipment - Provides Access to Walkway

“A caregiver was observed crossing over children who were laying on their nap mats due to an inaccessible walkway between napping equipment. This was corrected at inspection when it was addressed with the caregiver.”

Rule 746.2909(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 31, 2025.

Children Handwashing After Toileting or Diapering

“A caregiver did not wash an infants hands after a diaper change. This was corrected at inspection when it was addressed with the caregiver and the infants hands were washed.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 7, 2025.

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

“During the inspection: There was one caregiver supervising two separate classrooms during naptime. The caregiver was observed standing in one room, leaving the second room unsupervised. Regarding this investigation, a child was able to unlock/unlatch a gate and stepped outside of the fenced area while outside.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2024. Correction verified: Sep 24, 2024.

Documentation of Drills

“The fire drills for the months of July and August were not documented. This was corrected at inspection when the missing drills were documented.”

Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 11, 2024.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“Caregiver/child ratio was reduced to 1 caregiver to 8 infants under 18 months of age during naptime. This was corrected when a second caregiver returned to the classroom and the standard was discussed with the operation.”

Rule 746.1613(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2024. Correction verified: Sep 11, 2024.

Prohibited Punishments - Corporal Punishment

“A caregiver lightly smacked a toddler on the hand as a form of discipline.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2024. Correction verified: Aug 28, 2024.

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

“A caregiver was observed caring for children without a required background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2024. Correction verified: May 21, 2024.

Nutrition and Food Service - Must not serve identified foods to allergic child

“A child was given an identified food they are allergic to.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2024. Correction verified: Jul 3, 2024.

Responsibilities of Caregivers - Know children’s names and ages

“The caregivers in the playground did not have a list of the ages of the kids in their care.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Apr 22, 2024.

Child/ Caregiver Ratio - 13 or More Children

“On March 06, 2024 the school age room had 27 children to one caregiver. The classroom was out of ratio by 1 child.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2024. Correction verified: May 17, 2024.

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

“On 02/28/24 a child was pushed and fell and hit their head and was taken to the ER. The child was taken in for a concussion and was required to follow up with their primary physician.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2024. Correction verified: May 17, 2024.

Written Activity Plan - Group Name and Dates

“Three out of six classroom curriculums observed did not have the correct date or was not dated.”

Rule 746.2205(a)(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 21, 2024.

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

“A teenager is frequently coming to the operation and having contact with children without having a background check on file under the operation. Corrected at inspection: The person was not present.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 21, 2024.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The changing mat in the infant room was torn and the foam exposed. Corrected at inspection: They changed the mat during the inspection.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 17, 2024.

Required Admission Information - Special Needs Statement

“Five out of ten children’s files did not have any information under the special needs section.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 18, 2024.

Required Admission Information - Physician Information

“Two out of ten children’s files did not have the phone number and address for the doctor/emergency facility under the emergency medical authorization section.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 18, 2024.

Required Admission Information - Date of Admission

“Three out of ten children’s files reviewed did not have a date of admission.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Jan 18, 2024.