Ruth Academy

Responsibilities of Caregivers - Interact positively with children

“This standard was evaluated regarding an investigation, and a violation was found. It was determined that the caregiver interacted with the victim inappropriately by taking the equipment and not addressing the concern immediately with the parent and the child.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Sep 10, 2026.

Immunization Records, Exceptions, and Exemptions Current

“One out of ten student files were missing updated immunization.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jul 9, 2026.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“One of the five caregiver records reviewed do not have first aid training. Two of the five caregiver records reviewed are not current in pediatric first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2024. Correction verified: Jun 13, 2024.

Infant Daily Report - Share with Parent

“Parents of infants in the 12-17 month classroom do not regularly receive daily reports. Daily reports do not include infant activities.”

Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2024. Correction verified: Jun 14, 2024.

Required Admission Information - Emergency Contact

“Three of the 10 children’s records reviewed have incomplete emergency contact information.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2024. Correction verified: Jun 7, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infants that are not on table food do not have current feeding instructions.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2024. Correction verified: Jun 14, 2024.

Written Operational Policies - Operating Times

“The operational policies are missing the following sections. 746.501 (18)(B),(C),(D),(E),(F),(G), (19),(22),(23),(26)(B),(C),(D),(E), (28) and (30).”

Rule 746.501(a)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2024. Correction verified: Jun 24, 2024.

Required Admission Information - Physician Information

“Four of the 10 children’s records reviewed have incomplete physician or emergency care facility information.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2024. Correction verified: Jun 13, 2024.

Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit

“One of the five personnel records reviewed does not have a notarized affidavit on file.”

Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2024. Correction verified: Jun 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

“Caregivers are unable to properly supervise during times in which administrative duties were completed. This included preparing food.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 18, 2024. Correction verified: Mar 26, 2024.

Responsibilities of Caregivers - Know children’s names and ages

“Classrooms do not have the list of ages for children. Caregivers are not aware of children’s ages.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2024. Correction verified: Mar 14, 2024.

Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

“A class was not served water with snack. This was corrected at inspection when water was served.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2024. Correction verified: Mar 14, 2024.

Safety - Areas Free From Hazards

“A tall bookshelf was not anchored to the wall.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2024. Correction verified: Mar 14, 2024.

Screen Time Activities - Not Used During Eating or Rest Times

“A classroom was observed watching a movie during naptime. This was corrected at inspection when the movie was turned off.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2024. Correction verified: Mar 14, 2024.

Required Records Maintained and Made Available - Tracking System

“Children’s attendance records are not properly maintained. Not all children are signed in and out daily.”

Rule 746.801(19). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2024. Correction verified: Mar 14, 2024.

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

“This standard was tasked as part of an investigation and found deficient. Napping children were not properly supervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Mar 26, 2024.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“This standard was tasked as part of an investigation and found deficient. Caregivers were observed on their phones while supervising a classroom.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Mar 14, 2024.

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

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Dec 14, 2023.

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

“The operation did not have a current fire inspection on file..”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2024. Correction verified: Jan 16, 2024.

Required Equipment in Vehicles - Emergency Medical Information

“Staff did not have emergency medical transport and treatment authorization forms for each child being transported.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 14, 2023.

Required Equipment in Vehicles - Fire Extinguisher

“Vehicles used to transport children in care did not have fire extinguishers available when transporting children in care.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 14, 2023.

Required Admission Information - Emergency Medical Authorization

“1 out of 10 student files reviewed did not include a signature to confirm that staff mayy provide any necessary emergency medical attention required for the child.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 13, 2023.

Annual Sanitation Inspection

“The operation did not have a current health inspection on file at the time of the inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2024. Correction verified: Jan 24, 2024.

Safety - Areas Free From Hazards

“Hazards on the playgrounds at the operation included several protruding nails, loose seat fixtures, and a large inoperable table.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 14, 2023.

Requirement of Gas Leak Inspection

“The operation did not have a current gas inspection on file.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2023. Correction verified: Dec 14, 2023.

Required Admission Information - Emergency Contact

“2 out of 10 student files reviewed did not include all required information for emergency contcat persons.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 13, 2023.

Immunization Records, Exceptions, and Exemptions Current

“1 out of 10 student files reviewed did not include current immunication records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 13, 2023.

Storage for Individual Belongings

“There were no individual storage spaces designated for toddler and pre-k aged children.”

Rule 746.4505. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 14, 2023.

Health Statement on File within 1 Week of Admission

“5 out of 10 student files reviewed did not include a health statement.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 13, 2023.

Required Admission Information - Date of Admission

“6 out of 10 student files did not include a date of admission to the center.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2023. Correction verified: Dec 13, 2023.