Kids R Kids of Missouri City (DBA)

Responsibilities of Caregivers - Know children’s names and ages

“During the follow-up inspection related to caregivers knowing the ages of the children in their care, two caregivers in two separate classrooms were observed to not know the ages of the children in their classrooms.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2026. Correction verified: Oct 6, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“There were two caregivers in two different classrooms that did not know the ages of the children.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 24, 2026.

Maintenance of Building, Grounds and Equipment

“Ceiling tile was observed to be missing from the ceiling with exposed wire in front of a classroom. Corrected at Inspection: the ceiling tile was replaced during the inspection.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 4, 2026.

Children Handwashing Before Eating

“Children were observed in two different classrooms to not wash their hands before eating.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 14, 2026.

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

“Fire inspection was observed to be expired on 03/27/2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2026. Correction verified: Jun 18, 2026.

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

“Children were observed to not have water made available to them during their outside time.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 11, 2026.

Children Handwashing After Toileting or Diapering

“Caregiver was observed to not wash the child’s hands after a diaper change.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 11, 2026.

Hand Sanitizer - Not Used on Visibly Soiled Hands Unless Away From Classroom and Soap & Water Not Available

“Children were observed to be using hand sanitizer instead of soap and water to wash hands before eating snack.”

Rule 746.3420(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 11, 2026.

Education Outside of U.S.

“1 out of 10 staff records evaluated the education outside of U.S. was not translated to English.”

Rule 746.1111. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2026. Correction verified: Jun 26, 2026.

Screen Time Activities - Not Used for Under Two

“Children under the age of two was observed to have screen time.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 11, 2026.

Responsibilities of Caregivers - Interact positively with children

“Based on the information obtained, there is sufficient evidence to suggest that a caregiver did not interact with a child in a positive manner.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2026. Correction verified: Apr 22, 2026.

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

“Caregiver was observed to be present without an initial background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2025. Correction verified: Aug 19, 2025.

Responsibilities of Employees and Caregivers -Relate to Children

“Caregiver was observed grabbing and forcing a child sit down during lunchtime.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2025. Correction verified: Aug 28, 2025.

Medication No Longer Used

“On 08/06/2025, the operation could not locate an Epi pen and another medication for a child with a known food allergy that is diagnosed as a severe allergy by a health care professional. The operation did not locate the medication until thirteen days later on 08/18/2025.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2025. Correction verified: Sep 4, 2025.

Maintenance of Building, Grounds and Equipment

“A wasp nest was observed on the toddler’s playground and on the pre-k playground.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2025. Correction verified: Aug 18, 2025.

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

“Caregiver was observed to be present without an initial background check. Corrected at Inspection - Caregiver was observed to leave premises during the inspection.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 30, 2025.

Report Change in Director

“Licensing was not notified of change of director.”

Rule 746.303(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2025. Correction verified: Aug 11, 2025.

Maintenance of Building, Grounds and Equipment

“A wasp nest was observed on the toddler’s playground.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2025. Correction verified: Aug 7, 2025.

Children Handwashing After Toileting or Diapering

“Caregiver was observed to not wash a toddler’s hands after a diaper change.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2025. Correction verified: Aug 7, 2025.

Children Handwashing After Outdoor Activities

“Caregiver was observed to not wash the toddler’s hands after outdoor actvities.”

Rule 746.3417(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2025. Correction verified: Aug 7, 2025.

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

“Caregiver was observed to be sitting in a chair and not intervening while children where observed to be running in the classroom and throwing different toys in the classroom at each other.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2025. Correction verified: Jul 30, 2025.

Child/ Caregiver Ratio - 13 or More Children

“Caregiver was observed to be out ratio with fourteen two year olds.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2025. Correction verified: Jul 30, 2025.

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

“An infant under 12 months of age was asleep in a crib with a pacifier clip attached to them while asleep.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 17, 2025.

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

“Children were observed to not have water made available to them during their outside time.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 17, 2025.

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

“Based on the information obtained during the investigation it was determined that a caregiver did not intervene when two children were throwing items at each other that caused both children to have an injury.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2025. Correction verified: Sep 4, 2025.

Incident/Illness Report Form Shared with Parent

“There is sufficient evidence to support that the operation did not share a copy of the report to the child’s parent to obtain signature on the report indicating the parent had reviewed and received the report within 48 hours of the incident. The incident occurred on June 2nd, and the parents did not review or received the report until June 16th”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 11, 2025.

Required Postings-Child’s Food Allergies

“A child with a known food allergy diagnosed by a health care professional was not observed to be posted in the child’s classroom with a known food allergy.”

Rule 746.401(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 13, 2025.

Requirements for Feeding Infants - Label Bottles/Cups

“Two bottles were observed to not be labeled with the infant’s names.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2025. Correction verified: Jun 16, 2025.

Maintenance of Building, Grounds and Equipment

“Three toilets were observed to be broken in three different classrooms.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 13, 2025.

Employee Handwashing After Handling or Cleaning Bodily Fluids

“Caregiver was observed to not wash their hands after cleaning a child’s nose that was bleeding.”

Rule 746.3415(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2025. Correction verified: Jun 16, 2025.

Required Admission Information - Emergency Contact

“One child’s file was observed to not have an address for the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 13, 2025.

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

“Two infants were observed to not have current feeding instructions.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 13, 2025.

Written Operational Policies - Parent Rights

“Three children’s records did not have parent’s rights forms in their file.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 16, 2025.

Children’s Records - Immunizations

“Immunization was not observed in one child’s file that was evaluated.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 16, 2025.

Employee Handwashing After Diapering a Child

“Caregiver was observed to not wash their hands after diaper change.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Mar 26, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“The school age classroom did not have a list with the children’s names and ages.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2024. Correction verified: Jan 14, 2025.

Installation of Unitary Surfacing Materials - to Manufacturer’s Specifications

“The unitary surfacing was observed to be in need of repair and was not installed according to manufactures specifications.”

Rule 746.4911(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 14, 2025.

Required Personnel Records - Required Affidavit (Form 2912)

“4 out of 5 employee files reviewed did not have a completed affidavit Form 2912 in their file.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 8, 2025. Correction verified: Jan 14, 2025.

Children’s Records - Immunizations

“Six children’s records were reviewed. Three children have immunization records that are outdated based on current age.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2024. Correction verified: Jun 13, 2024.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The loose-fill material surrounding the swing set area is below the required depth of six inches.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2024. Correction verified: Apr 2, 2024.

Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.

“The loose-fill material surrounding the composite play structure is below the required depth of nine inches.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2024. Correction verified: Apr 2, 2024.

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

“The operation did not have a fire inspection conducted prior to issuance of the initial permit.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2024. Correction verified: Mar 8, 2024.