Maple Tree Kids Daycare LLC

Responsibilities of Caregivers - Know children’s names and ages

“One caregiver did not know children’s ages or have access to the information showing their ages.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 15, 2026.

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

“One caregiver did not have proof of first aid/cpr in their file.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2026. Correction verified: Sep 30, 2026.

Children’s Records - Immunizations

“1 child did not have complete immunization records on file at the operation.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2026. Correction verified: Sep 15, 2026.

Required Personnel Records

“2 caregivers were missing out of their personnel file: a copies of their ID and proof of their education. Additionally one was missing proof of orientation and did not have a complete pre-employment affidavit. 1 caregiver file was not available for review during the inspection.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2026. Correction verified: Sep 22, 2026.

Operational Responsibilities- Maintain liability insurance coverage in the amount of $100,000 for each occurrence of negligence

“The operation was unable to provide proof of liability insurance.”

Rule HRC 42.049(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 13, 2026. Correction verified: Apr 8, 2026.

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

“One caregiver had left the infant space and was responsible for supervising 2 groups of children in two different spaces.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2026. Correction verified: Mar 11, 2026.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“Background check conditions were not being followed.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Mar 2, 2026.

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

“A caregiver repeatedly left the room, leaving the caregiver responsible for infants to supervise 2 spaces at one time.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Mar 2, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Two classrooms were out of ratio, with one caregiver supervising 6 infants when they were only allowed to supervise 5 and the other caregiver only being permitted to supervise 11 and there were 13 in the room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Mar 2, 2026.

Naptime Child/Caregiver Ratio - Additional Employee Required

“During naptime, ratio was reduced but there was not one other employee/caregiver in the building that wasn’t counted in ratio.”

Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Mar 2, 2026.

Diapering Procedures - Caregiver’s Hands Washed

“A caregiver was again observed changing diapers and did not wash their hands or the children hands after completion. The portable sink in the room has a broken hose and is unable to be used to wash hands.”

Rule 746.3505(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Mar 2, 2026.

Maintenance of Building, Grounds and Equipment

“Multiple outlets within reach of children were still loose, exposing wires and putting children at risk.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2026. Correction verified: Feb 18, 2026.

Diapering Procedures - Caregiver’s Hands Washed

“A caregiver was again observed changing diapers on multiple children and did not wash their hands or the children hands after completion.”

Rule 746.3505(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 25, 2026.

Diapering Procedures - Sanitizing Diaper Changing Area

“A caregiver did not sanitize the diaper changing surface in between diaper changes.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 25, 2026.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“Background check conditions were not being followed.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 17, 2026.

Maintenance of Building, Grounds and Equipment

“Multiple outlets within reach of children were loose, exposing wires and putting children at risk.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2026. Correction verified: Feb 17, 2026.

Diapering Procedures - Caregiver’s Hands Washed

“A caregiver was observed changing diapers on multiple children and did not wash their hands or the children hands after completion.”

Rule 746.3505(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 12, 2026. Correction verified: Feb 17, 2026.

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

“A caregiver left the room to answer the door, leaving 4 infants unattended in their space and her unable to intervene. A caregiver allowed children to enter and separate from the outside group when coming inside. They then had to gather outside children to bring them inside, leaving the group inside without supervision.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Sep 22, 2025.

Child/ Caregiver Ratio - 13 or More Children

“With more than 13 children in the building, one group of children exceeded the 18 month age gap by having a child under 18 months with children more than 18 months older.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Sep 22, 2025.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“One child with a food allergy written by the parent did not have a food allergy emergency plan on file.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2025. Correction verified: Oct 3, 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 caregiver left the room to cook, leaving one caregiver in charge of 4 infants and 6 other children in two spaces.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2025. Correction verified: Sep 17, 2025.

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

“The most recent fire inspection was conducted more than 12 months ago on 8/6/24.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2025. Correction verified: Sep 17, 2025.

Director present-Minimum 75%

“The operation was unable to provide timesheets showing the director is present at least 75% of the operating hours.”

Rule 746.1011(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 17, 2025.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“One child with a food allergy written by the parent did not have a food allergy emergency plan on file.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 17, 2025.

Children’s Records - Immunizations

“One child whose parent is not participating in immunizations did not have the health department waiver on file at the operation.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 17, 2025.

Required Records Maintained and Made Available - Infant Feeding Instructions

“The operation was unable to provide monthly feeding schedules for the infants enrolled and present at the operation.”

Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 17, 2025.

Required Records Maintained and Made Available - Personnel and Training Records

“There was one caregiver that did not have an employee file available for review.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 17, 2025.

Required Admission Information - Emergency Medical Authorization

“3 children did not have parent signatures giving the operation authorization to obtain emergency medical care on file. 1 was corrected at inspection.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2024. Correction verified: Dec 4, 2024.

Required Admission Information - Physician Information

“One child did not have an address or phone number listed for their physician. No hospital was named.”

Rule 746.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2024. Correction verified: Dec 4, 2024.

Required Records Maintained and Made Available - Employees’ Attendance

“There were no employee time sheets available for review.”

Rule 746.801(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2024. Correction verified: Sep 18, 2024.

Director Qualifications - 13 or More Children

“The operation does not have a qualified director in place at the operation.”

Rule 746.1015. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2024. Correction verified: Jun 6, 2024.

Policies Comply with Rules

“The operational policies did not include a completed emergency preparedness plan, hours of operation, an abuse/neglect policy, medication policy, safe sleep, hearing and vision, enrollment procedures, promotion of indoor and outdoor activities including benefits, length of time and types, insect/sunscreen procedures, procedures for parents to review policies/have questions, how to review 2936, how to contact HHSC, breastfeeding policy and how to support inclusive services (although ADA is mentioned).”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 5, 2024.

Infant Care Area - Able to See, Hear and Intervene

“The handwashing sink and diaper changing area were not set up in such a way that caregivers can see and hear infants at all times.”

Rule 746.2403(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 5, 2024.

Infant Care Area - Separate from Older Children

“There was no barrier between the infant space and older children’s space that would prevent infants from leaving their space and older children from entering.”

Rule 746.2403(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 5, 2024.

Written Activity Plans

“The written activity plans were not specific enough for each age of children they plan to serve.”

Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 5, 2024.

Location of Handwashing Sink

“There was no handwashing sink or diaper changing area in an area that will be used by children in diapers.”

Rule 746.4405. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 5, 2024.