Robins Nest Child Care West

Fire Drill Monthly - Exit in 3 Minutes

“The operation’s last documented fire drill was completed on 2/20/2026. A fire drill was completed during the inspection to bring the deficiency into compliance.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 7, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“There was 1 infant feeding instructions that had not been updated since 7/02/2025.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2025. Correction verified: Aug 13, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver stated she had 8 children and it was determined she had 7 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2025. Correction verified: Jun 4, 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 current inspection, a classroom was outdoors and a child was not visible to the caregiver in the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2025. Correction verified: Jun 4, 2025.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“During current inspection, I observed a balance beam without proper loose fill surrounding it. The Director removed the beam during the inspection.”

Rule 746.4901(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 3, 2025.

Fenced Outdoor Activity Space

“It was determined children under 5 years old were allowed to play in the front of the operation, that is not fenced.”

Rule 746.4305. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2025. Correction verified: Apr 3, 2025.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based on the evidence from the DFPS investigation, it was determined a caregiver neglected 3 children in care.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2025. Correction verified: May 28, 2025.

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

“A caregiver did not intervene during an incident when children were acting inappropriately each other.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2025. Correction verified: May 28, 2025.

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

“Based on the evidence from the DFPS Investigation it was determined that 2 caregivers have been observed utilizing their cell phones while caring for children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2025. Correction verified: May 28, 2025.

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

“It was determined the operation was not ensuring the supervision of children and caregivers were not able to intervene to reduce the injuries to children in care.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Mar 26, 2025.

Required Immunizations

“There were 2 children’s files that did not have immunization records on file.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“One caregiver’s file did not have documentation that orientation had been completed.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 27, 2025.

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

“A caregiver observed counted in ratio did not have documentation of pre-service on file for review.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 27, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“A caregiver did not have documentation of CPR/First Aid completed on file.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 10, 2025.

Maintenance of Building, Grounds and Equipment

“A changing table was observed to have crumbs and dirt under the changing pad.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Feb 27, 2025.

Safety - Areas Free From Hazards

“A book shelf in the infant classroom was observed to not have been anchored to the wall.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Feb 27, 2025.

Documented Annual Training Area - 24 Hours Required

“One caregiver had only completed 6 out of the required 24 training hours completed for the year.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“An infant in care had not had their infant feeding instructions updated since November 2024.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 27, 2025.

Health Statement on File within 1 Week of Admission

“There were 2 children’s file that did not have a health statement on file.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Required Personnel Records- Meets Requirements

“Two caregivers did not have proof of educational requirements on file for review.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 26, 2025.

Required Personnel Records - Required Affidavit (Form 2985)

“Three personnel files reviewed did not have a notarized affidavit on file for review.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 24, 2025.

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

“It was determined the incident occurred on 12/10/24 and the incident was not reported to Child Care Regulation until 1/03/25.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2025. Correction verified: Jan 13, 2025.

First Aid Kit - Incomplete Kit

“The first aid kit was missing antiseptic wipes and tweezers.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2024. Correction verified: Oct 3, 2024.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based on the DFPS Investigation, it was determined that a child in care was abused.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2024. Correction verified: Sep 6, 2024.

Prohibited Punishments - Grabbing and Pulling

“Based on evidence from a DFPS investigation, it was determined a caregiver grabbed a child by their shirt.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2024. Correction verified: Sep 6, 2024.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on evidence from the DFPS investigation, it was determined a caregiver yelled at children in care while disciplining them.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2024. Correction verified: Sep 6, 2024.

Children’s Records - Immunizations

“One child’s file did not have the immunization record on file for review.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2024. Correction verified: May 15, 2024.

Health Statement on File within 1 Week of Admission

“Six out of siz files reviewed did not have a health statement for review.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2024. Correction verified: May 9, 2024.

Space Requirements - Under 18 Months of Age Separate from Older Children

“There were 2 infants (12 months) observed in a classroom that was not regulated for infants.”

Rule 746.4203. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 13, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“There were 2 caregivers that did not know the number of children they were responsible for. One caregiver stated she has 9 children and it was determined she had 10. Another caregiver stated she had 8 children and it was determined she had 9 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2024. Correction verified: Mar 13, 2024.

Janitorial duties

“A caregiver was observed vacuuming while the children were sleeping and the children were not being properly supervised.”

Rule 746.1203(3)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2024. Correction verified: Mar 13, 2024.

Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

“An 11 month old infant was observed sleeping on a mat.”

Rule 746.2405(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2024. Correction verified: Mar 13, 2024.

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

“A caregiver was observed asleep next to a child the caregiver was putting to sleep during naptime. The caregiver woke up when the door was opened.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Dec 21, 2023.

Responsibilities of Caregivers - Know children responsible for

“A caregiver was unaware of the number of children in their group.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Dec 21, 2023.

Field Trips - Ensure Safety

“Director allowed children to go to a building that was not part of the operation’s floor plan.”

Rule 746.3001. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Dec 21, 2023.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“A caregiver was observed taking children inside and the caregiver did not inform the co-teacher the number of children she was taking with her.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Dec 21, 2023.