Kids R Kids of Lakeshore

Infant May Not Sleep in a Restrictive Device

“I observed two infants asleep secured in bouncer chairs. This was corrected when CCR staff asked for the sleeping infants to be removed from the bouncer chairs.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 23, 2026. Correction verified: Aug 3, 2026.

Director Responsibilities - Employees Supervised

Rule 746.1003(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Aug 3, 2026.

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

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Aug 3, 2026.

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

“Based on information obtained during the investigation, this minimum standard was found to be in deficient. A child was left unattended on the playground for 14 minutes and was located by a caregiver of another class during their transition to outdoor play.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Aug 3, 2026.

Director Responsibilities - Operate in Compliance

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2026. Correction verified: Jun 2, 2026.

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

“Based on the evidence obtained throughout investigation it has been determined that operation staff did not demonstrate good judgment regarding adherence to feeding instructions parents provide to the operation or minimum standards feeding requirements. Nor did the operation staff demonstrate adequate communication with each other clarifying if the child was fed baby food which resulted in a child going without eating.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2026. Correction verified: Jun 2, 2026.

Requirements for Feeding Infants - Regular Meals and Snacks

“Based on the evidence obtained throughout the investigation, it was established that a child went without eating from 9:30am until she was pick up from the operation at approximately 4:00pm. Daily report documentation, statements, and video footage only verifies that attempts were made to feed the child milk only although the operation had written approval from the parent to provide table food and those attempts were unsuccessful.”

Rule 746.2419(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2026. Correction verified: Jun 2, 2026.

Incident/Illness Report Form Shared with Parent

“Based on the information obtained throughout the investigation, it was determined that the operation did not provide an incident report to a parent. This was corrected when CCR staff suggested emailing the incident report to the parent during the investigation initiation inspection.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2026. Correction verified: Jun 2, 2026.

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

“During the investigation the director viewed footage of staff pulling on the child’s arm while helping her off the floor. The child’s arm was injured as a result of the staff actions.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2026. Correction verified: Mar 4, 2026.

Safety - Areas Free From Hazards

“During the inspection there were safety hazards observed. In one of the toddler bathrooms there was a broken toy with screws sticking out and accessible to the children. On the playground there was an area of worn material leaving a rigid exposed area, as well as one section of the chain link fence that was sticking out and leaving a sharp point exposed.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 15, 2025.

Fire Drill Monthly - Exit in 3 Minutes

“During the inspection the emergency drills were reviewed and there was not documented fire drill since 02/24/2025. This drill is required monthly. A drill was completed while Child Care Regulation was present to meet compliance.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 10, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver stated there were 8 children present in their classroom during the inspection. There were 9 children counted in the room.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2024. Correction verified: Oct 28, 2024.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“3 children in the Walkers classroom were observed sitting in chairs and the safety straps to the chairs were not fastened.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2024. Correction verified: Oct 15, 2024.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“One infant was observed sitting in a yellow chair and the black safety straps to the chair were not fastened. Note: The caregiver fastened the safety straps during the inspection.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 27, 2024.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“A child was observed sleeping on a nap cot which was blocking the doorway entry to the outdoor play area. Note: The provider corrected this during the inspection by moving the child’s nap cot away from the door.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 27, 2024.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“Observed a broken playhouse on the playground that has not been removed from the outdoor play area. The poles and green tarpes on the outdoor playground are damaged and have fallen. They have not been repaired.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Sep 11, 2024.

Required Admission Information - Limitations or Restrictions

“The following special care needs information was missing for 10 children’s files evaluated: -Limitations and Restrictions -Adaptive Equipment Provided for the child”

Rule 746.605(13)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Sep 11, 2024.

Immunization Records, Exceptions, and Exemptions Current

“Immunization records for 4 children’s files were not current.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Sep 6, 2024.

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

“During the inspection 1 infant who is not ready for table food did not have a written feeding instructions signed and dated by the child’s parents. The documentation shown did not have any written instructions from the parent.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2024. Correction verified: Sep 6, 2024.

Required Personnel Records - Photo Identification

“Documentation provided for 2 staff files did not contain photo ID.”

Rule 746.901(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Aug 29, 2024.

Required Personnel Records - Required Affidavit (Form 2912)

“Documentation provided for 2 staff files was missing the Pre-Employment Affidiavit forms.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Sep 11, 2024.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information obtained, caregivers have yelled at children out of frustration.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2024. Correction verified: Oct 28, 2024.

Care Requirements for Toddlers - Individual Attention

“Based on the information obtained, children were not shown individual attention.”

Rule 746.2501(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2024. Correction verified: Oct 28, 2024.

Maintenance of Building, Grounds and Equipment

“Based on the information obtained, there are brown water stains on the ceiling tiles in two classrooms, and water damage floor boards causing the floor to lift. Based on the information obtained, the large pictures that are bolted into the wall are missing bolts and some of the bolts are loose causing the the pictures to be unstable.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2024. Correction verified: Sep 11, 2024.

Required Personnel Records

“Documentation showing completion of transportation safety training for 1 staffs file was still not available for review upon request.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 2, 2024.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“The child safety alarm was not functioning properly due to a corroded battery.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Jul 23, 2024.

Required Personnel Records

“Documentation showing completion of transportation safety training for 1 out of 2 staff files evaluated was not available for review upon request.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2024. Correction verified: Aug 2, 2024.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“Cleaning supplies were observed in an unlocked cabinet in the Gym. Note: The provider moved the cleaning supplies to a high shelf in a closet.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 4, 2024.

Safety - Televisions Anchored to Prevent Tip Over

“A television was observed in the Steam Lab that was not mounted or anchored. Note: The operation removed the television during inspection.”

Rule 746.3701(10). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 4, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A food allergy plan was not available for a child with a diagnosed food allergy.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2024. Correction verified: Jun 17, 2024.

Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child

“Emergency contact information for children was not observed in the vehicle when children were transported to the daycare center.”

Rule 746.5617(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2024. Correction verified: Apr 12, 2024.

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

“Loose-fill material was not observed at the required depth of 9 inches during an inspection.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2024. Correction verified: Apr 12, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“Caregiver in the toddler room did not provide accurate number of children in the classroom. Note: corrected during inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2024. Correction verified: Mar 19, 2024.

Report Outbreak of Communicable Illness

“The director stated she nor did any staff report to licensing that a staff member had tested positive for covid 19.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2024.

Parental Notification of Communicable Disease

“The director stated that parents were not notified that a staff member tested positive for covid-19.”

Rule 746.307(d). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2024.

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

“This standard was evaluated in regard to a self report and compliance was not met. A caregiver did not use good judgment when her reaction to a child pushing/hitting her was to push the child to the ground and to grab the child aggressively by the arm and spin him around. The caregiver has been terminated.”

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