Growth Academy Courage

Responsibilities of Caregivers - Know number of children responsible for

“The caregiver in the toddlerroom did not know how many children were in her care. At the time of inspection the caregiver stated there were 14 children in her care when there was 15.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 21, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“The infant room was observed having 9 children ages 8 months - 3 years old, with the oldest child in the room being more than 18 months older than the youngest infant during the inspection.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 21, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“The caregiver in the infant room did not know how many children were in her care. At the time of inspection the caregiver stated there were 7 children in her care when there were 8.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 16, 2026.

Infant May Not Sleep in a Restrictive Device

“One infant was observed sleeping in a bouncer during the inspection. This was corrected when the infant was removed from the device.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Oct 16, 2026.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed caring for eight infants ages five months to sixteen months old. This was corrected during the inspection when another caregiver came back from lunch and assisted in the infant room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Oct 16, 2026.

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

“Caregiver was observed coming out of the office, leaving 14 children ages 2-5 years old with an SAG of 2 years unsupervised during naptime..”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 18, 2026.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed caring for 5 infants ages 6, 10, 10, 14, 14 months old. This was corrected during the inspection when another caregiver arrived to assist in the infant room during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 18, 2026.

Naptime Child/Caregiver Ratio - Additional Employee Required

“There was no additional staff present in the building while caregiver was supervising children during naptime.”

Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 18, 2026.

Maintenance of Building, Grounds and Equipment

“Window tent on the van were observed still peeling and hanging from the windows accessible to children during the inspection.”

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

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

“Caregiver was observed caring for 6 infants without an approved/active background check. During the inspection caregiver was observed leaving the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2026. Correction verified: Sep 4, 2026.

Safety - Bodies of Water Inaccessible to Children

“A garbage can with water inside was observed accessible to children in the playground area.”

Rule 746.3701(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2026. Correction verified: Sep 4, 2026.

Maintenance of Building, Grounds and Equipment

“Window tent on the van was observed peeling and hanging from the windows accessible to children during the inspection.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 4, 2026.

Using, Storing and Disposing of Hazardous Materials

“A bottle of motor oil was observed laying on the floor of the van accessible to children during the inspection.”

Rule 746.3407(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 4, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“Two out of four infant feeding instruction sheets were observed not updated every thirty days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 4, 2026.

Documentation of Fire Inspection

“There was no current Fire Inspection Report available for review during inspection.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 14, 2025.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Three infants ages 5 months, 12 months, and 12 months old were observed sitting in feeder table with safety straps not fastened. This was corrected during the inspection when the caregiver was informed to strap the infants and observed fastening the safety straps.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 26, 2024.

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

“Three children ages 3 and 4 years old were observed unsupervised in the restroom during the inspection.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2024. Correction verified: Aug 26, 2024.

Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

“Multiple cots were observed torn and not washable during the inspection. This was corrected during the inspection when a caregiver was observed removing the torn cots from use by children.”

Rule 746.4503(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 7, 2024.

Measurement of Use Zone for Stationary Equipment

“The use zones for stationary equipment on playground was observed not extending six feet in all directions during the inspection.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2024. Correction verified: Aug 26, 2024.

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

“A soft toy was observed in the crib with a 2 month old infant. The toy was observed being removed from the crib by caregiver during the inspection.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2024. Correction verified: Jun 24, 2024.

Safety Requirements for Cribs - Snug Fitting Sheets

“Sheet in crib with 2 month old infant was observed not snugly fitted during the inspection. This was corrected during the inspection when caregiver was observed replacing sheet with a snug fitting sheet.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 13, 2024.

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

“There was no current fire inspection to review during the inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2024. Correction verified: Feb 14, 2024.