Tender Care Learning

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Three employees were missing orientation traininigs in files.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 4, 2026.

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

“Three employees were missing pre-service trainings during the inspection time,”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 4, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Four staff have expired CPR/First aid trainings certificates.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2026. Correction verified: Aug 17, 2026.

Training Requirements for Employees, Caregivers, and Directors - Transportation training

“Director’s transportation trainings was observed expired during the inspection time.”

Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 4, 2026.

Training Requirements for Employees, Caregivers, and Directors - Water Safety training

“Employees water safety trainings were not available during the inspection time.”

Rule 746.1301(a)(8)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 6, 2026.

Director Annual Training - Required 6 hours

“Staff caring children with special care needs did not have specific topic of training in their files.”

Rule 746.1311(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 6, 2026.

Children’s Records - Health Statement

“A child was missing a health statement in the file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 6, 2026.

Children’s Records - Immunizations

“A child was missing inmunizations records in the file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 4, 2026.

Required Personnel Records -Training Hours

“Five employees did not have completed annual trainings in their files.”

Rule 746.901(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 21, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“The infant’s feeding instructions were not updated. Documentation shows the forms were updated a month ago.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 16, 2025.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“It was observed that the children’s bottles in five classrooms were not labeled.”

Rule 746.2505(4)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 16, 2025.

Child Passenger Safety Seat System - Child 12 Years and Younger Must Not Ride in Front Seat

“During the inspection an eleven years old child was observed riding in the front seat of the van.”

Rule 746.5607(d). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 23, 2025.

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

“There was no observed surfacing material in use zones around and under the rotating or moving equipment.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 10, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“Infant feeding plans for 9 infants were not current.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2024. Correction verified: Nov 5, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“Three seperate classroom’s caregivers did not know the number of children in each classroom. School Age said there were 16, but 15 were present. Four year olds said there were 16, but 17 were present. Two year olds said there were 10, but 11 were present.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2024. Correction verified: Aug 14, 2024.

Field Trips - Written List of Children

“Based on investigation findings a child was left at the location of a field trip. This child’s name was not written on the list because the child arrived after the field trip began.”

Rule 746.3001(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2024. Correction verified: Jul 31, 2024.

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

“A caregiver present in the two year old classroom did not have an eligible background check. Note: The caregiver left during inspection and the background check was submitted.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2024. Correction verified: May 4, 2024.

Director Responsibilities - Operate in Compliance

“Based on information obtained in the investigation there is sufficient evidence to show that a Director did not ensure compliance with the minimum standards when they engaged in prohibited punishment and did not report the incident to Child Care Regulation.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2024. Correction verified: Jun 3, 2024.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on findings during an investigation a three-year-old was inappropriately disciplined by spanking and kicking the child.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2024. Correction verified: Jun 3, 2024.

Parental Communication - Situation that Placed a Child at Risk

“A 3-year-old child was disciplined inappropriately. The operation notified parents 4 days after the incident occurred.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2024. Correction verified: Jun 3, 2024.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“An incident report was not provided to the parent of the child who was inappropriately disciplined on April 29th within 48 hours.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2024. Correction verified: Jun 3, 2024.

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

“A caregiver was present with a pending background check. Note: The caregiver left during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2024. Correction verified: Jan 23, 2024.

Electronic Child Safety Alarm - is equipped in each vehicle

“The transportation van does not have a child safety alarm installed on it.”

Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2024. Correction verified: Jan 29, 2024.

Child Passenger Safety Seat System - Not expired or damaged in accident

“Booster seats on transportation van were expired. Note: Seats were removed from van during inspection.”

Rule 746.5607(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2024. Correction verified: Jan 23, 2024.