St. Pius X Child Development Center

CPR Training and Recertification Adhere to Guidelines-skill based

“One caregiver out of five did not have a hands on CPR training for pediatrics.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2026. Correction verified: Sep 14, 2026.

Written Operational Policies - Parent Rights

“The operation did not have a parent’s right section in operational policy.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Aug 31, 2026.

Diaper Changing Steps- Prompt

“During the investigation, it was discovered that a child in care was sent home in soiled clothing following a toileting accident on multiple occasions.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2026. Correction verified: Jul 20, 2026.

Documented Annual Training - 6 Hours of annual training required

“One out of four staff members was short four hours out of the twenty-four hours required in the year to review the file.”

Rule 746.1309(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2025. Correction verified: Sep 11, 2025.

Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

“Two out of eight staf files reviewed did not have a health statement on file”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2025. Correction verified: Oct 14, 2025.

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

“A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: Staff member was sent home during inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2024. Correction verified: Jul 2, 2024.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Two of two employee records reviewed did not have documentation of orientation.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jul 1, 2024.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“One of two employee records reviewed revealed there was no documentation of pediatric CPR completed.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2024. Correction verified: Jul 1, 2024.

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

“One of two employee records reviewed revealed there was no documentation of pediatric first aid completed.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2024. Correction verified: Jul 1, 2024.

Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list

“The operation employee list was not validated.”

Rule 745.651(2)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2024. Correction verified: Jul 1, 2024.

Required Personnel Records - Required Affidavit

“One of two employee records reviewed did not have an affidavit on file.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jul 1, 2024.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“The emergency preparedness plan was found to be missing required information; How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Emergency Preparedness Plan-Continuity of Care Until Children Released

“The emergency preparedness plan was found to be missing required information; How your staff will continue to care for the children until each child has been released.”

Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Written Operational Policies - Benefits

“The operational policies was found to be missing required information; benefits of physical activity and outdoor play.”

Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Written Operational Policies - Duration

“The operational policies were found to be missing required information; duration of physical activity.”

Rule 746.501(a)(18)(B). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Written Operational Policies - Type of Physical Activity

“The operational policies was found to be missing required information; type of physical activity that children may engage in at your operation.”

Rule 746.501(a)(18)(C). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.

Written Operational Policies - Plan for extreme weather conditions

“The operational policies was found to be missing required information; A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.”

Rule 746.501(a)(18)(G). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2024. Correction verified: Feb 12, 2024.