Just for Tots #2

Children Handwashing Before Eating

“Children were observed entering the operation from school, sitting down to eat before washing their hands,”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2026. Correction verified: Sep 23, 2026.

Disposing of Gloves after One Use

“The caregiver was observed wearing gloves to fix dinner plates, then stopped to sign children in from the transportation.”

Rule 746.3425(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2026. Correction verified: Sep 23, 2026.

Responsibilities - Not interfere with an inspection or investigation

“Video footage was requested from the operation to cover days listed in the investigation. The operation began playing the recordings, then stated the camera and footage was messing up, preventing licensing from accessing any of the recordings. The operation however, offered to provide footage of the day prior and the day after the incident, which were not associated with the investigation.”

Rule 745.8411(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Sep 23, 2026.

AP Initial background checks submitted - At the time you hire someone

“It was determined the operation allowed two caregivers to work in the operation without having submitted background checks.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2026. Correction verified: Aug 28, 2026.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“The operation was observed not following the conditions of the background check. This was corrected when the second caregiver returned to the room.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2026. Correction verified: Aug 20, 2026.

Required Personnel Records

“A caregiver was working in the operation and did not have an employment file.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2026. Correction verified: Aug 28, 2026.

Safety Requirements for Cribs - Snug Fitting Sheets

“4 of the 10 cribs was observed with sheets that did not fit snug on the mattress. And two of the cribs were not labeled. One crib was propped on a mat to prevent the child from moving the crib.”

Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jul 8, 2026.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“A caregiver was observed walking on a child’s mat during nap time. There was insufficient space for the caregiver to walk in between the mats. This was corrected when the caregiver picked up the mats.”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 17, 2026.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“A garbage can with no lid was observed in the classroom allowing trash to be accessible to the children. This was corrected during the inspection when a garbage can with a lid was placed in the classroom.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 17, 2026.

Diaper Changing Steps- Parent’s Written Permission for Powders, Lotions, Etc.

“Lotions and creams were observed in the bin of the diaper station, The operation did not have written permission from the parents to apply the lotions and creams.”

Rule 746.3501(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jul 8, 2026.

Safety - Areas Free From Hazards

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2026. Correction verified: Jul 8, 2026.

Required Personnel Records - Required Affidavit (Form 2985)

“A caregiver did not have the required notarized affidavit and two caregivers did not have the pre-application affidavits.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 19, 2026. Correction verified: Jul 8, 2026.

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

“An individual was observed hiding in the girls’ bathroom with feet off the floor sitting in the stall. The individual was removed from the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2026. Correction verified: Jun 17, 2026.

Diaper Changing Equipment- If Above Floor Level Must Use Safety Mechanism

“There was no safety mechanism observed attached to the diaper table in the classrooms.”

Rule 746.3503(c)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 22, 2026.

Storage for Individual Belongings

“Personal belongings were observed stacked in a pile on the couches in the classroom.”

Rule 746.4505. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2026. Correction verified: Jun 17, 2026.

AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter

“The operation did not follow the conditions of the criminal background check unit. The operation allowed a person deemed ineligible to be present at the operation and have access to the child in care.”

Rule 745.635(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2026. Correction verified: Jul 8, 2026.

Responsibilities - Not interfere with an inspection or investigation

“The operation interfered with the investigation when they did not provide available video footage related to an open investigation. During the inspection, video recording equipment was on and working. The footage was playing clear and showing parents entering and exiting the building. The inspector requested to review the footage for the day of the incident. Staff left the room, returned, shut the equipment off and stated it was no longer working. The operation never made an effort to provide the inspector with the video recording after numerous requests.”

Rule 745.8411(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2026. Correction verified: Jul 8, 2026.

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

“The operation did not use good judgment when the operation knowingly allowed and participated in a violation of the conditions set in place by background unit. The operation allowed a person deemed ineligible to be present at the operation while children were in care. The operation participated by not notifying Childcare Regulations on several occasions when the individual had been present at the center.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2026. Correction verified: Jul 8, 2026.

People Whose Behavior/Health Threatens Children Not Present

“A verbal and physical altercation was witnessed to have ensued during operating hours between two employees and a previous employee while children were in care.”

Rule 746.3703(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2026. Correction verified: Jul 8, 2026.

Report Unsafe Facility Occurrence

“During an investigation inspection, it was found, the operation did not report an incident that happened at the operation in the front of staff and children which rendered the facility unsafe and placing children at risk.”

Rule 746.305(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2026. Correction verified: Jul 8, 2026.

Safety - Areas Free From Hazards

“Children were observed asleep near shelving that had scissors and other supplies that could cause injury. A container of bleach wipes was observed in the classroom and accessible to the children. This was corrected during the inspection when both the scissors and wipes were removed out of the reach of the children.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2026. Correction verified: May 8, 2026.

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

“A child was left on the playground for more than 5 minutes. A caregiver retrieved the child after being notified by the police department.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2026. Correction verified: May 8, 2026.

Caregivers Have Access to Tracking System

“Caregivers did not have a written tracking system which prevented them from identifying the children in their care.”

Rule 746.631(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2026. Correction verified: May 8, 2026.

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

“Staff did not use good judgement and self-control during an incident with a parent. The staff became upset and terminated the care of a child without incident.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2026. Correction verified: Mar 12, 2026.

Written Operational Policies - Suspension and Expulsion

“The operation did not have a suspension and termination policy in place prior to suspending a parent for addressing a concern.”

Rule 746.501(a)(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2026. Correction verified: Mar 12, 2026.

Director Responsibilities - Employees Comply with Standards

“The staff did not comply with the minimum standards for parent’s rights. The operation has written procedures for parents to discuss concerns with staff, however when the parent tried to share concerns, care was terminated.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2026. Correction verified: Mar 12, 2026.

Safety Precautions for Loading and Unloading Children - Account for All Children

“2 caregivers were observed not conducting the name to face as the children exited the vehicle.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2025. Correction verified: Sep 11, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“One classroom was observed with 20 children and 3 caregivers. The caregivers did not know the specified age group of the children, because a second group of children was add to the room. The caregivers did not have a list showing who the children were and their ages.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2025. Correction verified: Sep 2, 2025.

Safety Precautions for Loading and Unloading Children - Account for All Children

“Caregivers were observed not conducting the name to face as the children exited the vehicle.”

Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2025. Correction verified: Sep 18, 2025.

People Whose Behavior/Health Threatens Children Not Present

“The operation allowed a previous employee to be present at the operation during operating hours and not following the rules of the background unit.”

Rule 746.3703(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 7, 2025.

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

“The operation did not report that a child in care received medical attention.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 15, 2025.

Determining Child/Caregiver Ratios - Basis

“The pre-toddler room was observed with 5 children age 0-11 months old, bringing the room out of ratio by 1 child. This was corrected during the inspection when 1 child was moved to another room.”

Rule 746.1507(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 30, 2024. Correction verified: Nov 6, 2024.

People Whose Behavior/Health Threatens Children Not Present

“An employee ineligible to be present at the operation during hours of operation and while children are in care has been observed at the operation.”

Rule 746.3703(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2024. Correction verified: Nov 6, 2024.

Employee Handwashing After Diapering a Child

“A caregiver did not wash hands after diapering a child. This was corrected at the inspection when the caregiver washed their hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 26, 2024.