Alphabest @ Perrin Northwest

Required Personnel Records- Meets Requirements

“Two caregivers do not have a copy of their high school diplomas or IDs.”

Rule 744.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 26, 2026.

Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)

“One caregiver does not a completed affidavit on file.”

Rule 744.1103(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: Jun 26, 2026.

Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.

“The caregiver supervising the child at the time of the injury was alone and had been employed for over 90 days, and did not have first aid.”

Rule 744.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 16, 2026.

Maintenance Procedures for Active Play - Inspect Daily

“Based on information gathered during the course of the investigation, it was determined that a grounds check was not conducted on the day of the injury.”

Rule 744.3113(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Apr 10, 2026.

Incident/Illness Report Form Shared with Parent

“Based on the information gathered, the operation did not provide the child?s parent with an incident report as required.”

Rule 744.707. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2026. Correction verified: Feb 19, 2026.

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

“During the inspection two children were observed coming from the gym to the cafeteria with no supervision. The caregiver in the cafeteria was no aware of the children’s present and the caregiver responsible for the children was observed still inside the gym.”

Rule 744.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 14, 2026.

Required Admission Information - Reasonable Accommodations or Modifications

“The operation does not have an accommodation plan for a child in care who is enrolled with an identified special need.”

Rule 744.605(12)(B)(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2026. Correction verified: Mar 3, 2026.

CPR Training and Recertification Adhere to Guidelines

“The caregiver supervising the child at the time of injury does not have a first aid card, and CPR is only online.”

Rule 744.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2026. Correction verified: Feb 19, 2026.

Each caregiver, operation director, program director, and site director Pediatric CPR

“The operation’s site director CPR/First Aid is expired. One zone leader that has been employed for over 90 days have online only CPR.”

Rule 744.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: Apr 22, 2025.

Documented Annual Training-Required Topics in Health and Safety

“The site director has 6.5 out of 15 hours required for the 8/2023-8/2024 training year. The site director does not have any of the require topics in health and safety.”

Rule 744.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: Apr 22, 2025.

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

“Based on information gathered during the investigation and video footage reviewed, it is determined that a caregiver and site director did not use good judgment by allowing a child to expose himself with only a shirt on multiple times following a toileting incident for about 20 minutes on and off.”

Rule 744.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 16, 2025.

Toileting Assistance- Prompt

“Based on information gathered during the investigation, a caregiver did not intervene to assist with toileting while the child stood with fecal matter on his body and was wet for 20 minutes.”

Rule 744.2551(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 16, 2025.

Toileting Assistance- Cleanse Child with Individual Cloths

“Based on information obtained during the investigation, the operation caregivers did not intervene to ensure that a child was appropriately cleaned.”

Rule 744.2551(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2025. Correction verified: Apr 16, 2025.

Complying with Laws and Rules

“The operation’s management team allows high school caregivers to supervise the children alone. During the inspection, a high school student was observed to be supervising a child alone.”

Rule 744.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Jan 14, 2025.

Report Change in Controlling Person

“The operation did not notified CCR of site director changes.”

Rule 744.305(a)(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2024. Correction verified: Jan 14, 2025.

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

“During the inspection, the substitute site director had to perform site director duties, leaving the high school employee in charge of the group.”

Rule 744.1107(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Jan 14, 2025.

Responsibilities of Caregivers - Know how many children responsible for

“Multiple caregivers did not how many children they were responsible for.”

Rule 744.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2024. Correction verified: Dec 18, 2024.

Complying with Laws and Rules

“The operation’s management team continues to allow high school caregivers to supervise charge alone. During the inspection a high school student was observed to be supervising a child alone.”

Rule 744.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2024. Correction verified: Dec 18, 2024.

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

“The high school student was observed supervising children to the restroom during the inspection.”

Rule 744.1107(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2024. Correction verified: Dec 18, 2024.

Responsibilities of Caregivers - Know how many children responsible for

“There were two caregivers present during the inspection and either knew how many children they were responsible for.”

Rule 744.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 4, 2024.

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

“Children were observed multiple times during the inspection being walking away from the group and out of caregivers sight. Children were observed transitioning alone. Children were observed in the bathroom fighting while in care.”

Rule 744.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 4, 2024.

Complying with Laws and Rules

“The operation’s management team continues to allow high school caregivers to supervise charge alone. During the inspection a high school student was observed in charge of the operation and management was aware.”

Rule 744.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 4, 2024.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“Three children with known allergies do not have food allergy plans on file.”

Rule 744.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2024. Correction verified: Dec 6, 2024.

Incident/Illness Report Form Shared with Parent

“The operation has not provided the parents of the previously injured child with an incident report.”

Rule 744.707. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 4, 2024.

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

“The high school student was observed in charge of the operation for over 40 minutes.”

Rule 744.1107(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2024. Correction verified: Dec 4, 2024.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“Three children with known allergies do not have food allergy plans on file.”

Rule 744.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2024. Correction verified: Nov 21, 2024.

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

“The program has repeatedly designated a high school caregiver to supervise a group of children independently.”

Rule 744.1107(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 13, 2024. Correction verified: Nov 21, 2024.

Incident/Illness Report Form Shared with Parent

“Parents did not review, sign, or receive an incident report.”

Rule 744.707. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2024. Correction verified: Nov 21, 2024.