Tmc Tots

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

“The operation allowed for a staff member to be present at the operation with a pending background. This was corrected during the inspection when I observed the staff member leave the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Oct 1, 2025.

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

“An operation allowed two caregivers with pending backgrounds to be present with children. This was corrected during the inspection when both caregivers were observed leaving the building.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 17, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“A staff member did not know the youngest child in the toddler classroom and the information was not posted.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 17, 2025.

Documentation of Annual Sanitation Inspection

“The sanitation report was not available for review.”

Rule 746.3403. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2025. Correction verified: Jul 9, 2025.

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

“Two preschool children were allowed to go to the restroom by themselves without proper supervision. The caregiver was observed walking back and fourth between the restroom and preschool classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 17, 2025.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“Three out of ten caregivers are missing a high school diploma or equvilent.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2025. Correction verified: Feb 19, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“An infant not yet on table food has not had an updated infant feeding sheet since August of 2024.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 26, 2025. Correction verified: Feb 19, 2025.

Children’s Records - Health Statement

“Three out of eight children were missing a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2025. Correction verified: Mar 12, 2025.

Required Personnel Records - Photo Identification

“Three out of ten caregivers did not have a photo identification available for review.”

Rule 746.901(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 26, 2025. Correction verified: Feb 19, 2025.

Positive Methods of Discipline and Guidance - Redirecting Behavior

“Children in the younger toddler classroom were observed riding toys bicycles around the classroom and on top of mats while other children were sleeping. While the children were riding bikes, no caregiver redirected or intervened the behavior and allowed the children to continue riding the bikes in the classroom and on children’s mats.”

Rule 746.2803(4)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 25, 2024.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“In the younger toddler classroom the sleeping mats were not properly spaced out and were touching.”

Rule 746.2909(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 25, 2024.

Employee Handwashing After Diapering a Child

“During the walk through inspection I observed a caregiver changing diapers with out washing her or the child’s hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 25, 2024.

Children Handwashing After Toileting or Diapering

“During the walk through inspection I observed a caregiver changing diapers with out washing her or the child’s hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 25, 2024.

Food Service and Preparation Requirement - No Foods That Present Choking Risk

“I observed the cook/caregiver serving whole grapes to the younger toodler children, older toddler children and preschool children.”

Rule 746.3317(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2024. Correction verified: Sep 19, 2024.

Food Service and Preparation Requirement - Cover All Stored Food

“Multiple types of food was observed uncovered in the refrigerator. This was corrected during the inspection when the caregiver through the food away.”

Rule 746.3317(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 10, 2024.

Chairs - Safety Straps Used if Required by Manufacturer

“Multiple children were observed sitting in a feeding chair without being strapped in. This was corrected during the inspection when the caregiver strapped the children in.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 10, 2024.

Child/ Caregiver Ratio - 13 or More Children

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2024. Correction verified: Sep 19, 2024.

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

“A caregiver with a pending background check was observed in the toddler classroom working with children. This was corrected during the inspection when I observed the caregiver immediately leaving the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 20, 2024. Correction verified: Aug 30, 2024.

Documentation of Fire Inspection

“The fire inspection was not available for review.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Sep 10, 2024.

Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

“Toddler children were observed walking around with training cups and a toddler was observed falling asleep in a crib with a bottle in there hand. This was corrected during the inspection when i observed the caregiver removing the child from the crib and placing him at the table to finish his bottle and I observed the caregiver taking the children’s training cups and putting them in the children bag.”

Rule 746.2505(4)(C). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 20, 2024.

Children’s Records - Immunizations

“Two out of ten children were missing an updated shots record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Sep 10, 2024.