Home Sweet Home in Home Childcare Facility

Pediatric First-Aid and Pediatric CPR Training -skill based and hands on

“The primary caregiver had NationalCPRFoundation training which is a complete online course and does not utilize in person training with a manikin.”

Rule 747.1313(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2026. Correction verified: Oct 26, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“It was observed that screen time was being utilized during a mealtime. This was corrected when the primary caregiver turned off the tv.”

Rule 747.2105(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 18, 2026.

Required Admission Information - School Information for School-age Child

“One school age child in care was missing school information and contact number in their file. This information was corrected by parent permission during pick up time.”

Rule 747.605(13). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 18, 2026.

Personnel Records- Training Hours

“Training records for the primary and assistant caregiver were not made available for review during the time of the inspection.”

Rule 747.901(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Feb 25, 2026.

Required Admission Information - Release Information

“One child’s file did not contain release information.”

Rule 747.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2025. Correction verified: Oct 10, 2025.

Sanitation of Building, Grounds and Equipment

“The outside play area had broken pieces of glass and tile on the ground. The fence was not in good repair and contained broken wood and exposed nails.”

Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2025. Correction verified: Oct 28, 2025.

Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible

“It was observed that cleaning supplies and hair chemicals were found to be accessible to children under the bathroom cabinets.”

Rule 747.3203(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2025. Correction verified: Oct 7, 2025.

Safety - Air Conditioners, Fans, Heaters Safeguarded

“The outdoor a/c unit in the back of the home did not have a safeguard or barrier around it.”

Rule 747.3501(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Nov 5, 2025.

Screen Time Activities - Not Used for Under Two

“Upon arrival to the home, it was observed that children of the ages 3months to 3 years old were engaged in screen time. This was corrected when the screen was turned off.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 6, 2025.

Children’s Records - Health Statement

“Three children’s files did not contain health statement information.”

Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2025. Correction verified: Oct 10, 2025.

Sign-in and Sign-out Logs Maintained

“A follow-up inspection was conducted and compliance was not met. Daily sign in and out logs for all days in the month of June were not available for review.”

Rule 747.635(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jul 8, 2025.

Screen Time Activities - Age-appropriate

“The children were watching a televison show rated “PG” which means parental guidance. This was corrected at inspection.”

Rule 747.2105(c)(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 25, 2025.

Required Personnel Records - Required Affidavit (Form 2912)

“A pre-employment affidavit was not on file for the assistant caregiver.”

Rule 747.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2025. Correction verified: Jul 7, 2025.

Definition of Assistant Caregiver

“An assistant caregiver was left alone caring for children.”

Rule 747.1203(a). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: Jun 24, 2025.

Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)

“An assistant caregiver, hired on 6/2/25, did not have a notarized affidavit available for review in the file.”

Rule 747.1207(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2025. Correction verified: Jun 24, 2025.

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

“The permit holder admitted that an individual was present and in the presence of children without having a completed initial background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 5, 2025.

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

“Based on the information provided, a photo shows 2 infants left alone a room. One infant was placed in a car seat on the bed and the other infant was sitting in a play pin. Due to the proximity of the room of where the infants were placed, a caregiver would not be able intervene and ensure proper supervision is maintained.”

Rule 747.1503(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 24, 2025.

AP Never exceed capacity of the home

“Based on the information obtained, the logs show that there were 13 children clocked in and present at the same time. In addition, there were 3 other children who was not clocked in but were also present with the other 13 children in care. A photo also shows there were 14 children present in one room together.”

Rule 747.207(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 24, 2025.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“Based on the information provided, there is a video that shows a 5 year old, placed in a high chair as a form of discipline.”

Rule 747.2705(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 24, 2025.

Child/Caregiver Ratio - Licensed Child Care Home

“Based on the information provided, a photo shows a total of 4 infants with 10 other children who were at least 18 months and over with one caregiver.”

Rule 747.1801. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 24, 2025.

Sign-in and Sign-out Logs Maintained

“During the inspection, the sign out sheet for the children that were not enrolled into NCI, was not available for review.”

Rule 747.635(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 25, 2025.

Safety - Electrical Outlets Covered

“There were uncovered outlets in areas used by the children. This was corrected at inspection.”

Rule 747.3501(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 24, 2025.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“The parents of the two infants have not completed written feeding instructions.”

Rule 747.2321(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2025. Correction verified: Mar 31, 2025.

Positive Methods of Discipline and Guidance - Brief Supervised Separation

“Toddler children and children up to 4 years old are being required to remain in time out for up to 5 minutes which over the one minute per year requirement.”

Rule 747.2703(4)(D). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 24, 2025.

Children’s Records - Immunizations

“Of the four children’s records evaluated the following information was missing: Three children were behind with immunizations. One child’s record lacked an immunization record.”

Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2025. Correction verified: Mar 3, 2025.

Documentation of Pediatric First-Aid and Pediatric CPR also Includes Expiration Date or Renewal

“Documentation of current CPR and First Aid training for the primary caregiver was not available for review.”

Rule 747.1327(c)(1)(B). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 26, 2025. Correction verified: Feb 10, 2025.

Required Health Statement

“Of the four children’s records evaluated, two lacked health statements.”

Rule 747.611(a). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2025. Correction verified: Mar 3, 2025.

Smoke-Detection System

“One room being used by children is not equipped with smoke detector.”

Rule 747.5111. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2025. Correction verified: Jan 27, 2025.

Registered or Licensed Child-Care Home Must be Equipped with a Working Carbon Monoxide (CO) Detection System, unless located in a School Facility

“The home is not equipped with a carbon monoxide detector.”

Rule 747.5331. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2025. Correction verified: Jan 27, 2025.