Silver Star Academy at Cypress Creek

Responsibilities of Caregivers - Know number of children responsible for

“The caregiver did not know the number of children they were responsible for.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2026. Correction verified: Sep 11, 2026.

Required Immunizations

“Of the 10 children’s records evaluated, 3 were behind with immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2026. Correction verified: Sep 11, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“One caregiver has not completed 24 clock hours of pre-service training.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Sep 11, 2026.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“One caregiver did not receive training in SIDS for the previous training year.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2026. Correction verified: Aug 24, 2026.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director has not completed a transportation safety training,”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2026. Correction verified: Aug 13, 2026.

Required Admission Information - Emergency Contact

“Of the 10 childeren’s records evaluated, 2 alcked the address of the emergency contact,”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2026. Correction verified: Sep 11, 2026.

Documented Annual Training- Required Content

“Three caregivers did not receive training in one or more of the following topics for the previous training year: emergency preparedness, administering medications, communicable diseases including immunizations, understanding building and physical premises safety, food allergies and handling, storing and disposing of hazardous materials.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Sep 29, 2026.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“Video footage from 7/29/26 was reviwed and an infant was left in a restrictive device for over an hour.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 12, 2026.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. Loose-fill surfacing or unitary surfacing has not been installed in the use zones for slides on two playgrounds.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2026. Correction verified: May 19, 2026.

No Asphalt or Concrete Under Climbing Equipment Unless Unitary Surfacing Covers Use Zone

“Climbing equipment was installed over concrete without unitary surfacing being installed.”

Rule 746.4601(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 29, 2026.

Maintenance of Building, Grounds and Equipment

“Staff are using the same towels throughout the day to clean the diaper changing table and tables/chairs.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Apr 9, 2026.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“Loose-fill surfacing or unitary surfacing has not been installed in the use zones for slides on two playgrounds.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 29, 2026.

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

“The emergency preparedness plan does not include an alternate shelter for relocation.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2026. Correction verified: Feb 25, 2026.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“Background checks for staff who are no longer employed by the center have not been inactivated.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Feb 25, 2026.

Policies Comply with Rules

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2025. Correction verified: Jul 17, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“Of the six personnel records evaluated, one caregiver did not complete a CPR class that adhreres to the guidelines for CPR by the American Heart Association.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2025. Correction verified: May 31, 2025.

Inspect Fire Extinguishers Monthly

“Monthly checks of the fire extinguishers are not being conducted.”

Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 14, 2025.

Diapering Procedures - Sanitizing Diaper Changing Area

“The operation is using a bleach/water solution as the disinfectant without the following additional steps being done: 1. Soapy water 2. Rinsing with clean water.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2025. Correction verified: Apr 28, 2025.

Written Operational Policies - Unassigned Epinephrine Auto-Injectors

“Ther operational policies did not include information regarding the adminstering of unassigned auto injectors.”

Rule 746.501(a)(29). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 7, 2025.

Safety - Areas Free From Hazards

“There was a pipe on the toddler playground that was exposed.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2025. Correction verified: Feb 18, 2025.

Caring for Children Above or Below Ground Level-Written Approval

“There was no documentation showing that the fire marshal aproved for the 2nd level of the operation to be used.”

Rule 746.4217(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2025. Correction verified: Feb 10, 2025.

Emergency Evacuation and Relocation Diagram - Designated Location

“The alternate location listed was too far away from the operation and would not be considered an emergency location.”

Rule 746.5207(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 7, 2025.

Written Operational Policies - Transportation

“The operational policies did not obtain information regarding transportation.”

Rule 746.501(a)(14). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 7, 2025.

Written Operational Policies - Field Trips

“The operational policies did not obtain information regarding field trips.”

Rule 746.501(a)(16). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 7, 2025.

Written Operational Policies - Support inclusive services

“There was no information regarding inclusive services in the operatoinal policies.”

Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2025. Correction verified: Feb 7, 2025.