First Learning Tree

Safety - Areas Free From Hazards

“In one classroom, adult-size scissors, staple removers, and a shipping tape dispenser was observed in an unsecured drawer that was accessible to children. NOTE: This was corrected at time of inspection when the caregiver removed all items from drawer and placed the items out of reach of children.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 27, 2023.

Medication No Longer Used

“One child’s prescribed EpiPen was expired as of July 2023.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Oct 5, 2023.

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

“Based on the information provided during the course of the investigation, one staff failed to use good judgment when she did not count children before leaving the classroom during a transitioning period.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2023. Correction verified: May 4, 2023.

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 and video footage observed, one staff did not properly supervise the children when lining children up to go outside. As a result one child was left unsupervised in the classroom for 14 minutes while in care.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2023. Correction verified: May 4, 2023.

Child/ Caregiver Ratio - 13 or More Children

“Inspector observed one staff outside the infant room while one staff was with 8 infants 4-12 months inside the room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2023. Correction verified: Apr 18, 2023.

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

“Based on the information provided during the course of the investigation, there is sufficient evidence to validate that staff used poor judgment when going in and out of a classroom and not ensuring the door was properly closed. As a result a door was left open and a child left the room.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: Apr 24, 2023.

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 during the course of the investigation, two staff did not properly supervise the children in their care. As a result one child left the classroom on his own.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: Apr 24, 2023.

First Aid Kit - Incomplete Kit

“The First Aid Kit was missing the following: Scissors, , Cotton Balls and Thermometer. This was corrected when the Assistant Director placed the missing items in the First Aid Kit. Corrected during the inspection.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 18, 2022.

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

“Based on the information gathered, the operation failed to demonstrate good judgment, when the staff did not accurately count children.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2022. Correction verified: Nov 18, 2022.

Responsibilities of Caregivers - Supervision of Children

“Based on the information gathered, a caregiver left a child unattended on the playground and didn’t know the child was missing until another employee brought the child in.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2022. Correction verified: Nov 18, 2022.

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

“Based on the information gathered, the operation failed to demonstrate good judgment, when the staff did not communicate with other staff upon shift change. The morning staff didn’t explain the injury of a child to the afternoon staff, therefore upon pickup staff couldn’t explain injury.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2022. Correction verified: Jul 14, 2022.

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

“Based on the information gathered, the operation failed to demonstrate good judgment, when the staff assumed a child’s injury was not severe and did not inform the parent/guardians until the child was picked up from daycare.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2022. Correction verified: Jun 7, 2022.