Little Lads and Ladies Learning Center

Maintenance of Building, Grounds and Equipment

“It was observed during the walkthrough there were ceiling tiles in several of the classrooms that were damaged, air vents were covered in dust and lysol spray was in the reach of children.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2026. Correction verified: Aug 21, 2026.

Required Personnel Records

“Four of eight staff files were found incomplete with all required information for reveiw. A list was left with staff and missing information.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2026. Correction verified: Aug 21, 2026.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“It was observed in the infant classroom that ten of ten cribs present had loose fitted sheets on the mattresses.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2026. Correction verified: Jun 17, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“It was observed in one of four classroom was using screentime during naptime/resttime.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2026. Correction verified: Jun 17, 2026.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The last fire inspection conducted was 1/6/2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2026. Correction verified: Feb 4, 2026.

Responsibilities of Caregivers - Know children’s names and ages

“In one classroom a caregiver was relieving another staff member for a break and did not have documentation in the classroom showing each child in the classroom’s age.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 22, 2025.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“A 10 month old was observed wearing a teething necklace. This was corrected at inspection as staff removed the necklace from the infant.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 17, 2025.

Naptime Child/Caregiver Ratio - Additional Employee Required

“In one classroom the operation reduced the ratio during nap time, There were 27 children in the room with a specified age of 3 years being supervised by one caregiver. There was not another individual present in the building who was not supervising children.”

Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 17, 2025.

Medication Records - Name of Child

“Two medications in one classroom did not have the complete name of the child in which the medication belonged to. This was corrected at inspection as staff wrote the name of the children on the medication. In another room not used by children where medication is kept there was one medication that was not labeled with the child’s name for whom the medication is for. All three medications did not have the date the medication was brought to the operation.”

Rule 746.3805(c)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2025. Correction verified: Jul 17, 2025.

Required Records Maintained and Made Available - Medication Records

“The operation did not have medication logs available for review. In one classroom for two children, observed a staff member has documented the name of the medication and the time given on an infant daily report which is sent home to the parent.”

Rule 746.801(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2025. Correction verified: Jul 17, 2025.

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

“One employees record lacked documentation of completion of 8 hours pre-service training before being counted in the child/caregiver ratio.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2025. Correction verified: Apr 18, 2025.

Child/Caregiver Ratio - 18 Months Difference in Age

“In one classroom there were 14 children, ages 12 months to 38 months old with two caregivers. You may combine infants with older children as long as the oldest child in the group is not more than 18 months older than the youngest child.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 16, 2025.

Naptime Child/Caregiver Ratio - Additional Employees Required

“At inspection there were two classrooms of children napping. Two caregiver were supervising 12 children, ages 14 months to 3 years (38 months) and in another room one caregiver was supervising 29 children, ages 2 years to 5 years. There were no additional staff in the building.”

Rule 746.1613(a)(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 16, 2025.

Children’s Records - Admission Information

“A sampling of children records were evaluated. Four children records lacked the child’s date of admission. Two children records lacked the address of the children’s designated contact. One child’s record lacked the phone number of the school the child attends. Two children’s immunization record was observed incomplete. One child’s record lacked the phone number and address of their doctor. One child’s record lacked documentation of emergency care authorization.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2025. Correction verified: May 9, 2025.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The operation did not have documentation of fire drills conducted nor documentation of fire extinquisher checks conducted on file for review by Child Care Regulation.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2025. Correction verified: Apr 18, 2025.

Required Personnel Records

“One staff members record lacked documentation of their date of hire, documentation of their education qualification, employee statement regarding center and personnel policies, an orientation statement regarding abuse/neglect training, a notarized affidavit, and a completed Form 2912, Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations. Three other employees personnel record lacked a completed Form 2912, Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2025. Correction verified: Apr 23, 2025.

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

“Three children left their classroom and were found in a empty classroom during inspection.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Feb 4, 2025.

Policies Comply with Rules

“The operational policies were evaluated and lacked the following written procedures: 1) procedures for conducting health checks; 2) The benefits of physical activity and outdoor play; 3) The type of physical activity (structured and unstructured) that children may engage in at your operation; 4) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; 5) Two children records evaluated did not have signed documentation of the parents rights.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 4, 2025.

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

“The caregiver lacked documentation of completion of 24 hours pre-service training.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 4, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“One caregiver lacked documentation of completion of first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2025. Correction verified: Feb 4, 2025.

Diaper Changing Equipment - No Play or Eating Surfaces Used

“In the infant/toddler room the caregiver diapers children in the floor of the classroom on a changing mat.”

Rule 746.3503(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2025. Correction verified: Feb 4, 2025.

Emergency Preparedness Plan-Continuity of Care Until Children Released

“The Emergency Preparedness Plan was evaluated and lacked the following written procedures: 1) How your staff will continue to care for the children until each child has been released; and 2) How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.”

Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Jan 25, 2025.

Children’s Products- Annual Certification

“The operation had not certified in writing that they reviewed the CPSC recall list and that there were no recalled items in the center. You may view all current and past recalls through the CPSC s Internet website at: www.cpsc.gov.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2025. Correction verified: Feb 4, 2025.

Measurement of Use Zone for Stationary Equipment

“The use zone is not being met around the musical play equipment on the older children’s playground.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 4, 2025.

Children’s Records - Admission Information

“A sampling of children records were evaluated. One child’s record lacked their admission date. Two children’s records lacked the address of their designated contact.Two children’s records lacked a health statement. Two children’s immunization records were observed incomplete. One child’s lacked documentation of a hearing and vision screening.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 11, 2025.