Little Playhouse Learning Center

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

“At time of inspection a infant cabinet did not have the child safety lock and it contained cleaning solutions that were at children’s reach. A shelf bracket was observed to be on a wall at childs level. NOTE:This was corrected at inspection.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 28, 2026.

Requirements for Feeding Infants - Never Prop Bottles

“It was determined in an investigation that a caregiver was not following proper infant feeding requirements when she utilized a soft toy to prop an infant’s bottle.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2026. Correction verified: May 27, 2026.

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

“It was determined in an investigation that written feeding instructions for infants were not being followed when bottle amounts were being reduced or not being offered at the correct frequency.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2026. Correction verified: May 27, 2026.

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

“A caregiver was observed in the classroom with a pending background check. Note: This was corrected at inspection when the caregiver left the operation.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 3, 2026.

Director Annual Training - Additional required topics

“Operation staff was observed to have expired adminstering medication training while administering medication to children.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2026. Correction verified: Dec 31, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“Seven out of the nine currently enrolled infants had expired written feeding instructions.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Dec 31, 2025.

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

“During the investigation, it was confirmed that while two staff members were attending to another child, two children were able to squeeze out of the fence on the playground and exit to the parking lot.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2025. Correction verified: Nov 19, 2025.

Parental Communication - Situation that Placed a Child at Risk

“A parent was not immediately notified that their child was able to squeeze out of the fence on the playground and exit to the parking lot.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2025. Correction verified: Nov 19, 2025.

Maintenance of Building, Grounds and Equipment

“During the investigation, it was learned that a gap in the fence allowed two children to squeeze through and exit to the parking lot. This was corrected prior to the inspection when the owner added an extra fence post in the gap.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 27, 2025.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“During the investigation, it was learned that a written incident report was not completed following an incident where two children were able to squeeze out of the fence on the playground. This was corrected when the operation completed an incident report for each child and had the parents review and sign it.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2025. Correction verified: Nov 19, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“Caregiver did not know the ages of the children in their care in the room.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2025. Correction verified: Sep 19, 2025.

Fire Extinguishers Serviced

“The fire extinguishers were not serviced by the one year tag.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 19, 2025.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“The operation did not have a documented test for the previous month.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2025. Correction verified: Sep 19, 2025.

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

“Four children did not have written feeding instructions at the time of inspection.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2025. Correction verified: Jul 3, 2025.

Children’s Records - Immunizations

“One out of the six children records did not have their immunization records at the center for review at the time of inspection. Note: This was corrected when the parent brought the immunizations record to the center.”

Rule 746.603(a)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 30, 2025.

Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

“An infant was sleeping in the restricted device and caregiver did not know to immediately remove the infant from the device and place the infant in a crib as soon as possible. This was corrected when caregiver was informed of standard and she removed the infant from the restricted device and placed him in his crib.”

Rule 746.2426(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2025. Correction verified: May 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

“There is video footage of caregiver stepping out the infant room leaving the infants unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2025. Correction verified: Jun 10, 2025.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“There’s video footage of a caregiver caring for children and using the cell phone for a long period of time.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2025. Correction verified: Jun 10, 2025.