The Pillars Christian Learning Center

Requirements for Feeding Infants - Other Use of Handwashing Sink

“A hand washing sink in the infant room was observed being used for dishes. *Note, this was corrected at inspection when the dishes were removed.”

Rule 746.2419(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 24, 2026.

Floors, ceilings and Walls in Good Repair and Clean

“There were multiple doors in multiple rooms with peeling paint. There was ceiling tile damage in one of the rooms.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2026. Correction verified: Nov 2, 2026.

Infant Handwashing - Raised to Sink

“A caregiver did not wash the infant’s hand after the diaper change. *Note, this was corrected at inspection when the caregiver washed the infant’s hands.”

Rule 746.3421(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 24, 2026.

Medication Authorization - Signed and Dated

“A child’s medical action plan was not signed by the parent.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2026. Correction verified: Oct 6, 2026.

Notification of Change in Space

“It was determined that there were children in the office which is unlicensed space at the operation. *The children were being supervised*”

Rule 746.301(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2026. Correction verified: Sep 8, 2026.

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 course of the investigation, it was determined that the children were left unsupervised in a classroom for 1 minute 15 seconds.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 20, 2026. Correction verified: Jul 27, 2026.

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 gathered, the group transitioned back into the building and in the process a child walked into an empty classroom, while the rest group transitioned back into their classroom, leaving the child unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2026. Correction verified: Apr 1, 2026.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“During the walkthrough, diaper cream was observed being stored in the restroom and was accessible to children. NOTE: This was corrected at inspection when the diaper creams were removed and stored out of the reach of children.”

Rule 746.3501(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 28, 2025.

Diapering Procedures - Use Disposable Gloves

“During the walkthrough, a used glove was observed on a changing table mat. NOTE: This was corrected at inspection when the glove was removed and the area was sanitized.”

Rule 746.3505(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 28, 2025.

Cots, Beds, Mats Labeled With Child’s Name

“The classroom cots were observed to be numbered but the classrooms did not have corresponding cot charts or name lists. NOTE: This was corrected at inspection when cot lists were made for each classroom.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 28, 2025.

Parental Notification of Less Serious Injuries

“The operation failed to notify parents of three children who received minor bite and scratch injuries while in care at the time of pick up.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2025. Correction verified: Aug 28, 2025.

Safety - Areas Free From Hazards

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 21, 2025.

Planned Activities Designed to Meet Individual Needs

“Classrooms did not have planned activities scheduled or being followed.”

Rule 746.2201. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2025. Correction verified: Jul 28, 2025.

Medication Authorization - Signed and Dated

“Two children with medication on site did not have the parent signature authorizing the medication be given by the operation.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2025. Correction verified: Jul 14, 2025.

Administering Medication - Original Container with Child’s Name, Date

“Two children with medication on site did not have the original prescription accompanying the medication. NOTE: One child’s parent brought the prescription box during the inspection.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2025. Correction verified: Jul 14, 2025.

Medication No Longer Used

“One child with medication on site had expired 5/25.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2025. Correction verified: Jul 14, 2025.

Nutrition and Food Service - Must not serve identified foods to allergic child

“A child was fed a Nutrigrain bar that contained allergens listed on the child’s food allergy plan.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2025. Correction verified: Aug 28, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Two children with allergy plans on file did not contain a doctor signature.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2025. Correction verified: Jul 14, 2025.

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

“A caregiver was present and in direct supervision of children in care without a background check being entered or an eligibility letter on file. NOTE: Caregiver was sent home during the inspeciton and a background check was entered.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2025. Correction verified: May 29, 2025.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“RECITE: A seatbelt on Vehicle #3 has not replaced the seat belt that was inoperable and covered it with red duct tape. The Facility Manager was present during the inspection and scheduled a mobile tech to come out on 5/14.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 29, 2025.

Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

“A child was observed sleeping with a sippy cup in their mouth. NOTE: The caregiver was asked to remove the cup during the inspection.”

Rule 746.2505(4)(C). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 7, 2025.

Maintenance of Building, Grounds and Equipment

“There was peeling paint on the wall and window sill in the Toddler room.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: May 7, 2025.

Safety - Areas Free From Hazards

“An outdoor outlet on the Toddler playground did not have a cover. The fence around the ac units on the back playground was curling allowing children to climb under or for clothing to catch on the fence. A utility knife was found open and sitting on top of a sensory table. NOTE: The knife was removed from the playground during the inspection.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: May 7, 2025.

Maximum Height - 5 Yrs and Older

“The large playground climber measures 9 ft in height at the highest platform. NOTE: A waiver request was provided during the inspection.”

Rule 746.4607(b)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2025. Correction verified: Apr 29, 2025.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“A seatbelt on Vehicle #3 had a frayed seatbelt prohibiting it from being used.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: May 7, 2025.