Boerne Kindercare

Child/ Caregiver Ratio - 13 or More Children

“The toddler classroom had 10 children present,. Two children were 2 yrs old and eight children were between 18-23 months old. The classroom had one caregiver. The classroom was over ratio by one child.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2026. Correction verified: May 28, 2026.

Maintenance of Building, Grounds and Equipment

“The handwashing sink in a pre-school room was pulling away from the wall and loose and a cover plate for the water pipe leading into the wall was broken. There was a curling carpet under a sensory table in Discovery 1 room causing a potential trip hazard.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2026. Correction verified: May 11, 2026.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Two out of ten classrooms were missing a posted evacuation route. NOTE: Evacuation postings were added during the inspection.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2026.

Health Statement on File within 1 Week of Admission

“One out of ten child files were reviewed. A child with a start date of 12/1/25 did not have a health statement on file.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2026. Correction verified: May 11, 2026.

No Blocked or Locked Doors as Exits

“An exit door in Toddler Rm 2 was blocked by stacked child chairs resulting in only one available emergency exit in the room. NOTE: The chairs were moved during the inspection.”

Rule 746.5209(c). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Doors to Restroom - Locks Out of Children’s Reach

“The restrooms in Preschool 1 and Preschool 2 classrooms had locks on the door handles that children could reach.”

Rule 746.4421(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2026. Correction verified: Feb 10, 2026.

Immunization Records, Exceptions, and Exemptions Current

“One child’s vaccination record has not been updated and is missing two vaccines. NOTE: This is a re-cite.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2025. Correction verified: Dec 12, 2025.

Required Equipment in Vehicles - Emergency Medical Information

“The transportation binders utilized to transport children did not contain copies of emergency medical authorization forms.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 8, 2025.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“One out of three vehicles utilized by the operation had four frayed seatbelts.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 8, 2025.

Immunization Records, Exceptions, and Exemptions Current

“Six out of ten child files evaluated were missing updated vaccination records.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 8, 2025.

Safety - Areas Free From Hazards

“Room 3 had an electrical cord from a fan mounted on the wall accessible to the children. There was also a black lamp cord hanging from a shelf behind the changing table accessible to children. NOTE: All sunscreen and diaper cream bottles were observed stored in classroom restrooms on high shelves out of the reach of children.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Oct 16, 2025.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The metal slide and monkey bars did not have any additional use zone surfacing added. NOTE: The blue spinner had been removed from the playground.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2025. Correction verified: Oct 16, 2025.

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“The blue choo-choo train on the prek playground had an exposed screw.”

Rule 746.4601(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2025. Correction verified: Sep 17, 2025.

Discipline - Positive Methods of Discipline and Guidance

“Two caregivers were observed telling children “no, don’t”, “I am counting to 2 and you better..”, meal time was over and to hurry up.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2025. Correction verified: Sep 17, 2025.

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

“One classroom had diaper creams and ointments accessible to children in the restroom. NOTE: Caregiver placed the container on a shelf out of the reach of children during the inspection.”

Rule 746.3501(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 4, 2025.

Safety - Areas Free From Hazards

“Two classrooms had hanging electrical cords from mounted fans on the wall. The cords were within the reach of the children. One classroom had a container of sunscreen accessible to the children in the room. The bottom of a portion of the fence on the prek playground had a hole approximately 6.5 inches dug under the fence. NOTE: The classroom with the sunscreen container placed the items on a shelf in the restroom out of the reach of children.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2025. Correction verified: Sep 17, 2025.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The metal slide, monkey bars and blue spinner toy on the playgrounds had measurable loose-fill depths ranging from 0-4.5 inches.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2025. Correction verified: Sep 17, 2025.

Safety Requirements for Active Play Equipment - No Entrapment Openings

“There are two areas on the front pre-school playground where the bottom of the fence can be pushed out potentially allowing a child to climb under the fence.”

Rule 746.4601(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 17, 2025.

Infant Care Area Furnishings and Equipment -Sufficient Number of Toys

“Infant room 3 had two out of three shelves were turned against the wall limiting access to the toys.”

Rule 746.2405(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 17, 2025.

Safety - Poisonous Plants Inaccessible to Children

“The fence that backs up to the residential homes behind the operation has numerous areas of Morning Glory vines growing that are accessible to children.”

Rule 746.3701(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 17, 2025.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“On the middle playground, the mulch under the slide and monkey bars was compacted causing uneven depths of loose-fill material. There were two sit and spin toys that did not have any mulch around the equipment.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2025. Correction verified: Jul 17, 2025.

Chairs - Safety Straps Used if Required by Manufacturer

“Eight children, ages 12-18 mos, were observed sitting in bucket seats having snack. Safety straps were available in the seats but not secured around the children. NOTE: The caregivers put the safety straps around the children after being asked by the inspector.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 2, 2025.

Written Operational Policies - Promotion of Physical Activity

“The operational policy handbook did not contain information regarding the promotion of active play to include the benefit, duration for age groups, type and required clothing.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 10, 2025.

Written Operational Policies - Criteria for Extreme Weather

“The operational policies did not include information on how they will determine extreme weather criteria.”

Rule 746.501(a)(18)(F). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 10, 2025.