Kerrville’s Bright Beginnings

Child/Caregiver Ratio - 18 Months Difference in Age

“The operation scheduled one caregiver for the first 30 minutes of operating hours to accept and care for infants-4 year olds. All children met in the 2-3 year old classroom.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

Care Requirements for School-age - Caregiver Aware of Arrival/Departure

“The operation failed to use their attendance taking system when children arrived from public school and were not aware that a school-age child did not get off the public school bus at the operation.”

Rule 746.2701(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

Safety - Areas Free From Hazards

“An outlet cover in the school-age room was opened at a 90 degree angle creating a hazard resulting in a child hitting their head on the cover requiring medical treatment.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

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

“The training certificate that was provided for the caregiver who provided first aid at the time of the accident did not meet the requirements for first aid certification.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“The operation failed to report to Child Care Regulation that a child had received medical treatment after an injury occurred while the child was in care.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

Incident/Illness Report Form Shared with Parent

“The operation failed to provide incident/illness report 7239 to the parent or obtain parent signature on an initial injury report after a child received an injury while in care.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 26, 2026.

Screen Time Activities - Not Exceed One Hour Daily

“During the course of the investigation, it was determined that the school-age room has screen time for up to four hours on one day and one and a half hours on another day during the summer.”

Rule 746.2207(c)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2026. Correction verified: Sep 17, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“During the course of the investigation, it was determined that the school-age classroom utilized screen time during nap time during the summer.”

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

Safety - Areas Free From Hazards

“There is a protruding circular piece of metal in the rock area of the older playground and a covered water pipe full of water in a portion of the playground where children have to pass through to get to the back playground. Children can lift the lid and have access to the standing water.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 17, 2026.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“The loose fill around the two playscapes and under the swing set is less than an inch in depth or not evident at the end of the slides.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 28, 2026.

Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child’s Reach

“A water hose attached to the faucet off the infant back door had not been secured.”

Rule 746.5015(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2026. Correction verified: Jul 17, 2026.

Required Admission Information - Emergency Contact

“Seven out of 10 child files evaluated were missing or had incomplete emergency contact addresses.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2026. Correction verified: Jul 28, 2026.

Children’s Records - Immunizations

“Two out of ten child files evaluated did not contain a copy of the child’s vaccination records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2026. Correction verified: Jul 28, 2026.

Health Statement on File within 1 Week of Admission

“One out of ten child files evaluated was missing a health statement upon enrollment in October.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2026. Correction verified: Jul 28, 2026.

Required Admission Information - Date of Admission

“There were two out of ten child files evaluated missing their enrollment start date.”

Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2026. Correction verified: Jul 28, 2026.

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

“During the investigation, it was found that a caregiver who had unsupervised access to children did not have first aid certification.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 2, 2026.

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

“A caregiver used poor judgment when they pushed an infant’s head onto a mat they were laying on outside and began rubbing the side of the infant’s head on the mat in order to clean their face after the infant spit up. The same caregiver was later observed picking up a child by one arm and carrying them upside down to return them to their cot during naptime. A second caregiver was observed carrying a child right below their wrists to another caregiver while on the playground.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 24, 2026.

Responsibilities of Caregivers - Interact positively with children

“A caregiver was observed pulling a child by the leg twice while they were sitting outside to bring the child closer to the caregiver. The second time, the child fell backwards, hitting their head on the ground. The same caregiver was observed pulling a child by their clothing and pushing them away from an object while on the playground.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 24, 2026.

Children Not Required to Sleep - May Not Force Child to Sleep

“During the investigation, a caregiver reported putting a book on a child’s back during naptime to create the feeling of a weight to put the child to sleep.”

Rule 746.2905(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 24, 2026.

Annual Sanitation Inspection

“The last Health Inspection was conducted on 11/6/2024.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 16, 2026. Correction verified: Jan 23, 2026.

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

“A caregiver relieved another caregiver in the infant room for break and did not have an eligibility letter on file. NOTE: The caregiver was sent home and a background check request was entered during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2025. Correction verified: Sep 25, 2025.

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

“Three classroom restrooms had mop buckets and water accessible to the children. Classrooms use soap and water buckets to clean table tops. Spray bottles were accessible in the restroom to children in the prek room. There was a toilet brush laying on top of the toilet lid in the 2 yr room.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2025. Correction verified: Oct 3, 2025.

Safety Requirements for Active Play Equipment - Anchoring devices Below Level of Playing Surface

“There wre three metal, stationary riding toys anchored to the ground that had the metal base exposed.”

Rule 746.4601(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 3, 2025.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“Two trash cans in the prek room restrooms, one in the toddler room restroom, and one outside of the gym restrooms did not have a lid.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 3, 2025.

Safety - Play Materials and Equipment Safe

“The red climber on the 2 yr old playground had peeling paint. One blue boat on the prek playground had broken boards. There were two carpets in the school-age room that were curling on the edges.”

Rule 746.3701(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 3, 2025.

Animals at Center - Statement of Health from Veterinarian

“There wasn’t a health statement on file for the pet guinea pig in the Kinder-ready room. NOTE: The caregiver took the guinea pig home during the inspection.”

Rule 746.3903(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 3, 2025.

Measurement of Use Zone for Stationary Equipment

“On the older playground, there was a balance beam and a bench within 3 ft of eachother.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2025. Correction verified: Oct 3, 2025.