Krh’s Little Safari

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“A 4 month old was observed being swaddled while asleep in their crib.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 21, 2026.

Required Admission Information - Emergency Medical Authorization

“Two out of ten child files evaluated did not contain Emergency Medical Authorization from the parent.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 21, 2026.

Immunization Records, Exceptions, and Exemptions Current

“Ten child files were reviewed. One child’s file evaluated had a partial vaccination affidavit and partial vaccination record on file. Three children files evaluated did not have a vaccination record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 21, 2026.

Health Statement on File within 1 Week of Admission

“Seven out of 10 child files did not have a health statement on file.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 21, 2026.

Maintenance of Building, Grounds and Equipment

“There is a broken window in one of the prek classrooms that is covered by cardboard. There is broken glass still in the window frame. There are also numerous trashbags throughout the center and infant playgrounds that contain old or broken toys and children were observed playing around and under the bags.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2026. Correction verified: Aug 21, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Based on staff training records, four caregivers did not have first aid training completed. One caregiver’s first aid certificate expired June 2026.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 1, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“Based on document review, one caregiver had an expired CPR certificate from June 2026.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 1, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“There were 5 children ages 13 mos, 14 mos, 16 mos and two 17 mos olds combined with 3 year old children. There was a 23 month age gap between the youngest and oldest child.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2026. Correction verified: Jul 23, 2026.

Maximum Group Size 13 or More Children

“A classroom with a specified age group of 2 yr olds had 23 children with two caregivers. The class was over by one child.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jul 23, 2026.

Exceeding Maximum Group Size - 18 Mons - 4 Years (30 mins)

“A classroom measured for 10 children had 23 children ages 13 mos-3 yrs of age in one classroom.”

Rule 746.1611(a)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jul 23, 2026.

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

“A school-age child was observed exiting one building, walkthing through the breezway, and entering the main building and their classroom alone.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jul 6, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“At the time of inspection the caregiver in the Kinder Ready room did not know how many children were in her care. She stated there were 20 children in their care when there were 21.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

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

“An infant was observed in their crib wearing a bib. The infant was rolling from back to stomach.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant

“A 7 month old infant was observed being placed on their stomachin their crib to sleep.”

Rule 746.2427. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

Employee Handwashing Before Eating or Handling Food

“A caregiver was observed putting gloves on to serve lunch and did not wash their hands.”

Rule 746.3415(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

Employee Handwashing After Diapering a Child

“A caregiver was observed not washing their hands after changing a child and before beginning to change a second child’s diaper.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

Children Handwashing After Toileting or Diapering

“A child’s hands were not washed after being diapered and was placed to sleep in their crib directly after the diaper change.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

Documentation of Fire Inspection

“The operation last had a fire inspection in April 2025.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2026. Correction verified: Jun 23, 2026.

Medication No Longer Used

“Two children with medication kept at the operation for allergy plans were expired. One expired January 2026 and the second May 2026.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2026. Correction verified: Jun 23, 2026.

Positive Methods of Discipline and Guidance - Redirecting Behavior

“A caregiver was overheard telling children to stop, get on red, that’s what happens, should have been listening, and go sit down to correct the behaviors of the children in the class.”

Rule 746.2803(4)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2026. Correction verified: Apr 16, 2026.

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

“A caregiver failed to conduct a name-to-face attendance check when bringing in the classroom from the playground to the classroom resulting in a child being left on the playground for a minute and a half.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2026. Correction verified: Apr 2, 2026.

Maximum Height - Under Age 5

“The metal slide on the Kinder Ready playground exceeds 5 ft from the use zone surface below to the platform of the slide. Children that utilize the playground include 4 yr olds.”

Rule 746.4607(b)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2025. Correction verified: Dec 8, 2025.

Annual Sanitation Inspection

“A Health Inspection was not available for review during the inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 2, 2025.

Maximum Height - Under Age 5

“The metal slide on the Kinder Ready playground exceeds 5 ft from the use zone surface below to the platform of the slide.”

Rule 746.4607(b)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 2, 2025.

Toilets - 13 or More Children

“A toilet in Toddler 2 was being used as storage and not accessible to children.”

Rule 746.4407(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 2, 2025.

Measurement of Use Zone for Stationary Equipment

“There were 4 stationary toys on the preschool playground that were under 6 feet from another piece of equipment.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 2, 2025.