The Learning Experience

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the number of children in her care when asked by CCR.”

Rule 746.1205(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 14, 2026.

Cots, Beds, Mats Labeled With Child’s Name

“Two children were not on their assigned nap mat during naptime.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 17, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“The caregiver in the twaddler room reported to the CCR inspector that there were nine children in her care but there was actually 10 children in her group.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2026. Correction verified: Jun 22, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“In a classroom there was an infant that was 13 months old with a two year old that was 34 months old.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 18, 2026.

Screen Time Activities - Not Used for Under Two

“During the inspection, screen time (iPad) was observed being used in a classroom with children under the age of two. Note: This was corrected at inspection when the caregiver turned the iPad around.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2026. Correction verified: Apr 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

“It was determined that proper supervision is not always used when monitoring the children who are using the restroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: Apr 29, 2026.

Report Situation Placing Children at Risk

“The operation failed to report a non-routine situation that placed a child at risk for injury or harm to CCR within the required timeframe.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2026. Correction verified: Apr 29, 2026.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“Nine out of the ten staff files reviewed did not have copies of the high school diploma,or high school equivalent.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2026. Correction verified: May 1, 2026.

Prohibited Punishments - Grabbing and Pulling

“In this investigation, it was determined a staff utilized prohibited punishment when grabbing a child by their arms causing multiple lacerations and provided limited first aid.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2026. Correction verified: Apr 8, 2026.

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

“Information on the incident report did not coincide with the actual injury on the child that was shared with the parent.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2026. Correction verified: Apr 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 transition time from the playground to the classroom a child ran back onto the playground while the class was in the hallway.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2026. Correction verified: Mar 18, 2026.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“An infant was swaddled asleep next to a caregiver without a sleep exemption form on file.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 16, 2026. Correction verified: Jan 21, 2026.

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

“An employee with a pending background check was in direct care of children. This was corrected at inspection when the employee left the building.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2026. Correction verified: Jan 16, 2026.

Medication Records - Date, Time and Amount Given

“Medication was administered without being recorded on three occasions.”

Rule 746.3805(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2026. Correction verified: Mar 19, 2026.

Medication Records - Name of Employee Who Administered

“Medications were administered without the recording of the name of the employee who administered the medication on three occasions.”

Rule 746.3805(c)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2026. Correction verified: Mar 19, 2026.