Ella Bond

Required Admission Information - Emergency Medical Authorization

“Two of nine children’s files did not have signed medical authorizations.”

Rule 747.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2023. Correction verified: Sep 3, 2023.

Training Requirements for Primary Caregiver -30 Hours Annual Training

“The permit holder had verification of 25 of the required 30 hours of annual training.”

Rule 747.1303(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Aug 25, 2023.

Fire Extinguishers Serviced

“The fire extinguisher’s last service date was Nov/2017.”

Rule 747.5107(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Aug 30, 2023.

Required Admission Information - Emergency Contact

“Four of nine files did not have address information for emergency contact.”

Rule 747.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Sep 3, 2023.

Children’s Records - Immunizations

“Six of nine children’s files did not have a current immunization record. Five of nine files did not have a signed physician’s statement.”

Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2023. Correction verified: Sep 3, 2023.

Personnel Records

“Th permit holder and both assistants did not have a personnel file for review.”

Rule 747.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2023. Correction verified: Nov 28, 2023.

AP Parental Notification of Deficiency as described in 747.307 within 5 Days

“The operation notified all parents of a safe sleep deficiency, but failed to notify all parents with children enrolled of the safe sleep deficiency within the required time frame of 5 days. Note: This was corrected during the inspection when the the permit holder signed a written statement that she understands all safe sleep deficiencies require that all parents be notified within 5 days of receiving the deficiency.”

Rule 747.309(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 22, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“There was a blanket inside a crib with an infant under the age of 12 months.”

Rule 747.2315(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 22, 2023.

Safety Requirements for Play Yards - Snug Fitting Sheets

“There was an infant in a play yard that had a very loose fitted sheet over the mat.”

Rule 747.2311(2)(B). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2023. Correction verified: Feb 22, 2023.

Safety - Electrical Outlets Covered

“There were mutiple outlets located throughout the operation that did not have outlet covers. Note: This was corrected during the inspection when a caregiver covered all of the outlets with outlet covers.”

Rule 747.3501(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 6, 2023.

Emergency Preparedness Plan - Evacuation, Relocation and Sheltering Procedures

“The operations emergency preparedness plan was missing specific procedures on the following topics: (1) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments.”

Rule 747.5003(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 22, 2023.

Emergency Preparedness Plan - Evacuate and Relocate with Essential Documentation

“The operations emergency preparedness plan was missing specific procedures on the following topics: How staff will evacuate and relocate with the essential documentation including (A) Parent and emergency contact telephone numbers for each child in care, (B) Authorization for emergency care for each child in care & (C) The child tracking system information for children in care”

Rule 747.5003(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 22, 2023.

Mounting of Fire Extinguishers

“The operations fire extenguisher was located inside of a closed cabinet and was not mounted to the wall.”

Rule 747.5105. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2023. Correction verified: Feb 22, 2023.

Caregivers Required Annual Training-Required Topics without hour restriction

“The substitute caregiver did not have training for the previous training year in the following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials”

Rule 747.1305(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2023. Correction verified: Mar 20, 2023.

Primary Caregiver Annual Training - Required Special Topics without specific hours

“The primary caregiver did not have training for the previous training year in the following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 6, 2023. Correction verified: Mar 20, 2023.

Children’s Records - Immunizations

“2 out of the 10 children’s records reviewed did not have immunization records on file.”

Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2023. Correction verified: Feb 27, 2023.

Required Immunizations Records, Exceptions, and Exemptions Current

“1 out of the 10 children’s files did not have updated immunizations records.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2023. Correction verified: Feb 27, 2023.

Health Statement on File

“Two children’s files were missing health statement and parent signature stating has been seen by medical professional within twelve months.”

Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 17, 2022.