Little Smiles Day Care

Child/ Caregiver Ratio - 13 or More Children

“The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2023. Correction verified: Jul 5, 2023.

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

“A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jun 26, 2023.

Required Equipment in Vehicles - List of Children

“A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.”

Rule 746.5617(a)(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

Required Immunizations

“One of the six children files was missing immunization records.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 4, 2023. Correction verified: Jun 21, 2023.

Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition

“Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys.”

Rule 746.2505(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

Plan to Handle Transportation Emergencies

“A written plan to handle transportation emergencies was not available at the time.”

Rule 746.5619. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jun 26, 2023.

Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

“A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.”

Rule 746.2505(4)(C). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“The operation did not have a plan set up. Operation is currently in process of gathering all required information.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2022. Correction verified: Jul 23, 2022.

Fire Drill Monthly - Exit in 3 Minutes

“Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2022. Correction verified: Jul 13, 2022.

Requirement of Gas Leak Inspection

“Gas inspection is overdue as of 7/1/22.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2022. Correction verified: Jul 19, 2022.

Children’s Records - Health Statement

“Two of four children’s files did not have a healthcare statement included in their file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2022. Correction verified: Aug 1, 2022.