Ms Idas Child Care Center

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“One caregiver was missing training in abuse and neglect, another caregiver was missing SIDs and shaken baby training and building and physical premises training, and a third caregiver was missing training in SIDs and shaken baby, emergency preparedness, communicable diseases, adminstering medications, food allergies, and building and physical premises safety.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Sep 14, 2026.

Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

“The director was missing training in abuse and neglect.”

Rule 746.1301(a)(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2026. Correction verified: Sep 4, 2026.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose-fill at the bottom of the slide had been displaced.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2026. Correction verified: Jul 13, 2026.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“There was no evacuation diagram posted in the pre-k room. This was corrected during the inspection when a copy of the evacuation diagram was posted.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 26, 2026.

Written Activity Plan - Outdoor Play Opportunities

“The infant schedule did not include two outdoor play opportunities or 60 minutes of outside time.”

Rule 746.2206(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2026. Correction verified: Jul 7, 2026.

Naptime Child/Caregiver Ratio - Additional Employee Required

“Two caregivers were required to watch the toddler and pre-k classes at naptime, and there was no additional caregiver in the building. This was corrected during the inspection when the director and another caregiver returned to the operation.”

Rule 746.1613(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2026. Correction verified: May 20, 2026.

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

“There was a can of Lysol spray left on a bookshelf within reach of children. This was corrected during the inspection when the bottle was moved to a shelf out of reach.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 19, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver stated that they had nine children when there were children in the classroom. This was corrected during the inspection when the caregiver was informed that they had ten children.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2026. Correction verified: Mar 12, 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 stepped out of their room to open the front door and left their class briefly unsupervised. Another caregiver was sitting in an office adjacent to the classroom instead of in the classroom, leaving their class unsupervised. These were corrected when both caregivers returned to their respective classrooms.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2026. Correction verified: Mar 12, 2026.

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

“There was a bottle of Clorox wipes left on a bookshelf in the pre-k class within the reach of children. This was corrected during the inspection when the bottle was moved to a shelf out of reach.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2026. Correction verified: Mar 12, 2026.

Children Handwashing After Toileting or Diapering

“A caregiver did not wash an infant’s hands before putting the infant down after a diaper change. This was corrected during the inspection when the caregiver was reminded about handwashing and the caregiver lifted the infant up to the sink to wash their hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2026. Correction verified: Mar 12, 2026.

Child/ Caregiver Ratio - 13 or More Children

“One of the infant caregivers briefly stepped out of the infant room, leaving six infants with one caregiver. This was corrected during the inspection when the caregiver returned to the infant room.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2026. Correction verified: Mar 11, 2026.

Maintenance of Building, Grounds and Equipment

“The ramp down to the playground had broken boards on one side of the railing, and there was a loose board on the shed that had exposed nails.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2026. Correction verified: Mar 27, 2026.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“One of the slides on the playground had loose-fill that had compacted and was not six inches deep. There were also two small slides, a seated merry-go-round, and a piece of bouncing equipment that did not have any loose-fill.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2026. Correction verified: Mar 30, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant who was still on formula didn’t have feeding instructions updated for February or March.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 23, 2026.

Children’s Products- Annual Certification

“The CPSC form was last signed in October 2024.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 10, 2026.

Policies Comply with Rules

“The parent handbook was missing parents right information, procedures for accomodating children with special needs, procedures for employee vaccinations, a policy about daily health checks, information on the benefits of physical activity, a plan for indoor physical activity to occur when children can’t go outside, information on how parents can review minimum standards online, and policies for applying insect repellant and sunscreen.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2025. Correction verified: Nov 3, 2025.

Required Records Maintained and Made Available - Playground Maintenance Records

“There were no playground checklists available for review.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2025. Correction verified: Oct 10, 2025.

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“The operation did not have a list of employees posted where parents could view it.”

Rule 746.401(9). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2025. Correction verified: Oct 10, 2025.

Screen Time Activities - Not Used for Under Two

“The infants in the infant room were watching television. This was corrected during the inspection when the television was turned off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 25, 2025.

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

“A 5-month-old infant was sleeping in the crib with a burp cloth. This was corrected during the inspection when the burp cloth was removed from the crib.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2025. Correction verified: Apr 25, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“The infant caregivers and the director did not have training in SIDS, shaken baby, and early childhood brain development for 2024.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2025. Correction verified: Apr 14, 2025.

Child/ Caregiver Ratio - 13 or More Children

“There were two caregivers with a group of 13 children whose specified age was 18-23 months. One of the caregivers briefly left the classroom, leaving the group out of ratio. This was corrected during the inspection when the caregiver returned to the classroom.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2025. Correction verified: Apr 14, 2025.

Screen Time Activities - Not Used for Under Two

“There was TV playing in the infant room. This was corrected during the inspection when the caregivers were informed that screen time can’t be used for children under two and the TV was turned off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 8, 2025.

First Aid Kit - Supplies Not Expired

“Some antibiotic and anti-itch cream in the first aid kit had recently expired. This was corrected during the inspection when the creams were disposed of.”

Rule 746.4003(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 8, 2025.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“Of the four infants who were still on breastmilk or formula, two did not have feeding instructions on file and one had feeding instructions that were last updated in August.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Oct 11, 2024.

First Aid Kit - Incomplete Kit

“The first aid kit was missing tweezers, gloves, and a first aid guide.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2024. Correction verified: Oct 28, 2024.

Children’s Products- Annual Certification

“The operation did not have a signed children’s product certification form verifying that the director had reviewed the children’s product recall list. This was corrected during the inspection when the director confirmed that she is subscribed to the recall emails and signed a certification form.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 8, 2024.

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

“A child was sent to the bathroom without being accompanied by a caregiver. This was corrected during the inspection when the child returned to the classroom and the caregiver was informed that children cannot be sent to the bathroom alone.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2024. Correction verified: May 17, 2024.

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

“There were a bottle of Clorox wipes sitting on a shelf within the reach of children. This was corrected during the inspection when the wipes were moved to a shelf out of the reach of children.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 14, 2024. Correction verified: May 17, 2024.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Out of the four staff files reviewed, one caregiver was missing 15 out of 24 hours of annual training, one was missing training in preventing emergencies due to allergies, one was missing training in preventing abuse and neglect, and one was missing training in preventing abuse and neglect, SIDS/Shaken Baby Syndrome, early childhood brain development, emergency preparedness, preventing emergencies due to allergies, building and physical premises safety, and handling hazardous materials.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2024. Correction verified: Jun 11, 2024.

Safety - Electrical Outlets Covered

“Uncovered outlets were observed in the pre-k room. This was corrected during the inspection when outlet covers were placed on the outlets.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 14, 2024.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“There was a slide under five feet tall with no loose-fill in the use zones.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 5, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant’s written feeding instructions had not been updated since March.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2024. Correction verified: May 17, 2024.

Children’s Records Maintained

“Out of the four children’s records reviewed, two were missing health statements, two needed updated immunization records, and one was missing hearing and vision screening results.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2024. Correction verified: Jun 20, 2024.

Required Records Maintained and Made Available - Playground Maintenance Records

“There were no playground maintenance checklists available for review. This was corrected during the inspection when the director conducted a check of the playground and completed a playground maintenance checklist.”

Rule 746.801(8). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 14, 2024.

Required Personnel Records

“Out of the four staff files reviewed, four were missing proof of background check requests, one was missing a photo ID, and one was missing a copy of her GED.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: May 21, 2024.