Children’s Courtyard

Required Admission Information - Emergency Medical Authorization

“There were two children’s records did not obtain authorization from parent/guardian to transport a child for emergency medical treatment.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2023. Correction verified: May 19, 2023.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“Based on the documentation observed the operation did not inspect and/or service the carbon monoxide detector. The were no documentation for the year of 2023.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 17, 2023.

Health Statement on File within 1 Week of Admission

“Three children’s records observed did not have health statements available for review.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2023. Correction verified: Jun 2, 2023.

Children’s Records - Immunizations

“One child’s file did not include an immunization record for review. No record was in the child’s file. Child’s enrollment date is 10/04/2022.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2022. Correction verified: Nov 1, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“One out of five infant bottles were not labeled. The bottle did not contain the child’s first name, and/or last name. The operation labels the child’s individual tray, but not the bottle. The operation has now made the proper changes to bottle labeling.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Oct 18, 2022.

Employee Handwashing After Diapering a Child

“One caregiver was observed changing diapers within the infant classroom. The caregiver changed two diapers without washing their hands.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 15, 2022.

Prohibited Punishments - Hitting with Hand or Instrument

“Based on the information obtained, there were reports of inappropriate discipline by the use of one’s hand. Three out six children interviewed reported being hit by their caregiver.”

Rule 746.2805(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2022. Correction verified: Jun 15, 2022.

Responsibilities of Caregivers - Know Children’s Names and Ages

“The caregiver in the Toddler classroom was not aware of the specific ages of the youngest and oldest child in care. The caregiver in the Preschool classroom was not aware of the number of children in which they were responsible for. The caregiver stated there were a total of 8 children in care, and Licensing observed 11 children in care.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: May 5, 2022.

Responsibilities of Caregivers- Supervision of Children

“Based on the information obtained, three children slipped through the gate on the playground area. The caregiver was not near the children in order to prevent them from leaving the active play area. The lead teacher was informed by another caregiver in a separate area that two children were outside of the gate.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: May 5, 2022.

Maintenance of Building, Grounds and Equipment

“The double gates along the main street were broken which left an open space for children to have access to a main road. The double gates between the school-age active play area and toddler active play area contained a hole in the gate.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2022. Correction verified: May 5, 2022.