First Step Learning Center

Responsibilities of Caregivers - Supervision of Children

“While reviewing video footage at the operation it was seen that the supervision of children was not ensured when the caregivers ran out the room and children started walking out of the open door.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Mar 6, 2023.

Required posting of Emergency Telephone numbers- Local Licensing Office Phone Number

“While doing a walk through at the operation there was not a local Licensing office telephone number posted for parents to see. This was corrected at the inspection when contact numbers were posted on the parent board.”

Rule 746.405(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 24, 2023.

Incident/Illness Report Form Storage

“The operation did not have incident reports for injuries that were known to have occurred with children in care.”

Rule 746.709. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 6, 2023.

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

“While walking the outdoor play area there was not 6 inches of loose fill present underneath the slides.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2023. Correction verified: Feb 15, 2023.

Required Immunizations

“Observed 10 children’s files. 2 out of 10 files were missing immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 16, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Observed an infant sitting in a highchair without being strapped into the seat. It was corrected when the infant was taken out of the highchair.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 1, 2022.

Maintenance of Building, Grounds and Equipment

“Observed the legs on playground equipment exposed which is a tripping hazard.”

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

Documented Annual Training- Required Content

“Observed 10 staff files. All 10 files were missing SIDS/Shaken baby, Admin medication, food allergy, and hazardous material training.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2022. Correction verified: Dec 16, 2022.

Chairs - Safety Straps Used if Required by Manufacturer

“Observed 2 infants sitting in highchairs and were not strapped in the chair. This was corrected when the caregivers strapped the children in.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 10, 2022.

Responsibilities of Caregivers - Supervision of Children

“A child was able to leave the gated area and run towards the road and down the sidwalk before a ex-employee caught the child. The caregiver who was in charge at the time, was not aware the child left the playground until another caregiver informed them.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2022. Correction verified: Oct 13, 2022.

Child/ Caregiver Ratio - 13 or More Children

“During interviews it was found that a caregiver took two children inside, leaving 11 kids outside with one caregiver and the childrens ages were 1 year-2 years old. The specified age group was 18-23 months old. One caregiver can only have 9 children by themself at this age group. Another caregiver asked the caregiver when coming back outside to watch their group of children which left the 1-2 year old classroom out of ratio for longer period of time.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 10, 2022.

Maintenance Procedures for Active Play - Inspect Daily

“The edges around the concrete basketball court slab was found to be a tripping hazard on the playground.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 13, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“During an investigation there was sufficient evidence to support a child was physically abused.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2022. Correction verified: Mar 4, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“During the course of the investigation, it was found that a caregiver caused bodily injury to a child by forcefully grabbing, dragging, yelling at the child, and tossing the child to the ground in anger.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2022. Correction verified: Mar 4, 2022.