Nazarene Kids Korner

Employee Handwashing After Handling or Cleaning Bodily Fluids

“A caregiver was observed wiping a child’s nose and then failed to wash their hands. The caregiver then went around the room helping other children with their activity and touching the puzzle pieces with the used tissue still in their hand.”

Rule 746.3415(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2026. Correction verified: Oct 23, 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 was observed sleeping on the floor when the CCR inspector entered the room. The caregiver continued sleeping for about a minute before waking up.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2026. Correction verified: Sep 3, 2026.

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

“A blanket was observed in the crib of a child younger than twelve months of age while the child was sleeping.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2026. Correction verified: Sep 3, 2026.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Upon entering a classroom, a caregivers phone was observed propped up against a crib and a movie was playing. Though the caregiver was asleep when the CCR inspector initially walked in, the caregiver had fallen asleep watching the movie.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2026. Correction verified: Sep 3, 2026.

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

“Based on evidence obtained during the investigation, staff have been observed sleeping while responsible for the supervision of children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2026. Correction verified: Aug 27, 2026.

Requirements for Feeding Infants - Never Prop Bottles

“Evidence obtained during the investigation supports the allegation of bottles being propped while infants are eating.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2026. Correction verified: Aug 27, 2026.

Infant May Not Sleep in a Restrictive Device

“A child under 12 months old was observed sleeping in a restrictive device for five minutes. The child was finally moved to their crib when CCR staff prompted the caregiver to remove the child from the restrictive device. The child does not have a sleep exception form on file from a doctor allowing them to sleep in a restrictive device.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2026. Correction verified: Jul 30, 2026.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“A child was observed sleeping in a restrictive device and also had a bottle laying on them that they had eaten out of.”

Rule 746.2419(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2026. Correction verified: Jul 30, 2026.

Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)

“The bicycle track ride on the playground did not have the required six feet of use zone around it. It is less than six feet from a concrete footing that goes around the playground as well as the fence.”

Rule 746.4813(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2026. Correction verified: Jul 30, 2026.

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

“Two of the four caregivers files reviewed did not have any of the annual training hours for the prior training year.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2026. Correction verified: Aug 28, 2026.

Maximum Group Size 13 or More Children

“There were 5 children present in the infant room with one caregiver. The specified age group was 0-11 months therefore there could only be a maximum of 4 children with one caregiver. The classroom was over ratio by one child.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2026. Correction verified: Jul 21, 2026.

Director Qualifications - 13 or More Children

“Documentation has not been received to show that the director meets director qualifications.”

Rule 746.1015. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 16, 2025.

Director Qualifications - 13 or More Children

“The individual who is named director does not meet director qualifications.”

Rule 746.1015. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 27, 2025. Correction verified: Dec 2, 2025.

Required Immunizations

“Two of the eight children’s records reviewed did not have proof of current immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2025. Correction verified: Sep 8, 2025.

Required Immunizations

“Two of the eight children’s records reviewed did not have proof of current immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2025. Correction verified: Aug 26, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“One of the seven staff files reviewed during the inspection did not have current CPR training. The CPR training on file expired in 10/2024.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2025. Correction verified: Aug 26, 2025.

Infant May Not Sleep in a Restrictive Device

“An infant was observed on a Boppy pillow in their crib during the inspection. Staff interviews confirm that the child uses the boppy pillow to also sleep in an inclined position sometimes.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2024. Correction verified: Sep 19, 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 observed in a room without a caregiver present and the child was visibly upset.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 17, 2024.

Written Activity Plan - Outdoor Play - 13 Months to Toddler and Pre K

“The activity plan in the toddler classroom does not have two opportunites for outside time. Additionally, the children in this classroom are only getting 25 minutes of the required 60 minutes outside.”

Rule 746.2206(1)(B). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 12, 2024.

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

“One of the infants at the operation did not have infant feeding instructions on file for review.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2024. Correction verified: Sep 11, 2024.