Childrens Building Blocks

Arrangement of Napping Equipment -All Children Supervised

“Children were enclosed by bookshelves during naptime, causing supervision issues. NOTE: This was corrected at inspection when the caregivers moved the bookcases.”

Rule 746.2909(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 17, 2023.

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“There was no policy for Safe Sleep in the operational policies. NOTE: This was corrected at inspection when the director added the policy to the parent handbook.”

Rule 746.501(a)(9). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 17, 2023.

Naptime Child/Caregiver Ratio

“A classroom had thirteen children with infants present. The ratio for this classroom needs to be 1 caregiver to 5 children. NOTE: This was corrected at inspection when another caregiver was added to the classroom.”

Rule 746.1613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2023. Correction verified: Jan 27, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“Children were watching TV during naptime.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2023. Correction verified: Jan 27, 2023.

Responsibilities of Caregivers - Supervision of Children

“Two children were in the bathroom in the same stall together and pulled their pants down.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2023. Correction verified: Jan 27, 2023.

Pest Extermination

“Staff was using was using over the counter pesticides outdoors. Pesticides were removed from premises during inspection.”

Rule 746.3427. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 25, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Staff used poor judgement while potty training a preschool age child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2022. Correction verified: Oct 25, 2022.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A caregiver was allowed to have direct access to the children prior to receiving the results of the FBI background check. Note- This was corrected during the inspection when the caregiver was sent home until the results of the background check are received.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 7, 2022.

Safety - Televisions Anchored to Prevent Tip Over

“A television in a classroom with three and four year old children was not anchored or mounted. Note- This was corrected during the inspection when the television was removed from the classroom.”

Rule 746.3701(9). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 7, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with a diagnosed food allergy did not have a physician’s signature on the Food Allergy Action Plan.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2022. Correction verified: Feb 10, 2022.

Documented Annual Training- Required Content

“Five out of five caregivers who have been employed for more than a year did not have annual training in the required topics of Administering Medications, Preventing and Responding to Emergencies due to Food Allergies, and Building and Premises Safety.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2022. Correction verified: Feb 10, 2022.

Director Annual Training - Additional required topics

“Two out of two directors did not have annual training in the required topics of Administering Medications, Preventing and Responding to Emergencies due to Food Allergies, and Building and Premises Safety.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2022. Correction verified: Feb 10, 2022.