Toy Box Child Development Center

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Out of 10 staff files reviewed 4 were missing training in CPR/First aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 17, 2023.

Safety - Areas Free From Hazards

“On the younger play ground there were two cement blocks that caused a tripping hazard and bolts that were sticking out on the covering. *This was corrected at inspection when the bolts were covered and the cement blocks were removed.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 13, 2023.

Administering Medication - Original Container with Child’s Name, Date

“There was one medication at the operation that was not in the original container and labeled. *This was corrected at inspection when the medication was sent home and not administered to the child.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 13, 2023.

Required Admission Information - Name and Birthdate

“Out of 10 child files reviewed 5 were missing completed emergency contact information and 2 were missing healthcare information.”

Rule 746.605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 17, 2023.

Documented Annual Training- Required Content

“Out of 10 staff files reviewed 8 were missing annual training hours.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 18, 2023.

Children’s Records - Health Statement

“Out of 10 child files reviewed 8 were missing health care provider statements.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 19, 2023.

Required Personnel Records

“Out of 10 staff files reviewed 6 were missing proof of education, 2 were missing employment affidavits, 4 were missing a copy of their photo ID, and 2 were missing signed orientation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2023. Correction verified: Jan 27, 2023.

Floors, ceilings and Walls in Good Repair and Clean

“There were concerns of the maintenance of the building walls and floors, as follow: *There are holes in the walls with exposed sheet rock. *There are dirty and stained carpets on the floors. *There was a carpet with frayed edges posing a tripping hazard. *There are broken or chipped tiles on the floors. * The walls in the classrooms were scraped causing peeling/chipped paint with exposed sheet rock. There were dirty stains along the walls to the base of the floors.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2022. Correction verified: Jun 27, 2022.

Maximum Group Size 13 or More Children

“The infant classroom had 12 children with two caregivers. The maximum group size for this classroom is 10; therefore the class exceeded the group size by 2 children. Note: This was corrected when the oldest two children were moved to another classroom.”

Rule 746.1609. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 7, 2022.

Infant May Not Sleep in a Restrictive Device

“Two infants were observed sleeping in bouncers during nap time.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 23, 2022.

Electronic Child Safety Alarm - is equipped in each vehicle

“The bus used for transporting children was not equipped with a child safety alarm.”

Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2022. Correction verified: Apr 7, 2022.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was left alone with ten infants during nap time for approximately fifteen minutes.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2022. Correction verified: Feb 23, 2022.

Safety - Televisions Anchored to Prevent Tip Over

“Two televisions were not anchored. Note: This was corrected when one television was removed from the classroom and the other television was anchored to a cart.”

Rule 746.3701(9). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 15, 2022.

Written Activity Plan - Outline Daily Activities

“Two classrooms lacked a written activity plan.”

Rule 746.2205(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2022. Correction verified: Feb 23, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“Five infant feeding instructions have not been updated in the past thirty days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2022. Correction verified: Feb 23, 2022.

Report Outbreak of Communicable Illness

“During the investigation inspection it was found that the operation did not report a communicable disease to licensing.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Feb 14, 2022.