Irma O Huerta

First Aid Kit - Supplies Not Expired

“The antiseptic wipes in the first aid kit were expired.”

Rule 747.3803(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2026. Correction verified: Oct 27, 2026.

Written Operational Policies - Parent Rights

“The parent handbook did not contain the Parent Rights. This was corrected at inspection when form 2987 Parent Rights was added to the parent handbook.”

Rule 747.501(9). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 29, 2026.

Primary Caregiver Annual Training - Required Special Topics without specific hours

“The primary caregiver did not have proof of training in administering medication and preventing and responding to emergencies due to food or allergic reactions.”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2026. Correction verified: Feb 16, 2026.

Records Maintained and Made Available - Safety Drills Documentation

“The operation was not maintaining records of the emergency drills. This was corrected at inspection when form 7263 Emergency Practices was provided to the operation and the drills were entered.”

Rule 747.801(7). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 4, 2026.

Covering Infant’s Head or Crib

“An infant was observed sitting in a car seat carrier with thie carrier covered by a blanket. The blanket was propped up by the handle. This was corrected at inspection when the blanket was removed.”

Rule 747.2329. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 30, 2025. Correction verified: Nov 14, 2025.

Cots, Beds, Mats Labeled With Child’s Name

“Mats were not labeled.”

Rule 747.4303(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2025. Correction verified: Nov 14, 2025.

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“Five children were seen supervised by a person without a background check initiated with the operation. Note:This was corrected when the Primary Care provider returned to the operation.”

Rule 745.621(a)(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 23, 2025.

Primary Caregiver’s Absence - Qualified Caregiver in Charge

“Five children were found to be supervised by a non-qualified caregiver. Note: This was corrected when the caregiver returned to the operation.”

Rule 747.203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 23, 2025.

Safety - Areas Free From Hazards

“The playground was seen during an inspection with hazards present such as a post digger, household paint, and packaged hygiene items stacked against a wall of the house that could topple over. The yard also has many large branches present and the grass requires yard maintenance due to the height. The fence gate is damaged, one of the pickets is broken creating a hole in the gate.”

Rule 747.3501. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 23, 2025.

Screen Time Activities - Not Used for Under Two

“A 4 month old infant was present during screen time use. Note: This was corrected when the TV was turned off.”

Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 8, 2025.

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

“A 3 month old infant was seen sleeping in a crib with a blanket wrapped around them, clean diapers present, and a napkins present.”

Rule 747.2315(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2025. Correction verified: Jul 8, 2025.

Prohibited Equipment - Trampolines

“A trampoline more than 4 feet in diameter is present on the playground during an inspection.”

Rule 747.4403(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 8, 2025.

Primary Caregiver Annual Training - Special topics for children under 24 months

“The provider does not have current training in Infant safe sleep, early childhood brain development, or preventing shaken baby syndrome available for review during an inspection.”

Rule 747.1309(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 8, 2025.

Furnishings and Equipment for Toddlers - Age-appropriate

“The provider does not have an age appropriate nap mat for the 2 year old child in care available for viewing during an inspection.”

Rule 747.2405(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 8, 2025.

Safety - Areas Free From Hazards

“The playground was seen during an inspection with hazards present such as a weed eater, post digger, dirty cat litter box, and household paint all in areas accessible to children in care.”

Rule 747.3501. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 8, 2025.

Screen Time Activities - Related to Planned Activities

“A 7 year old child is seen during an inspection watching cartoons that is not related to planned activities.”

Rule 747.2105(c)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2025. Correction verified: Jul 8, 2025.

Measurement of Use Zone for Stationary Equipment

“The playground has 3 pieces of equipment that require use zones that have inadequate space around the equipment for the use zone. 2 slides and one climbing dome.”

Rule 747.4603. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2025. Correction verified: Jul 8, 2025.