Cadence Academy Preschool

Children Handwashing After Toileting or Diapering

“A caregiver did not wash the hands of a child after diapering.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2026. Correction verified: Jul 24, 2026.

Required Personnel Records

“Observed 10 caregiver files, 3 did not have proof of education. I spoke with the operation about getting the proof of education for each caregiver.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2026. Correction verified: Jul 27, 2026.

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

“Once caregiver who administered first aid to a child in care did not have current first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 27, 2026. Correction verified: Jul 21, 2026.

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

“An incident report form was not given to the child’s parent on the day of the injury. It was sent the following week. I spoke with the director about ensuring that incident reports are given to parents right away. This was corrected when the incident report was emailed to the parent on the inspection date.”

Rule 746.701(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 13, 2026.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“The nap mats did not have enough walking space between them to prevent other children from touching.”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 6, 2026.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“The kitchen and 3 classrooms had garbage cans without lids, exposing the children to the inner contents and the walls either need to be painted or covered in area where there is peeling paint or the start of repairs.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jul 14, 2026.

Children Handwashing After Toileting or Diapering

“A caregiver did not wash the hands of a child after diapering.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2026. Correction verified: Jul 14, 2026.

Prohibited Punishments - No Harsh, Cruel or Unusual

“A caregiver in care grabbed a child aggressively by the arm to take the child to the office.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2026. Correction verified: Jun 11, 2026.

Determining Child/Caregiver Ratios - Basis

“A caregiver in care left another caregiver out of ratio when the caregiver took a child to the office. The caregiver was left with 37 children and the ratio for that age group is 26 children to 1 teacher.”

Rule 746.1507(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2026. Correction verified: Jun 11, 2026.

Maintenance of Building, Grounds and Equipment

“Observed dried food on the trashcans in some of the classrooms, there was also spilled liquid that has dried on the wall behind the trashccans. There was old banana’s in the kitchen that had gnats over them, one of the banana’s was open. The banana’s were thrown away.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2026. Correction verified: May 21, 2026.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“During an investigation it was found that a child with a food allergy did not have a completed food allergy form.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2026. Correction verified: Jun 10, 2026.

AP Initial background checks submitted - At the time you hire someone

“Observed a caregiver at the operation that does not have a cleared background check. This was corrected when the caregiver left the operation.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2026. Correction verified: May 5, 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 child was left out on the play porch without a caregiver supervising for around 2-3 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2026. Correction verified: May 6, 2026.

Prohibited Punishments - No Harsh, Cruel or Unusual

“During an investigation video footage was obtained showing a caregiver grabbing a child roughly and placing the child in the bathroom.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2026. Correction verified: May 21, 2026.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“During a DFPS investigation a child was injured that required medical attention and the operation did not report the injury to licensing within 48 hours. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2026. Correction verified: Apr 7, 2026.

Safety - Areas Free From Hazards

“The operation manipulated a door with magnets that allowed the door to remain cracked open, which resulted in a child being able to open and close the door repeatedly and get seriously injured by the door. The operation previously had other children be injured by the same doors.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2026. Correction verified: Apr 7, 2026.

Infant May Not Sleep in a Restrictive Device

“An infant was observed asleep in a restricted device. This was fixed when the caregiver took the infant out of the restricted device.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 6, 2026. Correction verified: Feb 13, 2026.

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

“During an investigation, it was found a child was able to leave the classroom without the caregivers knowing and go down the hallway unsupervised.”

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

Responsibilities of Caregivers - Know number of children responsible for

“One classroom stated that they had 13 children but only had 12 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 8, 2025.

Prohibited Punishments - Using Harsh, Abusive or Profane Language

“During an investigation it was found that a caregiver cursed in front of children at the operation.”

Rule 746.2805(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 8, 2025.

Reporting Suspected Abuse, Neglect, Exploitation-May not delegate responsibility to report

“During an investigation it was found that two allegations of prohibited punshiments were reported to the operation but was not reported to Child Care Regulation.”

Rule 746.201(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 8, 2025.

Employees Discipline Own Children

“A caregiver disciplined their own child by hitting the child on their hand. The caregiver no longer works at the operation.”

Rule 746.2807. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 8, 2025.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“During a walk through of the operation, there were cleaning supplies, Odo Ban and shaving cream in a cabinet that was unlocked and in the reach of the children in care. This was corrected when the items were moved to a locked closet.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2025. Correction verified: Oct 20, 2025.

Required Equipment in Vehicles - Fire Extinguisher

“Observed 3 vehicles used for transportation. One vehicle did not have a fire extinguisher at all and the other two had expired fire extinguishers. One expired in June 2023 and the other expired in May 2023.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2025. Correction verified: Oct 20, 2025.

Electronic Child Safety Alarm - is equipped in each vehicle

“Observed the operation using a rental vehicle to transport children that does not have a child safety alarm. I spoke to the operation about putting in a variance until they are able to have their own vehicle out of the shop.”

Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2025. Correction verified: Oct 20, 2025.

Maintenance of Building, Grounds and Equipment

“On one playground there were 2 sprinkler systems sticking out of the playground that can be a tripping hazard.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2025. Correction verified: Oct 20, 2025.

First Aid Kit - Available in Each Building, on Field Trips, during Transportation

“Observed 3 transportation vehicles, two vehicles had first aid kits that were not complete(missing thermometor, scissors and tweezers) and the third did not have a first aid kit at all.”

Rule 746.4001. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2025. Correction verified: Oct 20, 2025.

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

“The operation’s handbook was missing policies including infant safe sleep, hearing and vision screenings, information about contacting Child Care Regulation and reviewing minimum standards and inspection forms, and breastfeeding.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2024. Correction verified: Mar 25, 2024.

Fire Extinguishers Serviced

“Fire extinguishers had not been serviced since February 2023 and should be serviced annually.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2024. Correction verified: Mar 25, 2024.