Hands ‘n’ Hands Childcare and Learning Center

Responsibilities of Caregivers - Know children responsible for

“Based on the evidence gathered, caregivers did not know which children they were responsible for after children from another classroom were brought to their classroom.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

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 the evidence gathered, supervision was not appropriate when a toddler wandered away from a classroom unsupervised and was found in the operation’s parking lot by another parent.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

Report Situation Placing Children at Risk

“Based on the evidence gathered, the operation did not report to Child Care Regulation that a toddler had wandered away from a classroom unsupervised and was found in a parking lot by another parent.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

Parental Communication - Situation that Placed a Child at Risk

“Based on the evidence gathered, the operation did not immediately notify the parent of a toddler who had wandered away from a classroom unsupervised and was found in the parking lot by another parent.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

Safety Requirements for Active Play Equipment - No Entrapment Openings

“There is a wide opening between the fence and gate that encloses the threes outdoor play area.”

Rule 746.4601(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 30, 2023. Correction verified: Jun 15, 2023.

Doors to Fenced Area Easily Opened By Children

“A classroom door leading into the fenced in playground does not open correctly from the inside or outside. The door gets stuck half way when you push or pull it open.”

Rule 746.5209(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 15, 2023.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“The climbing playground structure in the three’s outdoor area does not have the appropriate surfacing installed underneath it.”

Rule 746.4901(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Aug 17, 2023.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Two individual climbing slide structures did not have the appropriate depth of surfacing underneath. This was corrected when the director removed both slides from the playground.”

Rule 746.4907(d). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 1, 2023.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Two classrooms did not have emergency evacuation diagrams posted.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 1, 2023.

Parental Notification of Less Serious Injuries

“A deficiency was cited when the operation could not provide a signed incident report.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 23, 2023.

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

“There were cleaning supplies located underneath the sink, in an unlocked cabinet, in the Pre-K bathroom. Note: This was corrected at inspection when the director removed the cleaning supplies and put them up on a high shelf, where children can not access to the cleaning supplies.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2022.

Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

“The swings on the after-school playground had big screws that were protruding out of the pole that the swings were attached to. Additionally, the swing seats were cracked, and their chains were twisted.”

Rule 746.4601(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2022. Correction verified: Dec 13, 2022.

Immunization Records, Exceptions, and Exemptions Current

“There was one child file out of the twelve files viewed that did not have an updated immunization record available for review. Note: This was corrected at inspection when an updated immunization record was placed in the child’s file.”

Rule 746.613(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2022.

First Aid Kit - Incomplete Kit

“There were two vans meant to transport children that did not have complete first Aid kits available for review. One van was missing band aids, and the other van was missing band aids, and tweezers. Note: This was corrected at inspection when the director put band aids in the first van’s first aid kit, and put band aids and tweezers in the second van’s first aid kit.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2022.

Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

“There were two children files out of the twelve that were viewed that did not have a health statement signed by a health care professional, available for review.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 3, 2023. Correction verified: Dec 27, 2022.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“There was no current annual fire inspection report available during inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2022. Correction verified: Jan 14, 2022.

Children Handwashing After Toileting or Diapering

“One caregiver in the infant room failed to wash the child’s hands after changing the diaper.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2021. Correction verified: Jan 14, 2022.

Safety - Televisions Anchored to Prevent Tip Over

“In the school age classroom there was one television found to be sitting on a table, The television was not achored or secured. The television was accessible to children. The television was removed and put into storage during insepction.”

Rule 746.3701(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2021. Correction verified: Dec 3, 2021.