Friendship Ranch Child Development Center

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

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“A classroom with infants and toddlers had infants observed in the multiple occupancy table for 40 minutes during center time for the younger toddlers. Later on in the morning, the infants and toddlers were placed back in the table for an additional 35 minutes prior to the start of lunch time.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

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

“A magic eraser was observed on the floor accessible to children in the infant/toddler classroom. Additionally, lysol was sitting on the counter space next to the box of pop tarts for breakfast. Additionally, the children’s sippy cups were next to another canister of lysol as well. This was corrected at inspection with the magic eraser picked up off the floor and the lysol moved to a bucket just meant for cleaning supplies.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Infant Care Area - Not Used as a Passageway

“A classroom with a combination of infants or toddlers was observed being used as a passage way for older children. The older children were observed entering the infant classroom from the playground and walking through the classroom to gain access to the hallway that leads to their classroom.”

Rule 746.2403(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Food Service and Preparation Requirement - Use Sanitary Holders

“Children were served food without a napkin or plate to prevent the food from being placed on the table for morning snack.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Employee Handwashing After Diapering a Child

“One caregiver was observed changing diapers and she did not wash her hands or the children’s hands after diaper changes. Additionally, she did not wash her hands before handling food to be served and the children did not have their hands washed prior to eating lunch.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Diaper Changing Equipment - No Play or Eating Surfaces Used

“The diaper changing pad for the toddler classroom was observed being used for diaper changes on the play floor space of the classroom.”

Rule 746.3503(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Chairs - Safety Straps Used if Required by Manufacturer

“In preparation for lunch time, infants and toddlers were placed at the table and several children were not secured with the safety straps.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 1, 2023.

Required Personnel Records

“The personnel file for the director was not available at inspection for review.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2023. Correction verified: Nov 1, 2023.

Documentation of Annual Sanitation Inspection

“The most recent health inspection form was not available for review.”

Rule 746.3403. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: Apr 14, 2023.

Safety - Areas Free From Hazards

“The outdoor space has various hazards including exposed nails on the fencing, missing or broken fence posts and the bottom portion of the fencing exposed outwards with sharp edges. The gate to the outdoor fence is broken and unable to stay full enclosed where the gates meet to latch. Inside the operation, the infant classroom table has a broken off exposed screw. Two classrooms have trash cans with diapers that does not have a lid to keep it inaccessible to children.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 4, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“A fire drill was not documented for October, November and December of 2022. For the calendar 2022 year, only two severe weather/sheltering drills occurred out of four and one lock down drill out of four. Additionally, the fire extinguisher check, smoke detector check and carbon monoxide detector check was not documented for October, November and December 2022.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2023. Correction verified: Apr 4, 2023.

Cots, Beds, Mats Labeled With Child’s Name

“Three classrooms that utilize cots do not have them labeled with the child’s name.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 4, 2023.

Nutrition and Food Service - Follow Meal Patterns

“Various snack choices did meet the USDA guidelines of nutrition and did not meet two food groups.”

Rule 746.3301(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2022. Correction verified: May 23, 2022.

Safety - Areas Free From Hazards

“The toddler playground had various fence posts that were not secured that were a pinch hazard with exposed nails. One fence post was on the ground with a nail sticking out. The fence post was picked up from the ground at inspection. All protruding fence posts that were pinch hazards were secured back to the fence line. All hazards were corrected at inspection.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 18, 2022.

Activities for Infants - Outdoor Play Daily

“Based on interviews with staff, the infants are going outside 1-2 times a week and are not having morning and afternoon opportunities daily to be outside. Additionally, the written activity plan does not include two daily opportunities in their written activity plan.”

Rule 746.2417(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2022. Correction verified: May 26, 2022.

Written Operational Policies - Promotion of Physical Activity

“The operational policies was lacking a policy of promotion of outdoor play to include duration of active play, clothing and footwear recommendation and alternate plan when weather prevents outdoor play.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2022. Correction verified: May 23, 2022.