The Alphabet Club

Responsibilities of Caregivers - Know number of children responsible for

“Caregivers did not know the number of children in care during the follow up inspection. Two caregivers stated there were 10 children and there were 11 children present. Note: Discussed with the operation children must be accounted for at all time and it is criticial that they know how many children they have.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2023. Correction verified: Aug 17, 2023.

Responsibilities of Caregivers - Know number of children responsible for

“Caregivers did not know the number of children in two of the classrooms observed during the inspection. One caregiver stated there were 4 children and there was only 3 children in the classroom. Another caregiver stated there were 12 children in the classroom and there was only 11 children. Note: Discussed with the provider that all caregivers must know the number of children they are responsible for at all times.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2023. Correction verified: Aug 4, 2023.

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

“The annual fire inspection has not been conducted since June of 2022.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 17, 2023.

Food Service and Preparation Requirement - Safe and Sanitary

“During the inspection expired milk was observed in the infant room refrigerator and has not been disposed of. Note: The provider disposed of the expired milk during the inspection.”

Rule 746.3317. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 25, 2023.

Employee Handwashing After Diapering a Child

“A caregiver did not wash their hands after changing a child’s diaper during the inspection. Note: The caregiver washed their hands during the inspection.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 25, 2023.

Safety - Areas Free From Hazards

“During the inspection the toilet in the children’s restroom was covered with a plastic bag.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Jul 25, 2023.

Safety - Electrical Outlets Covered

“An electrical outlet was left uncovered in classroom with children present during the inspection. Note: The provided covered the outlet during the inspection.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 25, 2023.

Children’s Products- Annual Certification

“The annual Children’s Product Certification has not been completed since January 26th, 2022.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Jul 25, 2023.

Children’s Records - Admission Information

“Admission information for 10 children’s files evaluated were missing the following information: - Completed Special Needs Statements - Address for Emergency Contact Person”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 3, 2023.

Education Outside of U.S.

“2 out of the 10 staff files evaluated contained documentation of education received that was written in a foreign language that has not been translated to English.”

Rule 746.1045. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Aug 28, 2023.

AP Report a Child In Care Showing Signs and Symptoms of Illness Requiring Hospitalization

“Based upon the information obtained, the operation did not notify CCR within the required timeframe of a child showing signs of illness that required treatment by a medical professional. The incident occurred on June 16th, 2023 and the operation did not report to CCR until June 20th, 2023.”

Rule 746.305(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Nov 7, 2023.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“Based on the paper work given to me by the director about the vehicle used for transportation which was purchased on 6/12/2018. This vehicle used for transportation was not equipped with child safety alarm.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Sep 2, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant feeding sheet for one child was last updated in 6/10/2022. Caregiver stated that the form was given to parent and she has not brought the form back. This was corrected when parent email this information to the operation.”

Rule 746.2421(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2022.

Children’s Records - Health Statement

“Health statement was missing on file for one out of eight children file checked. This was corrected when the doctor’s office fax it to the operation.”

Rule 746.603(a)(3). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 5, 2022.