Chisholm Ridge Elementary - YMCA

Director Responsibilities - Employees Supervised

“At the time of the inspection the caregiver did not know the designated program director. The caregiver named a different person as being their program director that is assigned to different sites.”

Rule 744.1005(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2026. Correction verified: May 6, 2026.

Director Responsibilities - Submit and Follow Written Plan of Responsibilities

“At the time of the inspection it was found that the previously established responsibilities for the program director are not being followed by the program director assigned to the site. The staff at the site stated a different person was their program director.”

Rule 744.1005(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2026. Correction verified: May 6, 2026.

Posting Requirements- Letter or form from the most recent licensing inspection or investigation.

“At the time of the visit the most recent inspection form was not posted. The currently posted inspection is from 2025. There has been at least 1 inspection in 2026.”

Rule 744.401(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: May 11, 2026.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“At the time of the inspection 2 persons were present for more than 5 days of care without a background check at the operation.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2026. Correction verified: Mar 10, 2026.

Medication No Longer Used

“At the time of the visit an epi pen in the first aid kit had expired in November of 2025.”

Rule 744.2659. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 12, 2026.

Required Personnel Records - Required Affidavit (Form 2985)

“At the time of records review 1 of the 3 staff records reviewed did not have the 2985 Affidavit form signed by the caregiver.”

Rule 744.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2026. Correction verified: Mar 9, 2026.

Critical Injury - Give First Aid or CPR

“It was found through the investigation that during active play a child ran into a wall, fracturing one wrist and breaking the other, and was not provided basic first aid for the injuries.”

Rule 744.2577(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2026. Correction verified: Apr 29, 2026.

Orientation-Handling Emergencies

“Through the course of the investigation it was found that two caregivers present did not have orientation to the site that would have helped them better handle an incident of a child having a serious injury.”

Rule 744.1303(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2026. Correction verified: Apr 29, 2026.

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

“It was found through the investigation that the group was displaced from their normal class area and did not have immediate access to the first aid kit when a serious injury occurred.”

Rule 744.2751. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2026. Correction verified: Apr 29, 2026.

Electronic Records- Accessible to Caregivers

“Based on information obtained through the investigation, it was found that caregivers at the site did not have access to the electronic records. The paper files at the site were not updated to reflect added persons to the authorized pick up list for a child.”

Rule 744.805(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2026. Correction verified: Apr 29, 2026.

Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.

“The CPR/First Aid of caregiver is not current.”

Rule 744.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 29, 2024.

Report Change in Director

“There was a change in site director and the operation did not notify licensing within 5 days after change.”

Rule 744.303(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 29, 2024.

Required Personnel Records- Training Hours

“A file reviewed did not have annual training records available for review.”

Rule 744.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 31, 2024.

Required Personnel Records - Dates of Employment

“A file reviewed does not have the begin and end date of employment for caregiver.”

Rule 744.901(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 29, 2024.

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

“The caregivers were unable to maintain physical proximity to all children.”

Rule 744.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2024. Correction verified: May 27, 2024.

Sheltering Drills for Lock-Down-4 times in a calendar year

“The operation did not practice the lock down drill 4 times in the school year. This was corrected at inspection when the operation practiced a lockdown while licensing was present.”

Rule 744.3559(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 23, 2024.