Noahs Nook

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“During inspection of the outdoor play area, a composite play structure with a slide had a crack on the slide. Also a water table was observed to be broken, exposing a pinch, and or shear point. Photos taken. This was corrected at inspection after both the slide portion of the play structure and the water table were removed from the playground. Photos taken.”

Rule 746.4601(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 9, 2023.

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

“The operation’s fire marshall inspection is expired. The inspection was last conducted on 12/23/21.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2023. Correction verified: Feb 28, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

“One caregiver did not have pediatric first aid with rescue breathing.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Feb 28, 2023.

Training Requirements for Employees and Caregivers - 24 Annual Training

“One caregiver was missing a total of 16 annual training hours of the required 24 hours of annual training.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Mar 1, 2023.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“One caregiver who was observed caring for toddlers did not have a current shaken baby/SIDS training. The caregiver’s shaken baby/SIDS training expired on 10/27/22.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 2, 2023. Correction verified: Feb 21, 2023.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“In the toddler room, one toddler did not have a labeled bottle/sippy cup. This was corrected on inspection after the bottle/sippy cup was labeled.”

Rule 746.2505(4)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 9, 2023.

Children’s Records - Health Statement

“One child’s file was missing the health statement.”

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

Required Records Maintained and Made Available - Liability Insurance

“The operation does not have a current annual verification of liability insurance. The operation has a next annual verification past due date of 2/07/2022. This was corrected at inspection after Director submitted a Verification of Liability Insurance in CLASS.”

Rule 746.801(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 9, 2023.

Director Certificate Not Renewed

“Primary director’s day care administrator’s credential certificate expired on 11/30/22. The operation has not provided proof of a current credentialing certificate or letter of good standing from the credentialing organization/institution.”

Rule 746.1057. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2023. Correction verified: Jan 2, 2023.

Child/ Caregiver Ratio - 13 or More Children

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Apr 11, 2022.

Child/Caregiver Ratio - 18 Months Difference in Age

“During inspection, during nap time in a central location, a few infants under 18 months were combined into one group with older children as old as 5 years of age. There were a total of 24 children in care. This was corrected at inspection after the nap time activity ended and the different age groups were re-arranged/re-located to their regular classrooms.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Apr 11, 2022.

Requirement of Gas Leak Inspection

“The operation does not have a current gas leak inspection. The last gas leak inspection was conducted on 9/26/19.”

Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 20, 2022. Correction verified: Apr 8, 2022.