Itty Bitty Child Care

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“There is a staff at the operation without current CPR/First Aid training.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2026. Correction verified: Sep 22, 2026.

Fire Drill Monthly - Exit in 3 Minutes

“There was not a fire drill completed for the month of August. A fire drill was completed at inspection to bring he operation into compliance.”

Rule 746.5205(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 14, 2026.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“There is an infant asleep in a crib propped up and swaddled with a boppy pillow without an approved waiver/variance and doctor’s note.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2026. Correction verified: Jul 9, 2026.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“An infant was swaddled in a crib in the infant room.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2026. Correction verified: Jul 9, 2026.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“The director and several other staff do not have current first aid and CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2025. Correction verified: Oct 10, 2025.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“It was determined throughout the course of the DFPS Investigation that neglectful supervision did occur with a child in care.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2025. Correction verified: May 20, 2025.

Report Situation Placing Children at Risk

“During the course of the DFPS investigation it was determined that the operation failed to notify licensing when a child was left in a vehicle.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2025. Correction verified: May 20, 2025.

Parental Communication - Situation that Placed a Child at Risk

“During the course of the DFPS investigation it was determined that the parent wasn’t told the truth about their child being left on a vehicle.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2025. Correction verified: May 20, 2025.

AP Safety Precautions for Loading and Unloading Children - No Child Unattended

“During the course of the DFPS investigation it was determined that a child was left unattended in a vehicle for approximately 16 minutes.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2025. Correction verified: May 20, 2025.

Electronic Child Safety Alarm - Driver or designated employee conduct walk-through and visual check of vehicle

“During the course of the DFPS investigation it was determined that the caregiver turned the electronic child safety alarm by walking around the outside of the vehicle.”

Rule 746.5625(d)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2025. Correction verified: May 20, 2025.

Posting Requirements - Emergency and evacuation relocation diagram

“Emergency evacuation and relocaton diagram was not posted in the building.”

Rule 746.401(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2024. Correction verified: Nov 4, 2024.

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

“One child’s record was missing the required health statement from their file.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2024. Correction verified: Nov 18, 2024.