Bunker Hill Kindercare

Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“A child was observed sleeping with a pacifier that had a clip attached in their mouth during nap time.”

Rule 746.2501(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2026. Correction verified: Oct 7, 2026.

Employee Handwashing After Diapering a Child

“CCR observed a employee not their hands after changing a diaper.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2026. Correction verified: Oct 7, 2026.

Diapering Procedures - Sanitizing Diaper Changing Area

“CCR observed a caregiver in the infant room not sanitize the changing table in between changing diapers.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2026. Correction verified: Oct 7, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“Caregivers in 2 out of 4 rooms observed provided the incorrect number of children in their care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 23, 2026.

Prohibited Punishments - No Harsh, Cruel or Unusual

“A caregiver was observed pulling a child by their arm and kicking the nap cot while the child was on it.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 23, 2026.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“Insufficient walking space was observed in the infant and toddler groups. The ends of some cots were observed to be touching each other. NOTE: Corrected at inspection, the cots were rearrged to provide enough walking space”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 20, 2026.

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

“During nap time, children were observed sleeping behind a shelving unit. The shelving unit obstructed the caregiver’s view, preventing the caregiver from maintaining visual supervision of the children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 20, 2026.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“There was no sufficient walk and work space between cots in the Infant B classroom.”

Rule 746.2909(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 20, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A signature is needed on the food allergy emergency plan for one child enrolled.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2026. Correction verified: Aug 7, 2026.

Safety Requirements for Cribs - Label for Each Infant

“I observed unlabeled cribs used for children enrolled.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 20, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“Updated feeding instructions are needed for eight children.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2026. Correction verified: Aug 10, 2026.

Daily Menus - Record Comparable Substitutions

“The PM snack menu showed children would be served fresh apples and sun butter. During today’s inspection children were served oranges and crackers as well as oranges and pancakes for PM snack.”

Rule 746.3313(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 20, 2026.

Cots, Beds, Mats Labeled With Child’s Name

“The operation utilizes a numbered cot/chart system for nap. During today’s inspection I observed children asleep on numbered cots however the cot did not match the posted chart. A number/child assignment map was not available in the Pre-K and Fours classroom.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2026. Correction verified: Aug 20, 2026.

Provide care consistent with child’s habits, interests, strengths, special needs, including any special supervision needs

“During the investigation, it was determined that the operation failed to maintain adequate supervision of a child.”

Rule 746.1203(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Sep 11, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Upon entering an infant classroom, one caregiver was observed with ten children ages 14-19 months old. The specified age group for the class was 12-17 months which allows one caregiver to supervise a maximum of 5 children. The caregiver was over ratio by 5 children. A caregiver in another classroom was observed with 9 children ages 13-20 months old. The specified age group for the class was 12-17 months which allows one caregiver to supervise a maximum of 5 children. The caregiver was over ratio by 4 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 26, 2026. Correction verified: Mar 23, 2026.

Employee Handwashing After Diapering a Child

“A caregiver did not wash their hands after diapering a child. The caregiver was beginning to diaper another child. Note: This was corrected during inspection. The caregiver washed their hands before diapering the next child.”

Rule 746.3415(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 26, 2026.

Children Handwashing After Toileting or Diapering

“A child did not wash their hands after having their diaper changed. Note: This was corrected during inspection. The child washed their hands before returning to play.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 26, 2026.

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

“The last fire inspection was completed 08/26/2024.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2025. Correction verified: Nov 25, 2025.

Education Outside of U.S.

“Equivalency documentation is needed for three caregivers.”

Rule 746.1111. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 6, 2025. Correction verified: Nov 14, 2025.

Medication No Longer Used

“During today’s inspection I observed stored medications that were expired. Note: This was corrected during inspection.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 2, 2025.

Children’s Records - Health Statement

“Health statements are needed for two children enrolled.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2025. Correction verified: Sep 3, 2025.

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

“A caregiver was observed in the Toddler classroom with direct access to children. The caregivers background check has been inactive and the operation has not received an eligibility notification from CBCU stating the caregiver can be present. Note: The caregiver left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 16, 2024.

Pre-service Training for Caregivers of Children Under 24 Months

“4 caregivers files evaluated did not contain documenation showing training was completed in Early Childhood Brain Development.”

Rule 746.1305(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 13, 2024.

Child/ Caregiver Ratio - 13 or More Children

“A caregiver was obsserved with 8 children in the Toddler C classroom. The child to caregiver ratio should’ve been 5:1. The caregiver was over in ratio by 3 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 24, 2024.

Children’s Records - Health Statement

“1 out of 4 children’s files evaluated did not contain a completed health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 13, 2024.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“Documentation showing the smoke and carbon monoxide detectors were tested in June and July of 2024.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 13, 2024.

Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

“2 out of 4 staff files evaluated did not contain documentaiton of CPR and First Aid training.”

Rule 746.1329(c)(2). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 13, 2024.

Safety - Bodies of Water Inaccessible to Children

“A yellow bucket of dirty mop water was observed in the toddler room during the inspection.”

Rule 746.3701(9). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 1, 2024.

Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space

“The nap cots children were resting did not provide sufficient walking space during the inspection. Note: The operation rearranged the cots during the inspection to allow for sufficient walking space.”

Rule 746.2909(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 1, 2024.

Annual Sanitation Inspection

“The annual sanitation inspection has not been conducted since May 9th, 2023.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2024. Correction verified: Jul 2, 2024.

Using, Storing and Disposing of Hazardous Materials

“An aerosol spray can of Goo Off Graffiti was used in a classroom causing a strong chemical odor in a room where children are present.”

Rule 746.3407(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2024. Correction verified: Jul 1, 2024.

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

“A caregiver was observed in a classroom with direct access to children. There is no active background check for the caregiver and the operation has not received an eligibility notification from CBCU. Note: The caregiver left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 7, 2024.

Safety - Televisions Anchored to Prevent Tip Over

“A TV was observed on top of a shelf leaning on the wall and was not mounted or anchored. Note: This was corrected at the inspection when the caregiver removed the TV from the room.”

Rule 746.3701(10). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 7, 2024.

Provide Access to Children’s Records - Licensing

“The operation did not provide CCR access to an incident report upon request.”

Rule 746.601(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2024. Correction verified: Jun 10, 2024.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver did not practice good judgment when sending a child home with the incorrect bottle of milk.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jul 1, 2024.