Laura Ellison Child Development Center

Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline

“The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website. 10/18/2023--The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website.”

Rule 746.501(a)(23). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2023. Correction verified: Oct 25, 2023.

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

“One staff out of ten did not have a current CPR/First aid available for review. Expiration on current was 8/9/23.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2023. Correction verified: Oct 12, 2023.

Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline

“The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website.”

Rule 746.501(a)(23). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Oct 18, 2023.

Required Personnel Records - Required Affidavit

“One out of ten files did not have a notarized affidavit available for review.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Aug 29, 2023.

Employee Handwashing After Diapering a Child

“Based on the information gathered during the investigation visit, it has been determined that a caregiver did not wash her hands after a diaper change.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Sep 29, 2023.

Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

“Based on the information gathered during the investigation visit, it has been determined that a caregiver was not using gloves during a diaper change.”

Rule 746.3425(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Sep 29, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“Based on the information gathered during the investigation visit, it has been determined that a caregiver did not wipe down the diaper changing mat after diaper change procedure.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Sep 29, 2023.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the gatherings during the investigation, it was determined there was concrete evidence to support that prohibited punishment (pulling, grabbing, and slapping hand) has taken place at the operation.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2023. Correction verified: Oct 18, 2023.

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

“A caregiver was seen handling an infant rough/quick manner.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 23, 2023. Correction verified: Mar 9, 2023.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“One child’s nap mat was observed blocking the exit during naptime.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 28, 2022.

AP Parental Notification of Deficiency as described in 746.309 within 5 Days

“The operation was provided with form 2970 due to the citation 746.2415(b). The due date for parent notification was 10/12/2022. The notification 2970 form was sent out on 10/14/2022.”

Rule 746.311(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2022. Correction verified: Oct 14, 2022.

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

“In the 2 infant classrooms (0-12M), it was observed there was stuffed animals, stuffed mini animals on pacifiers, and voice speakers inside the crib while an infant was sleeping. First class had a 3M infant napping and second class had a 9M infant napping.”

Rule 746.2415(b). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 7, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“2 out of 2 infant teachers did not have SIDS/safe sleep training available for review.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Oct 28, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant feeding schedule in the infant room was not updated. The last date updated was on 8/30/22.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Oct 14, 2022.

Written Operational Policies - Breastfeeding Provisions

“The parent handbook did not provide information about breastfeeding mothers available for review during the visit.”

Rule 746.501(a)(25). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2021. Correction verified: Nov 16, 2021.