A+ Kidz Care Learning Center LLC

Written Operational Policies - Promotion of Physical Activity

“The operational policies lacked complete information regarding promotion of indoor and outdoor physical activity.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2023. Correction verified: Oct 2, 2023.

Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

“The school aged playground’s volleyball net was torn and hanging down, posing a risk to children. Note: This was corrected when the net was removed.”

Rule 746.4601(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 12, 2022.

Required Immunizations

“Two out of ten children’s files evaluated lacked documentation of current immunizations.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 26, 2022. Correction verified: Dec 23, 2022.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“One out of ten personnel records evaluated lacked documentation of high school diploma or a graduation date.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2022. Correction verified: Dec 20, 2022.

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

“One out of ten personnel records evaluated lacked documentation of current First Aid and CPR training.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 26, 2022. Correction verified: Dec 21, 2022.

Training Requirements for Employees and Caregivers - 24 Annual Training

“One personnel file evaluated lacked 2 hours of annual training. Another personnel file evaluated lacked 21 hours of annual training.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 26, 2022. Correction verified: Dec 23, 2022.

Safety - Areas Free From Hazards

“One play area had exposed medal wires on the playground. There were two screws protruding out of blue storage building. There was a red tunnel that was no longer screwed to the structure, posing a hazard. The school aged bathroom’s toilet paper dispenser was falling off of the wall, exposing a screw. Note: The wires, screws, and tunnel were removed from the play areas.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2022. Correction verified: Dec 20, 2022.

Licensing must have access to records

“Based on information gathered during a DFPS investigation, operation staff were unable provide records related to the investigation in a timely manner as they did not have access to them.”

Rule 745.8417. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2022. Correction verified: Dec 12, 2022.

Report Situation Placing Children at Risk

“Based on information gathered during a DFPS investigation, the operation failed to notify Child Care Regulation that an infant child had vomited a foreign object with blood.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2022. Correction verified: Dec 12, 2022.

Parental Notification of Less Serious Injuries

“Based on information gathered during a DFPS investigation, the operation failed to timely notify a parent that their infant child had vomited a foreign object with blood, which prevented the child from receiving medical attention. There were also scratches to the child’s throat.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2022. Correction verified: Dec 12, 2022.

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

“Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person’s eligibility.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Sep 7, 2022.

Safety - Areas Free From Hazards

“Bees were observed on one of the playgrounds where children were playing.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Sep 7, 2022.

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

“Inspector observed one staff playing with chalk on the sidewalk while children were playing outdoors.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 10, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Inspector observed one staff yanking a child by their arm to sit down. Inspector also heard staff yelling at children more than once during the inspection. The director was present and also heard staff yelling at children. Inspector also observed another staff placed one 3 yr. old child alone in time out for approximately 6-10 minutes.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2022. Correction verified: May 10, 2022.

Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

“The operation has two buildings and neither building had a carbon monoxide detector.”

Rule 746.5531. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 10, 2022.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director and two staff did not have transportation training on file.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2022. Correction verified: May 10, 2022.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“The emergency preparedness plan did not have information in regards to how staff will evacuate children with limited mobility or who are under 24 months or how staff will continue to care for children until parents arrive.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2022. Correction verified: May 10, 2022.

Documented Annual Training Area - 24 Hours Required

“The director had 1 out of 30 annual training hours on file for 2020-2021. One staff had 13 out of 24 annual hours for 2020-2021. Trainings missing but are not limited to are child maltreatment, and SIDS, Shaken Baby, and Early Brain Development. One staff was missing training in child maltreatment, SIDS, Shaken Baby, and Early Brain Development, communicable diseases, administering medication, food allergies, building and premises safety, hazardous materials including blood borne pathogens, and emergency preparedness.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2022. Correction verified: May 10, 2022.