Angel Keepers Pre-School & Eastern Hills Christian School

Written Operational Policies - Emergency Preparedness Plans

“The emergency preparedness plan was not available in the parent handbook.”

Rule 746.501(a)(24). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 30, 2023.

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“There is not a safe sleep policy in the parent handbook.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 26, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The food allergy alert plan was not signed by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2023. Correction verified: Oct 16, 2023.

Annual Fire Inspection - Conducted by Fire Marshal

“The last annual fire inspection that was conducted was in 2021.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 16, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“The emergency drills were reviewed and drills have not been practiced in one full calendar year.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2023. Correction verified: Oct 20, 2023.

Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child’s Health-Care Professional Directions

“There was a bottle of tylenol for an infant that did not have doctor instructions.”

Rule 746.3803(c). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 12, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The grounds checklist has not been completed for the last year.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2023. Correction verified: Oct 16, 2023.

Written Operational Policies - Benefits

“Operational policies did not include the promtion of physical activities.”

Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 30, 2023.

Written Operational Policies - Emergencies

“There is not a policy for handling medical emergencies in the parent handbook.”

Rule 746.501(a)(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 30, 2023.

Children’s Records - Immunizations

“Immunizations were checked for the HASA and 2 were not current and up to date.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 16, 2023.

Written Operational Policies - Breastfeeding Provisions

“There was not a breastfeeding policy in the parent handbook.”

Rule 746.501(a)(25). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 30, 2023.

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

“The caregiver did not use good judgment when she transitioned the classroom into the gym. The caregiver did not count the children in the hallway to ensure all children were out of the room. The caregiver did not count the children in the gym to ensure all children had transitioned from the classroom. This was corrected immediately when the operation terminated the employee immediately.”

Rule 746.1201(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 14, 2022.

Responsibilities of Caregivers- Supervision of Children

“This standard was reviewed in relation to the self-reported allegations and found to be deficient. The child was left alone in the classroom and was found by the assistant director. This was corrected immediately when the operation terminated the employee immediately.”

Rule 746.1203(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 14, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A documented food allergy does not have a food allergy plan signed by a healthcare professional.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Feb 7, 2022.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose fill is not the required depth under the swings. This was re-cited.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Feb 8, 2022.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“One classroom had disinfectant wipes within reach of children. One classroom had a Lysol bottle within reach of children. These were corrected at inspection when the caregivers removed items out of reach of children.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 15, 2021.

Children Handwashing After Toileting or Diapering

“One classroom did not wash the child’s hands after diapering. This was corrected at inspection when the caregiver washed the child’s hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 15, 2021.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A documented food allergy does not have a food allergy plan signed by parent and healthcare professional.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2022. Correction verified: Jan 21, 2022.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose fill is not the required depth under the swings. Photos were taken by CCR Inspector.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2022. Correction verified: Jan 21, 2022.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“One infant classroom did not have an updated infant feeding sheet present for review.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2022. Correction verified: Jan 21, 2022.

Maintenance of Building, Grounds and Equipment

“The playground equipment was observed during a DFPS inspection and was found to be broken and with rough edges. Photos were taken by CCI Investigator.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2021. Correction verified: Dec 15, 2021.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The loose fill was observed during an DFPS inspection to be lower than the required depth under the swings and under the equipment. Photos were taken by CCI investigator.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2021. Correction verified: Dec 15, 2021.