Tesia’s Tiny Tots Day Care Center, Inc.

Documentation of Drills

“Current written documentation of drills was not available for review during the inspection.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2023. Correction verified: Sep 6, 2023.

Report Number of Employees

“Number of employees left in 2022 has not been reported.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2023. Correction verified: Jan 27, 2023.

Required Equipment in Vehicles - Fire Extinguisher

“Transportation vehicled used for transportation during the inspection was missing a fire extinguisher. This was corrected during the inspection. Fire extingusher was added to the veihicle.”

Rule 746.5617(a)(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 8, 2022.

Required Equipment in Vehicles - First-aid Kit

“Transportation vehicle used during the inspection did not have a first aid kit. This was corrected during the inspection. A complete first aid kit was added to the vehicle.”

Rule 746.5617(a)(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 8, 2022.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“Exposed screw from a slide piece not in use was observed in the outdoor play area. Picture taken”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2021. Correction verified: Jan 4, 2022.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“A piece of equipment was observed without surfacing around it. Picture taken”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2021. Correction verified: Jan 4, 2022.

Child/Caregiver Ratio - 12 or Fewer Children

“Upon arrival the operation was out of ratio with one caregiver to four infants and 6 toddler, preK school age children.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2021. Correction verified: Jan 4, 2022.

Daily Menus - Record Comparable Substitutions

“Substitution was documented during the inspection. This was corrected during the inspection. Substitution noted.”

Rule 746.3313(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 16, 2021.

Measurement of Use Zone for Stationary Equipment

“During the inspection a piece of equipment requiring use zone, was observed without use zone.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 14, 2022. Correction verified: Jan 4, 2022.

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

“Employee with a volunteer background check was observed alone with children. Volunteer background check does not allow a care giver to be alone with children or counted in ratio.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 28, 2022.

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

“The director did not use good judgment when dealing with a potential exposure to COVID, by leaving children alone in a transportation vehicle.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Mar 8, 2022.

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

“During the investigation it was found that the director was found reason to believe for neglectful supervision when she left children unattended in the transportation vehicle after school pickup.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Mar 8, 2022.

Report Situation Placing Children at Risk

“During investigation it was found that the operation did not report a situation that placed children at risk. Two children were left unsupervised in a transportation vehicle.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Mar 8, 2022.

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

“During the investigation it was found that two children were left unattended in a transportation vehicle.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Mar 4, 2022.

Parental Communication - Situation that Placed a Child at Risk

“During an investigation it was found that the parent was not notified when children were left in the transportation vehicle alone in the center parking lot.”

Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Mar 8, 2022.