The R.a.n.c.h.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Personnel that transport children in care did not have current transportation training.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 5, 2023.

Child Passenger Safety Seat System - Not expired or damaged in accident

“The booster seats located in the transportation van were expired.”

Rule 746.5607(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2023. Correction verified: Oct 5, 2023.

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

“A new employee was clocked in and on the play yard with children in care and other caregivers and the background check is still pending,The caregiver was sent home which brought the operation into compliance.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 13, 2023.

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

“An 11 month-old child was observed sleeping in a crib and a blanket was covering the infant. The blanket was removed during the inspection, bringing the operation into compliance.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2023. Correction verified: May 19, 2023.

Safety - Electrical Outlets Covered

“4 outlets observed without proper covers. This was corrected when the covers were replaced. There were fans within reach of children in 3 classrooms. The fans were removed during the inspection.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 8, 2023.

Administering Medication - Original Container with Child’s Name, Date

“A bottle of Tylenol was in an infant’s cubby. There was no authorization form, the medication was expired, and it was for 2?11-year-olds. This was corrected on-site during the inspection when the bottle was removed from the classroom during this inspection. The risk was mitigated because the child was not present, and the medication seal had not been broken, so no Tylenol had been given to this child.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 8, 2023.

Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance

“Providers must update their insurance on their portal annually.”

Rule 746.203(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 24, 2023.

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

“It was determined a caregiver has left their classroom occasionally to open the secondary door.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2023. Correction verified: May 19, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“A 7 month old child was observed sitting in a stroller in the school age class. The oldest child in this group was 11 years old. The infant was removed from the classroom bringing the operation into compliance.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 21, 2022.

Safety - Air Conditioners, Fans, Heaters Safeguarded

Rule 746.3701(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 21, 2022.

Fenced Outdoor Activity Space

“It was determined the prek class were spending outdoor time in the drive-thru covered awning of the church. There was no fence and this a non-licensed space. The children came back inside bringing the operation into compliance.”

Rule 746.4305. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 21, 2022.

Screen Time Activities - Related to Planned Activities

“Children in the school age class were observed playing games on their personal cell phones and IPads. Based on observations, this was not a structured planned activity with a educational purpose. The devices were put up during the inspection, bringing the operation into compliance.”

Rule 746.2207(c)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 21, 2022.

Training Requirements for Employees and Caregivers - Pre-service Training

“It was found that various training records were not available. Some employee have not completed the 24 hours in annual training, annual reporting abuse is not in the training records, and one employee that only works summers, had no training hours.”

Rule 746.1301(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2022. Correction verified: Jul 21, 2022.

Child/ Caregiver Ratio - 13 or More Children

“The infant class had 6 children, 2 -11 month olds, 2 -16 month olds, and 2 20 month old. The group had 1 caregiver. The group was out of ratio. This was corrected when one of the children were moved to another room which brought the operation into compliance.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 29, 2022. Correction verified: Jul 8, 2022.

Children’s Records - Admission Information

“Of the 5 children records reviewed, complete names, addresses, and phone number of emergency contact and emergency treatment authorizations were missing, one child had no enrollment form.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 8, 2022.