Kindercity

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“2 pedals on the Merry-Go-Cycle were missing.”

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 8, 2023.

Installation and Maintenance of Loose-fill Surfacing - Not Over Concrete or Asphalt

“Loose-fill material was observed installed over concrete.”

Rule 746.4907(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 8, 2023.

Required Admission Information - Special Needs Statement

“6 out of 8 children’s records evaluated did not have a special care needs statement.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 12, 2023.

Children’s Records - Admission Information

“The following children’s records evaluated were missing the information listed below: 1 out of 8 children’s records evaluated did not have an field trip authorization. 1 out of 8 children’s records evaluated did not have an water activities authorization. 1 out of 8 children’s records evaluated did not have an address for the emergency contact.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 12, 2023.

Children’s Records - Immunizations

“1 out of 8 children’s records evaluated did not have a immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 5, 2023.

Required Admission Information - Physician Information

“3 out of 8 children’s records evaluated did not have the name and address of the emergency-care facility.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 12, 2023.

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

“During the inspection children were observed climbing on chairs and tables. One child ran down the hall way into another classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2023. Correction verified: May 23, 2023.

Prohibited Punishments - Grabbing and Pulling

“Caregivers were observed grabbing children by the arm to get them to sit down during the inspection.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2023. Correction verified: May 23, 2023.

Prohibited Punishments - Restrictive device for time out

“During the follow up inspection another child was observed sitting in a high chair. It was stated by a caregiver that the child was in the high chair because they were running around and taking a long time to eat.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2023. Correction verified: May 23, 2023.

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

“During the inspection a caregiver was observed in the infant classroom with direct access to children. The operation has not received an elgiblity notification from CBCU stating the caregiver was allowed to be present. Note: The caregiver left the operation during the inspection and another qualified caregiver was moved nto the infant room.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2023. Correction verified: Apr 27, 2023.

Prohibited Punishments - Restrictive device for time out

“During the inspection a child was observed sitting in a high chair while playing on a tablet. When a caregiver was asked why the child was in the highchair it was stated because the child was special needs and would not stop running around. Note: It was discussed that no child can be confined to any type of restrictive device as a for of discipline.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2023. Correction verified: May 10, 2023.

Screen Time Activities - Not Used During Eating or Rest Times

“A child was observed during snap time using a tablet. Note: This was discussed with the provider during the inspecdtion that screen time cannot be used during meals, snacks or naptime. It was suggested that tablets only be used during planned activities.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2023. Correction verified: May 10, 2023.

Chairs - Safety Straps Used if Required by Manufacturer

“Another child was observed sitting in a high chair and the safety straps were not secured. Note: The provider secured the straps during the inspection.”

Rule 746.4501(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 26, 2023.

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

“Children were observed climbing on top of chairs and running around the classroom during the inspection. A child also walked out of the classroom and the caregiver closed the classroom door. When opening the classroom door the child was observed walking back from to the classroom with no supervision.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2023. Correction verified: May 10, 2023.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Based upon the information obtained, there is sufficient evidence to support caregivers are using cell phones while caring for children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 27, 2023.

Parental Notification of Less Serious Injuries

“Based on the information obtained, there is sufficient evidence to support parents are not informed of less serious injuries at pick up time.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 27, 2023.

Incident/Illness Report Form Shared with Parent

“Based upon the information obtained, there is sufficient evidence to support that the incident report for a child who was injured was not shared with the parent.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 27, 2023.

Incident/Illness Report Form Signed

“Based upon the information obtained, there is sufficient evidence to support a staff person from the operation did not sign the incident report for a child that was injured while in care.”

Rule 746.705. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 27, 2023.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A caregiver with conditions on background was observed caring for a group of children alone in the classroom. This was corrected during inspection when another caregiver arrived to work in the classroom with the caregiver.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 26, 2022.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“The safety alarm in the transportation vehicle was observed not properly working during the inspection.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2022. Correction verified: Oct 6, 2022.

Children Handwashing After Toileting or Diapering

“Caregiver was observed not washing toddler hands after changing diaper. This was corrected during inspection when the caregiver was observed washing 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: Sep 26, 2022.

Maintenance Procedures for Active Play - Inspect Daily

“The playground was observed having hazards( trash) throughout the playground accessible to children as they play. This was corrected during inspection when the caregiver was observed removiing the trash from the playground.”

Rule 746.4751(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 26, 2022.

Screen Time Activities - Not Used for Under Two

“A 22 month old child was observed having screen time. This was corrected during the inspection when the caregiver was observed turning off the television and giving the child another activity to do.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 26, 2022.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“Sippy cups iin the toddler room were observed not properly labeled with the child’s first name and first initial of last name. This was corrected during inspection when the caregiver was observed properly labeling the sippy cups.”

Rule 746.2505(4)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 26, 2022.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“An employee no longer associated with the operation had not been inactivated within the required time frame.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2022. Correction verified: Mar 10, 2022.

Responsibilities of Caregivers- Supervision of Children

“The caregiver in charge of a group of children did not intervene when the children were utilizing a stack of sleeping equipment as a form of an activity. The caregiver did not intervene when the children fell from the jumping off the stack of sleeping equipment, subsequently obtaining an injury. The caregiver did not intervene appropriately when the children fell off the stack of sleeping equipment. The children walked towards the caregiver.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2022. Correction verified: Apr 13, 2022.

Planned Activities Designed to Meet Individual Needs

“The caregiver did not provide activities for the children in care. The children were utilizing the stack of sleeping equipment as a form of play.”

Rule 746.2201(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2022. Correction verified: Apr 12, 2022.

Positive Methods of Discipline and Guidance - Redirecting Behavior

“Based on the investigation and information obtained the operation is not in compliance. Note: The caregiver is no longer employed at the operation.”

Rule 746.2803(4)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2021. Correction verified: Dec 22, 2021.