Living Water Christian Pre School

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

“A caregiver did not demonstrate competency when picking up an infant by one arm to remove the child from the nap cot. Additionally, the caregiver did not demonstrate self-control when interaction with the infant resulted in bruising on the child’s arm.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 19, 2023.

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

“Based on the DFPS investigation, there is sufficient evidence to support that abused occurred when an infant in care of the operation obtained injuries including bruises and marks that were caused by a caregiver.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 19, 2023.

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

“Sufficient evidence found during DFPS investigation inspection to prove via video that infant room caregivers walked out of the room multiple times leaving infants unattended and caregivers unable to intervene.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 8, 2023.

Report Situation Placing Children at Risk

“The operation did not notify Licensing of a non-routine situation in which a child was seen by a doctor for injuries that occurred while the child was in care.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Jan 5, 2024.

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

“Sufficient evidence found during DFPS investigation inspection to prove via video that a caregiver was using their cell phone for personal use while in direct care of children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 8, 2023.

Parental Notification of Less Serious Injuries

“The operation did not notify the parent when they picked up their child of scratches that were observed by center staff.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Dec 19, 2023.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“Operation did not complete an incident report once being notified by the parent of a non-routine situation in which the child was taken to the doctor for concerns about injuries observed on the child.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2023. Correction verified: Jan 3, 2024.

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

“A caregiver was present in the two year old classroom without an eligible background check. She was removed from the classroom during inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2023. Correction verified: Aug 30, 2023.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Two caregivers hired within the last year did not have proof of completed orientation.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2023. Correction verified: Sep 20, 2023.

Documented Annual Training Area - 24 Hours Required

“One caregiver did not have proof of completion of 24 hours of training in the most recently completed training year.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2023. Correction verified: Sep 20, 2023.

Director Annual Training - Additional required topics

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2023. Correction verified: Sep 20, 2023.

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“A staff without a background check was present around children.”

Rule 745.621(a)(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 6, 2022. Correction verified: Nov 29, 2022.

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

“Based on evidence gathered by the DFPS investigator, a caregiver failed to appropriately supervise a child in care.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Nov 28, 2022.

Responsibilities of Caregivers - Supervision of Children

“A child was able to leave the building during naptime without the caregiver noticing.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Nov 28, 2022.

Report Situation Placing Children at Risk

“The operation failed to notify licensing after allowing a child to wander away from the center unsupervised.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Nov 28, 2022.

Parental Communication - Situation that Placed a Child at Risk

“The operation failed to notify the child?s parents after allowing the child to wander away from the center unsupervised.”

Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2022. Correction verified: Nov 28, 2022.

Maintenance of Building, Grounds and Equipment

“The classroom exterior door does not shut completely and allowed a child to leave the room.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2022. Correction verified: Jan 13, 2023.

Requirements for Feeding Infants - Label Bottles/Cups

“There were multiple cups and bottles not labeled with the child’s name. * This was corrected at a=inspection by the caregiver labeling the bottles and cups.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 17, 2022.

Safety - Electrical Outlets Covered

“There were multiple electrical outlets that did not have child proof covers in both toddler classrooms. *This was corrected by the caregiver covering the electrical outlets inside the classrooms.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 17, 2022.

Screen Time Activities - Not Used for Under Two

“During inspection, four children under 2 years were watching television. Note: This was corrected when television was turned off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 18, 2021.