Childrens Coalition

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

“During inspection, a crib assigned to a four month old infant was found to have a wedge under the mattress.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 2, 2025.

AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant

“A four month old infant has a wedge under the mattress in their crib without having a Sleep Exception From signed by a health-care professional.”

Rule 746.2427. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 2, 2025.

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

“During inspection walk through, cleaning and sanitizing supplies were found accessible to children in classroom #4, a restroom used by children across the hall from classroom #4, and classroom #6. Staff members moved all the sanitizing products to areas that were inaccessible to children upon request by CCR inspector.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2025. Correction verified: Dec 2, 2025.

Safety - Electrical Outlets Covered

“During inspection, an electrical outlet n classroom #2 (PreK 4) was found without a safety cover installed. The caregiver found a safety cover and installed it into the outlet during inspection upon request.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2025. Correction verified: Dec 2, 2025.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“During a review of the operation’s records of monthly inspections of active play space and equipment, I found the last recorded montlhy inspection was recorded on 07/08/2025.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 26, 2025. Correction verified: Dec 2, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“All caregivers have expired CPR. Note: Their CPR expired at the end of October.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2024. Correction verified: Dec 6, 2024.

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

“I observed two caregivers on the playground not supervising children which resulted in two children eating dirt.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2024. Correction verified: Mar 7, 2024.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“Based on information obtained during the investigation, there is sufficient evidence to support a citation that a caregiver was not able to intervene when a child put medication in their mouth that belongs to the caregiver.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Mar 14, 2024.

Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

“I observed a 14 month old infant sleeping with a sippy cup. A photo was taken.”

Rule 746.2419(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2023. Correction verified: Dec 27, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“For the months of February and June 2023 the fire drills exit times were not less than 3 minutes. A photo was taken of the fire drills.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2023. Correction verified: Dec 27, 2023.