Kuddles & Kisses Early Childhood Center LLC

Children’s Records - Immunizations

“Two out of six children did not have up to date shot records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: May 18, 2026.

Policies Comply with Rules

“The operational policies were missing the following items: duration for outdoor play 501(a)(18)(B), Safe Sleep for Infants 12 Months and Younger 501(a)(9), Parents’ right to enter the building 501(20), Emergency Preparedness Plans 501(a)(24).”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jul 23, 2025.

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

“During the monitoring visit, the chemical bottles used for cleaning were not labeled.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2025. Correction verified: Jun 26, 2025.

Required Admission Information - Emergency Medical Authorization

“Two out of six children did not have the emergency medical authorization available for review. The application was missing the third page.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“During the monitoring visit, the director’s transportation training certificate available for review was expired.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

Employee Handwashing After Diapering a Child

“During the monitoring visit, the caregiver changed two children in the infant/toddler classroom without using gloves or washing hands after diaper changing. After speaking with the director, the caregiver washed their hands after diapering.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2025. Correction verified: Jun 26, 2025.

Children Handwashing After Toileting or Diapering

“During the monitoring visit, the caregiver in the infant/toddler classroom did not handwash two children’s hands after diaper changing. After speaking with the director, the caregiver started to wash each child’s hand after diapering.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2025. Correction verified: Jun 26, 2025.

Required Admission Information - Special Needs Statement

“Two out of six children did not have the special care statement available for review. The application was missing the third page.”

Rule 746.605(12). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

Immunization Records, Exceptions, and Exemptions Current

“One out of six children did not have up-to-date immunization records available for review during the monitoring visit.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment

“During the monitoring visit, one caregiver did not have the child maltreatment training certificate available for review.”

Rule 746.1309(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

Required Admission Information - Physician Information

“Two out of six children did not have the health care information available for review. The application was missing the third page.”

Rule 746.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2025. Correction verified: Jun 23, 2025.

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

“During the visit, a 13-month-old infant was asleep in a playpen with a bottle in the mouth during nap time. The caregiver removed the bottle upon request during the visit.”

Rule 746.2419(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 15, 2025.

Required Equipment in Vehicles - Fire Extinguisher

“During the monitoring visit, the transportation vehicle did not have a fire extinguisher.”

Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 21, 2024. Correction verified: Aug 22, 2024.

Children Handwashing Before Eating

“During the monitoring visit, fourteen children did not wash their hands in the classroom. The children’s ages ranged from 17 months to 2 years of age. A caregiver did not wash a child’s hands after diapering during the monitoring visit.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2024. Correction verified: Aug 22, 2024.