Kerrville Kroc Academy

Prohibited Punishments - No Harsh, Cruel or Unusual

“A caregiver was overheard telling a child that they would call their parent as a way of correcting the child’s behavior.”

Rule 744.2105. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Oct 26, 2023.

Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.

“The Program Director did not have a current first aid certificate on file. The last certificate expired 7/22.”

Rule 744.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2023. Correction verified: Oct 26, 2023.

Each caregiver, operation director, program director, and site director Pediatric CPR

“The Program Director did not have a current CPR certificate on file. The last certificate expired 7/22.”

Rule 744.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2023. Correction verified: Oct 26, 2023.

Required Admission Information-Physician Information

“1 out of 10 child files evaluated was missing the child’s medical facility information.”

Rule 744.605(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 26, 2023.

Screen Time Activities - Related to Planned Activities

“A classroom was observed watching a Disney cartoon after arrival.”

Rule 744.2007(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Oct 26, 2023.

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

“3 caregivers had pending background checks. 2 out of 3 caregivers were observed in direct care of children without an eligibility letter on file.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

Training Requirements for Employees - 15 clock hours Annual Training for Caregivers & Site Directors

“5 staff training records were reviewed. 4 caregivers did not have recorded training hours for the anniversary years evaluated. Hours completed to make up any deficit can not be counted twice in the same evaluation year. NOTE: This is a re-cite.”

Rule 744.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 9, 2023. Correction verified: Jun 14, 2023.

Maintenance Procedures for Active Play - Keep Records for 3 Months

“Maintenance checklist was not available for the month of April. February and March were available. NOTE: This is a re-cite.”

Rule 744.3113(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 13, 2023.

Training Requirements for Employees - Orientation

“One caregiver and the Site Director had incomplete orientation documents on file. Staff signed the document, there was no trainer signature or record of items discussed.”

Rule 744.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: May 31, 2023.

Training Requirements for Employees - 15 clock hours Annual Training for Caregivers & Site Directors

“Training records were not available for inspection for 6 employees.”

Rule 744.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2023. Correction verified: May 31, 2023.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“The 15 passenger bus had part of the top step entering the vehicle peeling off, causing a potential trip hazard entering or exiting the vehicle. The two vans had trash and food on the floor.”

Rule 744.3803(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2023. Correction verified: May 31, 2023.

First Aid Kit Incomplete - Guide to first aid and emergency care

“4 out of 5 first aid kits in the vehicles were missing a first aid guide.”

Rule 744.2753(a)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: May 31, 2023.

First Aid Kit Incomplete - Tweezers

“One first aid kit in 1 out of 2 vans was missing tweezers.”

Rule 744.2753(a)(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: May 31, 2023.

Maintenance Procedures for Active Play - Keep Records for 3 Months

“Maintenance checklists were not available for review by the inspector.”

Rule 744.3113(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: May 31, 2023.

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

“It was determined during the investigation that the operation used poor judgement by transporting children in a vehicle that did not have working air conditioner and the vehicle windows were not able to be opened to allow proper air circulation for approximately 21 miles.”

Rule 744.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 12, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“At the time of inspection, children were arriving for the day. 3 caregivers asked in 3 separate classrooms did not know how many children were in their care. One class stated they had 12 children and 16 were present. One classroom stated they had 14 children and 17 were present. One classroom stated they had 18 children and 19 were present. Caregivers in 2 rooms were asked to recount and check their attendance records and provided inaccurate headcounts again.”

Rule 744.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2022. Correction verified: Jun 29, 2022.

Documentation of Annual Sanitation Inspection

“A sanitation inspection has not occurred and the operation’s last inspection was conducted on 5/4/2021. This is a recite.”

Rule 744.2503. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: May 31, 2022.

Maintenance of Building, Grounds and Equipment

“At the bottom of one of the blue slides on the playground, there is a black tarp under the loose fill that is exposed causing a potential trip hazard along with numerous patches of grass growing. This is a recite.”

Rule 744.2507. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: May 31, 2022.

Fire Drill Monthly - Exit in 3 Minutes

“The operation’s last recorded fire drill was conducted on 11/2020. The operation has not conducted another fire inspection since the last inspection. This is a recite.”

Rule 744.3559(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jun 8, 2022.

Required Equipment in Vehicles - First-aid Kit

“Two out of the four vehicle first aid kits were missing tweezers, a first aid instruction book, gloves, and cotton balls.”

Rule 744.3817(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 11, 2022. Correction verified: May 27, 2022.

Documentation of Annual Sanitation Inspection

“The operation’s sanitation inspection expired on 5/4/2021.”

Rule 744.2503. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 27, 2022.

Maintenance of Building, Grounds and Equipment

“On the playground there was an area at the bottom of one of the blue slides where a black tarp under the loose fill was exposed causing a potential trip hazard.”

Rule 744.2507. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 11, 2022. Correction verified: May 27, 2022.

Fire Drill Monthly - Exit in 3 Minutes

“The operation’s last recorded fire drill was conducted on 11/2020.”

Rule 744.3559(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 27, 2022.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The operation was not able to provide a copy of their monthly building and grounds maintenance checklists.”

Rule 744.3113(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 27, 2022.

Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list

“The operation last validated their people list on 1/10/22. NOTE: The site director validated the people list during the inspection.”

Rule 745.651(2)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 9, 2022.

Required Admission Information-Emergency Contact

“3 out of 10 child files evaluated did not contain an address for the emergency contact person on file.”

Rule 744.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 11, 2022.

Required Admission Information-Special School Age Permissions

“10 out of 10 children files evaluated did not contain permission from the parent regarding their child being able to ride the bus or walk from the public school they attend.”

Rule 744.605(15). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 11, 2022.

Required Personnel Records- Training Hours

“2 out of 8 staff files evaluated did not have the required annual training hours. One caregiver had 10 out of 15 hours recorded. A second caregiver had 12 out of 15 hours recorded.”

Rule 744.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 11, 2022.