Learning Tree Childrens Academy

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“It was observed in a classroom that the diaper changing mat material was cracked and missing in areas and the foam in the mat was exposed.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2023. Correction verified: Oct 25, 2023.

Immunization Records, Exceptions, and Exemptions Current

“1 out of 10 records reviewed did not have a current immunization record in their file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 10, 2023.

Children’s Records - Health Statement

“3 out of 10 records reviewed was missing a Health Statement in their files.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 17, 2023.

Children’s Records - Immunizations

“2 out of 10 records reviewed was missing an immunization record in their file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 17, 2023.

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

“It was found during the investigation that a child was left unsupervised on the playground for approximately 5 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2023. Correction verified: Jun 28, 2023.

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“It was found during the inspection that a slide on the south playground was cracked and posed a pinching hazard. This was corrected at the inspection by putting tape over the cracks until they can replace the slide.”

Rule 746.4601(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 19, 2022.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“It was found during the investigation that a child in care had access to and swallowed an object that is considered a choking hazard.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2022. Correction verified: Dec 19, 2022.

Prohibited Punishments - Pinching, Shaking, or Biting

“Based on the evidence obtained a child in care was pinched by a teacher, causing bruises.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Jan 11, 2023.

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

“1 out of records reviewed did not have current First Aid Training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2022. Correction verified: Feb 10, 2022.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“1 out of 10 records reviewed did not have current CPR Training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 21, 2022. Correction verified: Feb 10, 2022.

Children’s Records - Immunizations

“3 out of 10 records reviewed was missing immunization records or updated immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 4, 2022.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“1 out of 10 records reviewed did not have a Health Statement and has been attending the daycare for over a year.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2022. Correction verified: Feb 4, 2022.