Kids Community Preschool and Day Care

Written Operational Policies - Emergency Preparedness Plans

“The operation’s written emergency preparedness plan did not include all the required information. (Note: It was discussed with the director what information the emergency preparedness plan must include.)”

Rule 746.501(a)(24). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2023. Correction verified: Jul 13, 2023.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation did not have a current fire inspection. (Note: The fire inspection was scheduled during the inspection).”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2023. Correction verified: Jul 11, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“The director completed CPR through an on-line course which did not consist of a curriculum that incuded use of a CPR manikin.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2023. Correction verified: Jul 14, 2023.

Maintenance of Building, Grounds and Equipment

“The doors on the storage shed are rusted and in disrepair. The storage shed is located on the school age playground. There was grass and/or weeds growing through the loose fill surfing on the school age playground and needs to be removed. A wooden table on the school age playground needs to be discarded as it is showing signs of warping and has a hole in it.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2023. Correction verified: Jul 14, 2023.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The loose fill surfacing on the toddler and schoolers playground did not meet the 6-inch depth requirement.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2023. Correction verified: Jul 20, 2023.

Director Annual Training - Additional required topics

“The director will need to complete the following trainings: *Administering Medication *Preventing and responding to emergencies due to food or an allergic reaction *Handling, storing, and disposing of hazardous materials”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2023. Correction verified: Jul 10, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The monthly playground checklists were not available for review at the time of inspection.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2023. Correction verified: Jul 5, 2023.

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

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. Two individuals with caregiver responsibilities did not have a background check on file.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 7, 2023.

Basic Requirements for Infants - Never Unsupervised

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. The caregiver left three infants in the infant room unsupervised on at least nine separate occasions.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 21, 2023.

Requirements for Feeding Infants - Never Prop Bottles

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. The caregiver propped a bottle for a child as they sat in a highchair. The bottle was propped from 10:03-10:41a.m. Bottle propping occurred an additional two more times. The director and caregiver confirmed that propping bottles is a regular practice.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 21, 2023.

Responsibilities of Caregivers - Interact positively with children

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. The caregiver was observed pushing an infant back onto their back after the infant began to sit up.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 21, 2023.

Requirements for Feeding Infants - Fed in Safe Manner

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. The caregiver did not ensure that two infants were fed in a safe manner when they laid the infants down in their cribs and gave them their bottle. The infants drank their bottle as they laid in the cribs unsupervised.”

Rule 746.2419(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 21, 2023.

Volunteers and contractors not counted in the child/caregiver ratio must comply with minimum standards that apply to employees

“Based on the investigation findings, this standard was reviewed and found to be in non-compliance. The operation had 14-year-old individuals interacting with the enrolled children in a caregiver capacity.”

Rule 746.1401(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 21, 2023.

Policies Comply with Rules

“The operational policies did not include the following policies: *Safe sleep for infants from birth through 12 months *Information on vaccine-preventable diseases for employees *Preventing and responding to abuse and neglect of children *Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Sep 1, 2022.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The operation drivers completed one clock hour of transportation safety training. One additional clock hour will need to be completed.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 22, 2022.

Children’s Records - Admission Information

“Two children still need health statements on file. Child’s record was updated to include information that was missing - emergency contact information, authorized pick-up information, and physician information. Immunization record no longer needed as child no longer enrolled in care.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2022. Correction verified: Sep 7, 2022.

Required Personnel Records - Required Affidavit

“One staff person’s file still lacked a notarized affidavit.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 29, 2022.

Policies Comply with Rules

“The operational policies did not include the following policies: *Safe sleep for infants from birth through 12 months *Information on vaccine-preventable diseases for employees *Preventing and responding to abuse and neglect of children *Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 16, 2022.

Training Requirements for Employees, Caregivers, and directors - Pediatric CPR

“Four caregivers did not have current cpr/first aid training on file.”

Rule 746.1301(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 16, 2022.

Training Requirements for Employees and Caregivers - 24 Annual Training

“Three caregivers did not complete the required 24 clock hours of training for their previous training year. The three caregivers will need to complete make-up training hours that will not count towards the current training year.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Aug 26, 2022.

Training Requirements for Directors 30- Annual Training

“The director completed the required 30 clock hours of training for the previous training year but the training did not include the following topics: *SIDS, shaken baby, & early brain development *At least one clock hour of the annual training hours must focus on prevention, recognition, and reporting of child maltreatment *Emergency preparedness *Preventing and controlling the spread of communicable diseases *Administering medication (4)Preventing and responding to emergencies due to food or an allergic reaction (5)Understanding building and physical premises safety (6)Handling, storing, and disposing of hazardous materials”

Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Aug 26, 2022.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director and two caregivers will need to completed transportation safety training as the training was expired.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 16, 2022.

Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

“One infant bottle was observed not labeled. (Note: This was corrected during the inspection when the bottled was labeled with the child’s name.)”

Rule 746.2505(4)(A). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 28, 2022.

Children’s Records - Admission Information

“One child’s record was missing the following admission information: *complete emergency contact information *authorized pick-up person information *address and phone number for the physician that was listed Two children were missing a statement of health. One child did not have an updated immunization record on file.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 16, 2022.

Required Records Maintained and Made Available - Infant Feeding Instructions

“Three infants did not have written feeding instructions on file.”

Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Aug 16, 2022.

Required Personnel Records - Required Affidavit

“Three staff files lacked a notarized affidavit. (Note: Two of the three caregivers obtained a notarized affidavit during the inspection.)”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 16, 2022.