Top of the World Preschool

Safety - Areas Free From Hazards

“Unsecured stage risers in the operation gym collapsed onto a child in care.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2026. Correction verified: Sep 10, 2026.

Prohibited Equipment for Infants - Baby Walkers

“An infant was observed utilizing a walker with wheels that would allow movement. Walkers are prohibited equipment and would allow infants to move around and have access to materials or may cause a hand injury to other infants during floor time. The deficiency was corrected during the inspection when the staff removed the infant out of the equipment and removed the prohibited equipment out of the classroom with CCR brought it to their attention.”

Rule 746.2415(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 8, 2026.

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

“The loose-fill surfacing for the swings and Preschool playground had a depth of 1-4 inches under and around the equipment.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 13, 2026.

Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.

“The loose-fill surfacing on the School Age playground had a depth of 1-4 inches under and around the equipment.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 13, 2026.

Required Records Maintained and Made Available - Gas Inspection Report

“The operation did not have proof of a current gas leak inspection.”

Rule 746.801(13). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 13, 2026.

Required Records Maintained and Made Available - Infant Feeding Instructions

“Three infants were missing current feeding schedules.”

Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2025. Correction verified: Dec 15, 2025.

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

“During a DFPS investigation, one caregiver was found to be missing pediatric first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Nov 14, 2025.

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

“During a DFPS investigation, one caregiver was found to be missing pediatric CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Nov 14, 2025.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“During an inspection, it was observed that a caregiver was not adhering to the conditions on their background check.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2025. Correction verified: Jul 25, 2025.

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

“During an inspection, a caregiver was present with children prior to the operation receiving an eligibility letter from the Centralized Background Check Unit.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2025. Correction verified: Jul 25, 2025.

Child/ Caregiver Ratio - 13 or More Children

“During the inspection, there were 12 children aged two years old in a class with one caregiver.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 9, 2025. Correction verified: Jul 11, 2025.

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

“This standard was evaluated as part of the investigation and was found to be deficient. Based on review of video, and interviews of children and staff, it was determined a caregiver left a child unsupervised in a classroom. The child left the building where their classroom was located. The child was found by another caregiver on the concrete path between the two buildings of the operation. The child was unsupervised for 6 minutes and 59 seconds.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 2, 2025. Correction verified: Jul 9, 2025.

Sheltering Drills for Lock-Down-4 times in a calendar year

“The operation has not conducted a lockdown drill in the past year.”

Rule 746.5205(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2025. Correction verified: Apr 25, 2025.

Emergency Evacuation and Relocation Diagram - Floor Plan

“Three of the eight rooms did not have emergency evacuation and relocation diagrams posted in the room. This was corrected at inspection when the operation printed out new diagrams and posted them in the rooms.”

Rule 746.5207(a)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 23, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“Two of the four infants in care did not have current infant feeding schedules.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2025. Correction verified: Apr 25, 2025.

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

“This standard was evaluated as part of the investigation and was found to be deficient. Through interviews with staff and children, and review of photos, it was determined that a caregiver had allowed children to sit on a fence to take photos on 3/4/2024. When a child was trying to sit on the same fence on 3/5/2024, the child fell off the fence and received two fractures in their wrist.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2024. Correction verified: Apr 29, 2024.